Five-year outcomes of laparoscopic sleeve gastrectomy as a primary procedure for morbid obesity: A prospective study

World Journal of Gastrointestinal Surgery
Carlos Hoyuela

Abstract

To prospectively evaluate the postoperative morbi-mortality and weight loss evolution of patients who underwent a laparoscopic sleeve gastrectomy (LSG) as a primary bariatric procedure during 5 years of follow-up. Since 2006, data from patients undergoing a highly restrictive primary LSG have been prospectively registered in a database and analysed. Preoperative co-morbid conditions, operating time, hospital stay, early and late complications rate and evolution of weight loss after 5 years of follow-up were analysed. A total of 156 patients were included, 74.3% of whom were women. The mean age was 43.2 ± 13.1 years and the mean body mass index (BMI) was 41.5 ± 7.9 kg/m(2). Seventy patients (44.8%) presented a BMI under 40 kg/m(2). The mortality rate was 0%. The leakage rate was 1.2%, and the total 30-d morbidity rate was 5.1% (8/156). With a mean follow-up of 32.7 ± 28.5 (range 6-112) mo, the mean percent of excess of weight loss (%EWL) was 82.0 ± 18.8 at 1 year, 76.7 ± 21.3 at 3 years and 60.3 ± 28.9 at 5 years. The mean percent of excess of BMI loss (%EBMIL) was 94.9 ± 22.4 at 1 year, 89.4 ± 27.4 at 3 years and 74.8 ± 29.4 at 5 years. Patients with preoperative BMI less than 40 kg/m(2) achieved greater weight loss than did th...Continue Reading

Citations

Feb 6, 2019·Obesity Surgery·Maureen BoyleKamal K Mahawar
Aug 20, 2020·Obesity Surgery·Taryel OmarovAli Kagan Coskun
Mar 19, 2021·International Journal of General Medicine·Ahmed SalmanMahmoud Gouda Omar
Apr 13, 2021·The American Journal of Gastroenterology·Pichamol Jirapinyo, Christopher C Thompson
Nov 26, 2020·Journal of Clinical Gastroenterology·Mihajlo GjeorgjievskiMichel Kahaleh

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Methods Mentioned

BETA
gastric bypass
dissection

Software Mentioned

Peristrips

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