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Laparoscopic sleeve gastrectomy: long-term weight loss outcomes.
Surg Obes Relat Dis. 2015 Sep-Oct; 11(5):1004-7.SO

Abstract

BACKGROUND

Laparoscopic sleeve gastrectomy (LSG) has become an increasingly popular stand-alone weight loss surgery, but there is a paucity of long-term efficacy data.

OBJECTIVE

To determine long-term outcomes for patients undergoing LSG.

SETTING

Tertiary care university hospital in the United States.

METHODS

This study presents a case series of the first 16 patients undergoing LSG at our institution. Inclusion criteria were accepted indications for bariatric surgery, and exclusion criteria were any prior bariatric surgery, gastrectomy, substance abuse, uncontrolled psychiatric illness, end-stage organ disease, or advanced-stage cancer. Patients were followed for 7 years. Outcomes included percent excess weight loss (%EWL), percent weight loss (%WL), resolution of co-morbidities, and major and minor complications.

RESULTS

Patients enrolled in this study had a mean body mass index (BMI) of 43.5 kg/m(2) and a mean age of 49, and 14 of 16 patients were women. Fourteen of 16 patients had 7-year follow-ups with a mean %WL of 29.6%±8.95 and a mean %EWL of 59.6%±89.9%. At 7 years, 11 of 14 patients achieved>50% EWL. One-year follow-up data revealed a mean EWL of 72%±20%, which was significantly greater than the %EWL at 7 years (P = .005). Complications included 1 partial obstruction at the gastric incisura angularis and 1 subacute leak; both were managed endoscopically. There were no reoperations and no deaths. Five of 14 patients experienced new-onset gastroesophageal reflux disease.

CONCLUSIONS

At 7 years postoperative, the LSG remained a durable and successful operation.

Authors+Show Affiliations

Department of Surgery, Anschutz Medical Campus of University of Colorado, Aurora, Colorado. Electronic address: douglas.hirth@ucdenver.edu.Department of Surgery, Anschutz Medical Campus of University of Colorado, Aurora, Colorado.Department of Surgery, Anschutz Medical Campus of University of Colorado, Aurora, Colorado.Department of Surgery, Anschutz Medical Campus of University of Colorado, Aurora, Colorado.Department of Surgery, Anschutz Medical Campus of University of Colorado, Aurora, Colorado.

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

25980329

Citation

Hirth, Douglas A., et al. "Laparoscopic Sleeve Gastrectomy: Long-term Weight Loss Outcomes." Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery, vol. 11, no. 5, 2015, pp. 1004-7.
Hirth DA, Jones EL, Rothchild KB, et al. Laparoscopic sleeve gastrectomy: long-term weight loss outcomes. Surg Obes Relat Dis. 2015;11(5):1004-7.
Hirth, D. A., Jones, E. L., Rothchild, K. B., Mitchell, B. C., & Schoen, J. A. (2015). Laparoscopic sleeve gastrectomy: long-term weight loss outcomes. Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery, 11(5), 1004-7. https://doi.org/10.1016/j.soard.2015.02.016
Hirth DA, et al. Laparoscopic Sleeve Gastrectomy: Long-term Weight Loss Outcomes. Surg Obes Relat Dis. 2015 Sep-Oct;11(5):1004-7. PubMed PMID: 25980329.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laparoscopic sleeve gastrectomy: long-term weight loss outcomes. AU - Hirth,Douglas A, AU - Jones,Edward L, AU - Rothchild,Kevin B, AU - Mitchell,Breana C, AU - Schoen,Jonathan A, Y1 - 2015/02/24/ PY - 2014/09/30/received PY - 2015/02/17/revised PY - 2015/02/17/accepted PY - 2015/5/19/entrez PY - 2015/5/20/pubmed PY - 2016/9/20/medline KW - Bariatric surgery KW - Laparoscopic bariatric surgery KW - Laparoscopic sleeve gastrectomy KW - Long term outcomes KW - Minimally invasive bariatric surgery KW - Outcomes KW - Sleeve gastrectomy SP - 1004 EP - 7 JF - Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery JO - Surg Obes Relat Dis VL - 11 IS - 5 N2 - BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) has become an increasingly popular stand-alone weight loss surgery, but there is a paucity of long-term efficacy data. OBJECTIVE: To determine long-term outcomes for patients undergoing LSG. SETTING: Tertiary care university hospital in the United States. METHODS: This study presents a case series of the first 16 patients undergoing LSG at our institution. Inclusion criteria were accepted indications for bariatric surgery, and exclusion criteria were any prior bariatric surgery, gastrectomy, substance abuse, uncontrolled psychiatric illness, end-stage organ disease, or advanced-stage cancer. Patients were followed for 7 years. Outcomes included percent excess weight loss (%EWL), percent weight loss (%WL), resolution of co-morbidities, and major and minor complications. RESULTS: Patients enrolled in this study had a mean body mass index (BMI) of 43.5 kg/m(2) and a mean age of 49, and 14 of 16 patients were women. Fourteen of 16 patients had 7-year follow-ups with a mean %WL of 29.6%±8.95 and a mean %EWL of 59.6%±89.9%. At 7 years, 11 of 14 patients achieved>50% EWL. One-year follow-up data revealed a mean EWL of 72%±20%, which was significantly greater than the %EWL at 7 years (P = .005). Complications included 1 partial obstruction at the gastric incisura angularis and 1 subacute leak; both were managed endoscopically. There were no reoperations and no deaths. Five of 14 patients experienced new-onset gastroesophageal reflux disease. CONCLUSIONS: At 7 years postoperative, the LSG remained a durable and successful operation. SN - 1878-7533 UR - https://www.unboundmedicine.com/medline/citation/25980329/Laparoscopic_sleeve_gastrectomy:_long_term_weight_loss_outcomes_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1550-7289(15)00049-0 DB - PRIME DP - Unbound Medicine ER -