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Long-term outcomes of laparoscopic sleeve gastrectomy as a primary bariatric procedure.
Surg Obes Relat Dis. 2014 Nov-Dec; 10(6):1129-33.SO

Abstract

BACKGROUND

Laparoscopic sleeve gastrectomy (LSG) has been established as a reliable bariatric procedure, but questions have emerged regarding its long-term results. Our aim is to report the long-term outcomes of LSG as a primary bariatric procedure.

METHODS

Retrospective analysis of patients submitted to LSG between 2005 and 2007 in our institution. Long-term outcomes at 5 years were analyzed in terms of body mass index (BMI), excess weight loss (EWL) and co-morbidities resolution. Surgical success was defined as %EWL>50%. Also, we compared long-term results according to preoperative BMI, using Mann-Whitney test.

RESULTS

A total of 161 LSG were analyzed, and 114 patients (70.8%) were women. The median age was 36 years old (range 16-65), median preoperative BMI was 34.9 kg/m(2) (interquartile range [IQR], 33.3-37.5). A total of 112 patients (70%) completed 5 years of follow-up. At the fifth year, median BMI and %EWL was 28.5 kg/m(2) (IQR: 25.8-31.9) and 62.9% (IQR: 45.3-89.6), respectively, with a surgical success of 73.2% of followed patients. According to preoperative BMI, surgical success was achieved in 80% of patients with BMI<35 kg/m(2), 75% of BMI 35-40 kg/m(2), and 52.6% of BMI>40 kg/m(2), with significant lower %EWL in patients with BMI>40 kg/m(2) (P = .001 and .004). Dyslipidemia and insulin resistance resolution was 80.7% and 84.7%, respectively. A total of 26.7% of patients reported new-onset gastroesophageal reflux symptoms at 5 years.

CONCLUSION

LSG as a primary procedure is a reliable surgery. We observed positive long-term outcomes of %EWL and co-morbidities resolution. In our series, best results are seen in patients with preoperative BMI<40 kg/m(2).

Authors+Show Affiliations

Department of Digestive Surgery, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile. Electronic address: bozauc@mac.com.Department of Digestive Surgery, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.Department of Digestive Surgery, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.Department of Digestive Surgery, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.Department of Digestive Surgery, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.Department of Digestive Surgery, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25500284

Citation

Boza, Camilo, et al. "Long-term Outcomes of Laparoscopic Sleeve Gastrectomy as a Primary Bariatric Procedure." Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery, vol. 10, no. 6, 2014, pp. 1129-33.
Boza C, Daroch D, Barros D, et al. Long-term outcomes of laparoscopic sleeve gastrectomy as a primary bariatric procedure. Surg Obes Relat Dis. 2014;10(6):1129-33.
Boza, C., Daroch, D., Barros, D., León, F., Funke, R., & Crovari, F. (2014). Long-term outcomes of laparoscopic sleeve gastrectomy as a primary bariatric procedure. Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery, 10(6), 1129-33. https://doi.org/10.1016/j.soard.2014.03.024
Boza C, et al. Long-term Outcomes of Laparoscopic Sleeve Gastrectomy as a Primary Bariatric Procedure. Surg Obes Relat Dis. 2014 Nov-Dec;10(6):1129-33. PubMed PMID: 25500284.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term outcomes of laparoscopic sleeve gastrectomy as a primary bariatric procedure. AU - Boza,Camilo, AU - Daroch,David, AU - Barros,Diego, AU - León,Felipe, AU - Funke,Ricardo, AU - Crovari,Fernando, Y1 - 2014/04/14/ PY - 2013/12/05/received PY - 2014/03/11/revised PY - 2014/03/26/accepted PY - 2014/12/16/entrez PY - 2014/12/17/pubmed PY - 2015/9/10/medline KW - Bariatric surgery KW - Laparoscopic sleeve gastrectomy KW - Long-term results SP - 1129 EP - 33 JF - Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery JO - Surg Obes Relat Dis VL - 10 IS - 6 N2 - BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) has been established as a reliable bariatric procedure, but questions have emerged regarding its long-term results. Our aim is to report the long-term outcomes of LSG as a primary bariatric procedure. METHODS: Retrospective analysis of patients submitted to LSG between 2005 and 2007 in our institution. Long-term outcomes at 5 years were analyzed in terms of body mass index (BMI), excess weight loss (EWL) and co-morbidities resolution. Surgical success was defined as %EWL>50%. Also, we compared long-term results according to preoperative BMI, using Mann-Whitney test. RESULTS: A total of 161 LSG were analyzed, and 114 patients (70.8%) were women. The median age was 36 years old (range 16-65), median preoperative BMI was 34.9 kg/m(2) (interquartile range [IQR], 33.3-37.5). A total of 112 patients (70%) completed 5 years of follow-up. At the fifth year, median BMI and %EWL was 28.5 kg/m(2) (IQR: 25.8-31.9) and 62.9% (IQR: 45.3-89.6), respectively, with a surgical success of 73.2% of followed patients. According to preoperative BMI, surgical success was achieved in 80% of patients with BMI<35 kg/m(2), 75% of BMI 35-40 kg/m(2), and 52.6% of BMI>40 kg/m(2), with significant lower %EWL in patients with BMI>40 kg/m(2) (P = .001 and .004). Dyslipidemia and insulin resistance resolution was 80.7% and 84.7%, respectively. A total of 26.7% of patients reported new-onset gastroesophageal reflux symptoms at 5 years. CONCLUSION: LSG as a primary procedure is a reliable surgery. We observed positive long-term outcomes of %EWL and co-morbidities resolution. In our series, best results are seen in patients with preoperative BMI<40 kg/m(2). SN - 1878-7533 UR - https://www.unboundmedicine.com/medline/citation/25500284/Long_term_outcomes_of_laparoscopic_sleeve_gastrectomy_as_a_primary_bariatric_procedure_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1550-7289(14)00148-8 DB - PRIME DP - Unbound Medicine ER -