2017
DOI: 10.4240/wjgs.v9.i4.109
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Five-year outcomes of laparoscopic sleeve gastrectomy as a primary procedure for morbid obesity: A prospective study

Abstract: AIMTo 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.METHODSSince 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-u… Show more

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Cited by 49 publications
(36 citation statements)
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“…Over the past decade, bariatric surgery has become the main approach to deal with obesity and its related comorbidities, showing great efficacy and durability in managing this epidemic disease [1,2]. However, it has been noticed that significant percentage of patients regain an excess weight after bariatric surgery, especially after laparoscopic sleeve gastrectomy (LSG) and mainly in patients with a higher body mass index (BMI) before the primary procedure [3,4]. Therefore, such patients would not sufficiently benefit from a stand-alone LSG and are advised to undergo a revisional surgery.…”
Section: Introductionmentioning
confidence: 99%
“…Over the past decade, bariatric surgery has become the main approach to deal with obesity and its related comorbidities, showing great efficacy and durability in managing this epidemic disease [1,2]. However, it has been noticed that significant percentage of patients regain an excess weight after bariatric surgery, especially after laparoscopic sleeve gastrectomy (LSG) and mainly in patients with a higher body mass index (BMI) before the primary procedure [3,4]. Therefore, such patients would not sufficiently benefit from a stand-alone LSG and are advised to undergo a revisional surgery.…”
Section: Introductionmentioning
confidence: 99%
“…However, if weight loss is inadequate or patients experience weight regain, they are advised to undergo revisional surgery. This is especially apparent in those with a higher initial BMI before the SG [ 2 , 3 ]. Other patients have satisfactory weight loss but suffer from functional complications such as severe gastroesophageal reflux disease (GERD) or dysphagia due to a stenosis.…”
Section: Introductionmentioning
confidence: 99%
“…A comparative study involving 476 patients who underwent LSG impressively observed that all (100%) patients were off CPAP and showed improvement in symptoms of OSA after 2 years of follow-up [55]. Likewise, the collected data of 156 patients who underwent LSG with a mean follow-up of 32 months found that the use of CPAP could be withdrawn in all patients with OSA (13% -21/156) [56]. Additionally, a longitudinal study with 36 OSA patients followed for 5 years after LSG observed a significant improvement in AHI (80.6% -29/36) and an even more expressive improvement in the Modified Epworth Sleepiness Scale (91.6%), a scale which evaluates patients' level of habitual sleepiness during the day [57].…”
Section: Sleeve and Sleep Apneamentioning
confidence: 99%