Abstract
Background
Laparoscopic sleeve gastrectomy (LSG) became the most frequent bariatric procedure
performed in France (2011) and in the United States (2013), but studies reporting
long-term results are still rare.
Setting
Private hospital, France.
Methods
This is a retrospective analysis of a prospective cohort of 168 patients who underwent
LSG between 2005 and 2008. The objective of this study was to present the 8-year outcome
concerning weight loss, modification of co-morbidities, and to report the revisional
surgery after sleeve.
Results
The preoperative mean body mass index was 42.8 kg/m2 (31.1–77.9), 35 patients were
super obese, and 64 patients had a previous gastric band. For LSG as a definitive
bariatric procedure, 8 years of follow-up data were available for 116 patients (follow-up:
69%). Of the remainder, 23 patients underwent revisional surgery and 29 were lost
to follow-up. For the entire cohort, the mean excess weight loss (EWL) was 76% (0–149)
at 5 years and 67% (4–135) at 8 years, respectively. Of the 116 patients with 8 years
of follow-up, 82 patients had>50% EWL at 8 years (70.7%). Percentages of co-morbidities
resolved were hypertension, 59.4%; type 2 diabetes, 43.4%; and obstructive sleep apnea,
72.4%. Twenty-three patients had revisional surgery for weight regain (n = 14) or
for severe reflux (n = 9) at a mean period of 50 months (9–96). Twelve patients underwent
resleeve gastrectomy, 6 patients underwent conversion to a bypass, and 5 patients
to duodenal switch (1 single anastomosis duodeno-ileostomy). A total of 31% of patients
reported gastroesophageal reflux symptoms at 8 years.
Conclusions
At 8 years postoperatively, the LSG as a definitive bariatric procedure remained effective
for 59% of cases. The results appear to be more favorable especially for the non-super-obese
patients and primary procedures. LSG is a well-tolerated bariatric procedure with
low long-term complication rates.
Keywords
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Article info
Publication history
Published online: March 23, 2017
Accepted:
March 8,
2017
Received in revised form:
January 25,
2017
Received:
November 16,
2016
Identification
Copyright
© 2017 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. All rights reserved.
