Sleeve gastrectomy: 5-year outcomes of a single institution
| Autor: | Logan Rawlins, Carey C. Brown, David L. Schumacher, Melissa P. Rawlins |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Adult
Male Gastrointestinal bleeding medicine.medical_specialty Sleeve gastrectomy medicine.medical_treatment Hyperlipidemias Young Adult Weight loss Gastrectomy Weight Loss medicine Humans Retrospective Studies Sleep Apnea Obstructive business.industry General surgery Perioperative Middle Aged medicine.disease Duodenal switch Surgery Obesity Morbid Obstructive sleep apnea Treatment Outcome Diabetes Mellitus Type 2 Hypertension GERD Gastroesophageal Reflux Female Laparoscopy medicine.symptom business Body mass index |
| Zdroj: | Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery. 9(1) |
| ISSN: | 1878-7533 |
| Popis: | Background Laparoscopic sleeve gastrectomy (SG) is the most recent bariatric surgical procedure to gain universal acceptance by providers and payers. Long-term clinical data on outcomes is limited at this time. Methods We retrospectively examined 5-year outcomes (weight loss, complications, and resolution of co-morbid conditions) of patients undergoing SG at our institution. Results Our initial SG was performed in 2005, and we operated on 55 consecutive patients who are 5 years out from surgery. Six patients were excluded from the long-term results. Four patients underwent conversion to a duodenal switch, and 2 patients died in the first year outside the perioperative period. Average starting body mass index was 65 kg/m 2 . Five-year average percent excess weight loss was 86% (range 50%–103%). Percentage of co-morbidities resolved: hypertension (95%), type 2 diabetes mellitus (100%), hyperlipidemia (100%), and obstructive sleep apnea (100%). Gastroesophageal reflux disease (GERD) was resolved in 53%, and new GERD symptoms developed in 11% of patients. There was 1 staple line leak (1.9%), no strictures, no gastrointestinal bleeding, and no perioperative deaths. Conclusion In this study, SG is a well-tolerated and effective bariatric surgical procedure with good long-term weight loss and resolution of co-morbid medical conditions. |
| Databáze: | OpenAIRE |
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