Long-term (11+years) outcomes in weight, patient satisfaction, comorbidities, and gastroesophageal reflux treatment after laparoscopic sleeve gastrectomy
| Autor: | Guido Leman, Ramon Vilallonga, Thierry Ballet, Gustavo A. Arman, Jeroen Dhaenens, Jacques Himpens |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty Sleeve gastrectomy medicine.medical_treatment Gastric Bypass 030209 endocrinology & metabolism Body Mass Index Time-to-Treatment 03 medical and health sciences 0302 clinical medicine Patient satisfaction Weight loss Interquartile range Gastrectomy Weight Loss Medicine Humans Prospective Studies Prospective cohort study business.industry medicine.disease Duodenal switch Surgery Obesity Morbid Treatment Outcome Patient Satisfaction GERD Disease Progression Gastroesophageal Reflux 030211 gastroenterology & hepatology Female Laparoscopy medicine.symptom business Follow-Up Studies |
| Zdroj: | Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery. 12(10) |
| ISSN: | 1878-7533 |
| Popis: | Background More than 10 years of outcomes for sleeve gastrectomy (LSG) have not yet been documented. Objectives Analysis of>11 years of outcomes of isolated LSG in terms of progression of weight, patient satisfaction, and evolution of co-morbidities and gastroesophageal reflux disease (GERD) treatment. Setting Two European private hospitals. Methods Chart review and personal interview in consecutive patients who underwent primary isolated LSG (2001–2003). Results Of the 110 consecutive patients, complete follow-up data was available in 65 (59.1%). Mean follow-up was 11.7±.4 years. Two patients had died of non–procedure-related causes. Twenty (31.7%) patients required 21 reoperations: 14 conversions (10 duodenal switch (DS), 4 Roux-en-Y gastric bypass (RYGB), and 3 resleeve procedures) for weight issues and 2 conversions (RYGB), and 2 hiatoplasties for gastroesophageal reflux disease (GERD). For the 47 (74.6%) individuals who thus kept the simple sleeve construction, percentage of excess body mass index loss (%EBMIL) at 11+years was 62.5%, versus 81.7% ( P = .015) for the 16 patients who underwent conversion to another construction. Mean %EBMIL for the entire cohort was 67.4%. At 11+years postoperatively, 30 patients versus 28 preoperatively required treatment for co-morbidities. None of the 7 patients preoperatively suffering from GERD were cured by the LSG procedure. Nine additional patients developed de novo GERD. Overall satisfaction rate was 8 (interquartile range 2) on a scale of 0–10. Conclusion Isolated LSG provides a long-term %EBMIL of 62.5%. Conversion to another construction, required in 25% of the cases, provides a %EBMIL of 81.7% ( P = .015). Patient satisfaction score remains good despite unfavorable GERD outcomes. |
| Databáze: | OpenAIRE |
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