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Review of long-term weight loss results after laparoscopic sleeve gastrectomy

Published:November 25, 2013DOI:https://doi.org/10.1016/j.soard.2013.11.007

      Abstract

      Sleeve gastrectomy (SG) has gained enormous popularity both as a first-stage procedure in high-risk super-obese patients and as a stand-alone procedure. The objective of this study was to evaluate the long-term weight loss results after SG published in the literature and compare them with the well-documented short-term and mid-term weight loss results. A detailed search in PubMed using the keywords “sleeve gastrectomy” and “long-term results” found 16 studies fulfilling the criteria of this study. A total of 492 patients were analyzed, with a follow-up of at least 5 years after laparoscopic sleeve gastrectomy (LSG) (373 at 5 years, 72 at 6 years, 13 at 7 years, and 34 at 8 or more years). Of the total number of patients, 71.1% were women (15 studies, n = 432 patients). Mean patient age was 45.1 years (15 studies, n = 432 patients). Mean preoperative body mass index in all 16 studies was 49.2 kg/m2. The mean percentage excess weight loss (%EWL) was 62.3%, 53.8%, 43%, and 54.8% at 5, 6, 7, and 8 or more years after LSG, respectively. The overall mean %EWL (defined as the average %EWL at 5 or more years after LSG) was 59.3% (12 studies, n = 377 patients). The overall attrition rate was 31.2% (13 studies). LSG seems to maintain its well-documented weight loss outcome at 5 or more years postoperatively, with the overall mean %EWL at 5 or more years after LSG still remaining>50%. The existing data support the role of LSG in the treatment of morbid obesity.

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      References

        • Marceau P.
        • Biron S.
        • St Georges R.
        • Duclos M.
        • Potvin M.
        • Bourque R.A.
        Biliopancreatic diversion with gastrectomy as surgical treatment of morbid obesity.
        Obes Surg. 1991; 4: 381-387
        • Ren C.J.
        • Patterson E.
        • Gagner M.
        Early results of laparoscopic biliopancreatic diversion with duodenal switch: a case series of 40 consecutive patients.
        Obes Surg. 2000; 10: 514-524
      1. Deitel M., Crosby R.D., Gagner M. The first international consensus summit for sleeve gastrectomy (SG), New York City, October 25–27, 2007. Obes Surg 2008;18:487–496.

        • Gagner M.
        • Deitel M.
        • Kalberer T.L.
        • Erickson A.L.
        • Crosby R.D.
        The second international consensus summit for sleeve gastrectomy, March 19–21, 2009.
        Surg Obes Relat Dis. 2009; 5: 476-485
        • Deitel M.
        • Gagner M.
        • Erickson A.L.
        • Crosby R.D.
        Third International Summit: current status of sleeve gastrectomy.
        Surg Obes Relat Dis. 2011; 7: 749-759
        • Brethauer S.A.
        • Hammel J.P.
        • Schauer P.R.
        Systematic review of sleeve gastrectomy as staging and primary bariatric procedure.
        Surg Obes Relat Dis. 2009; 5: 469-475
        • Weiner R.A.
        • Weiner S.
        • Pomhoff I.
        • Jacobi C.
        • Makarewicz W.
        • Weigand G.
        Laparoscopic sleeve gastrectomy--influence of sleeve size and resected gastric volume.
        Obes Surg. 2007; 17: 1297-1305
        • Bohdjalian A.
        • Langer F.B.
        • Shakeri-Leidenmühler S.
        • et al.
        Sleeve gastrectomy as sole and definitive bariatric procedure: 5-year results for weight loss and ghrelin.
        Obes Surg. 2010; 20: 535-540
        • Himpens J.
        • Dobbeleir J.
        • Peeters G.
        Long-term results of laparoscopic sleeve gastrectomy for obesity.
        Ann Surg. 2010; 252: 319-324
        • D'Hondt M.
        • Vanneste S.
        • Pottel H.
        • Devriendt D.
        • Van Rooy F.
        • Vansteenkiste F.
        Laparoscopic sleeve gastrectomy as a single-stage procedure for the treatment of morbid obesity and the resulting quality of life, resolution of comorbidities, food tolerance, and 6-year weight loss.
        Surg Endosc. 2011; 25: 2498-2504
        • Sarela A.I.
        • Dexter S.P.
        • O'Kane M.
        • Menon A.
        • McMahon M.J.
        Long-term follow-up after laparoscopic sleeve gastrectomy: 8–9-year results.
        Surg Obes Relat Dis. 2012; 8: 679-684
        • Strain G.W.
        • Saif T.
        • Gagner M.
        • Rossidis M.
        • Dakin G.
        • Pomp A.
        Cross-sectional review of effects of laparoscopic sleeve gastrectomy at 1, 3, and 5 years.
        Surg Obes Relat Dis. 2011; 7: 714-719
        • Eid G.M.
        • Brethauer S.
        • Mattar S.G.
        • Titchner R.L.
        • Gourash W.
        • Schauer P.R.
        Laparoscopic sleeve gastrectomy for super obese patients: forty-eight percent excess weight loss after 6 to 8 years with 93% follow-up.
        Ann Surg. 2012; 256: 262-265
        • Rawlins L.
        • Rawlins M.P.
        • Brown C.C.
        • Schumacher D.L.
        Sleeve gastrectomy: 5-year outcomes of a single institution.
        Surg Obes Relat Dis. 2013; 9: 21-25
        • Lim D.M.
        • Taller J.
        • Bertucci W.
        • Riffenburgh R.H.
        • O'Leary J.
        • Wisbach G.
        Comparison of laparoscopic sleeve gastrectomy to laparoscopic Roux-en-Y gastric bypass for morbid obesity in a military institution.
        Surg Obes Relat Dis. 2012 Aug 30;
        • Abbatini F.
        • Capoccia D.
        • Casella G.
        • Soricelli E.
        • Leonetti F.
        • Basso N.
        Long-term remission of type 2 diabetes in morbidly obese patients after sleeve gastrectomy.
        Surg Obes Relat Dis. 2013; 9: 498-502
        • Saif T.
        • Strain G.W.
        • Dakin G.
        • Gagner M.
        • Costa R.
        • Pomp A.
        Evaluation of nutrient status after laparoscopic sleeve gastrectomy 1, 3, and 5 years after surgery.
        Surg Obes Relat Dis. 2012; 8: 542-547
        • Braghetto I.
        • Csendes A.
        • Lanzarini E.
        • Papapietro K.
        • Cárcamo C.
        • Molina J.C.
        Is laparoscopic sleeve gastrectomy an acceptable primary bariatric procedure in obese patients? Early and 5-year postoperative results.
        Surg Laparosc Endosc Percutan Tech. 2012; 22: 479-486
        • Zachariah S.K.
        • Chang P.C.
        • Ooi A.S.
        • Hsin M.C.
        • Kin Wat J.Y.
        • Huang C.K.
        Laparoscopic sleeve gastrectomy for morbid obesity: 5 years experience from an Asian center of excellence.
        Obes Surg. 2013; 23: 939-946
        • Catheline J.M.
        • Fysekidis M.
        • Bachner I.
        • et al.
        Five-year results of sleeve gastrectomy.
        J Visc Surg. 2013 Sep 20;
        • Brethauer S.A.
        • Aminian A.
        • Romero-Talamás H.
        • et al.
        Can diabetes be surgically cured? Long-term metabolic effects of bariatric surgery in obese patients with type 2 diabetes mellitus.
        Ann Surg. 2013; 258: 628-637
        • Sieber P.
        • Gass M.
        • Kern B.
        • Peters T.
        • Slawik M.
        • Peterli R.
        Five-year results of laparoscopic sleeve gastrectomy.
        Surg Obes Relat Dis. Epub. 2013 Jul; 10
        • Langer F.B.
        • Bohdjalian A.
        • Felberbauer F.X.
        • et al.
        Does gastric dilatation limit the success of sleeve gastrectomy as a sole operation for morbid obesity?.
        Obes Surg. 2006; 16: 166-171
        • Dixon J.B.
        • Laurie C.P.
        • Anderson M.L.
        • Hayden M.J.
        • Dixon M.E.
        • O'Brien P.E.
        Motivation, readiness to change, and weight loss following adjustable gastric band surgery.
        Obesity (Silver Spring). 2009; 17: 698-705
        • Pontiroli A.E.
        • Fossati A.
        • Vedani P.
        • et al.
        Post-surgery adherence to scheduled visits and compliance, more than personality disorders, predict outcome of bariatric restrictive surgery in morbidly obese patients.
        Obes Surg. 2007; 17: 1492-1497
        • Chevallier J.M.
        • Paita M.
        • Rodde-Dunet M.H.
        • et al.
        Predictive factors of outcome after gastric banding: a nationwide survey on the role of center activity and patients’ behavior.
        Ann Surg. 2007; 246: 1034-1039
        • Lee W.J.
        • Wang W.
        Bariatric surgery: Asia-Pacific perspective.
        Obes Surg. 2005; 15: 751-757
        • Rosenthal R.J.
        • Diaz A.A.
        • Arvidsson D.
        • et al.
        International Sleeve Gastrectomy Expert Panel Consensus Statement: best practice guidelines based on experience of>12,000 cases.
        Surg Obes Relat Dis. 2012; 8: 8-19
        • Stroh C.
        • Weiner R.
        • Horbach T.
        • et al.
        New data on quality assurance in bariatric surgery in Germany [in German].
        Zentralbl Chir. 2013; 138: 180-188
        • Karamanakos S.N.
        • Vagenas K.
        • Kalfarentzos F.
        • Alexandrides T.K.
        Weight loss, appetite suppression, and changes in fasting and postprandial ghrelin and peptide-YY levels after Roux-en-Y gastric bypass and sleeve gastrectomy: a prospective, double blind study.
        Ann Surg. 2008; 247: 401-407
        • Cohen R.
        • Uzzan B.
        • Bihan H.
        • Khochtali I.
        • Reach G.
        • Catheline J.M.
        Ghrelin levels and sleeve gastrectomy in super-super-obesity.
        Obes Surg. 2005; 15: 1501-1502
        • ASMBS Clinical Issues Committee
        Updated position statement on sleeve gastrectomy as a bariatric procedure.
        Surg Obes Relat Dis. 2012; 8: e21-e26