Long-term outcomes after laparoscopic sleeve gastrectomy in Kuwait

Abstract

BACKGROUND Laparoscopic sleeve gastrectomy (LSG) has been established as an effective means of weight loss. Multiple studies report LSG as a cost-effective procedure with few perioperative complications. OBJECTIVES Report long-term weight changes after LSG in a single center in Kuwait. DESIGN Retrospective analysis of data collected 5–8 years after surgery. SETTING A single medical center. PATIENTS AND METHODS All patients that had undergone LSG between December 2008 and December 2011. MAIN OUTCOME MEASURES Weight changes, short-term complications following surgery (within one month). SAMPLE SIZE 187. RESULTS The mean age at the time of the surgery was 36.5 (10.3) years. Females composed 71.6% of this study population. Two patients (1.1%) presented with a leak within 30 days of the surgery. Twenty-one (11.2%) patients underwent revisional bariatric surgery after LSG. Mean (SD) BMI decreased from 47.1 (8.3) kg/m 2 before surgery to 34.3 (7) kg/m 2 5–8 years after surgery. Mean (SD) body weight decreased from 126.3 (25.3) kg to 91.6 (19.9) kg 5–8 years following LSG. The mean excess body weight loss was 58.8% (29.2%). CONCLUSION LSG is a bariatric procedure with low complications and mortality in relation to other forms of bariatric surgery. It is associated with a significant improvement in weight loss in the long term. LIMITATIONS Recall bias due to the nature of collecting the data, small sample size.

Long-term nutritional deficiencies following sleeve gastrectomy: a 6-year single-centre retrospective study

“…Today, Roux-en-Y gastric bypass (RYGB), sleeve gastrectomy (SG), and adjustable gastric banding are the most popular and commonly performed bariatric surgeries (BS) [5]. Sleeve gastrectomy is a safe and efficient procedure for the treatment of obesity and its related comorbid disorders [6]. Laparoscopic sleeve gastrectomy (LSG) has become a popular WL surgery over the last 10 years and has emerged as a proper treatment option for morbidly obese patients [7].…”

Describing The Behaviours, Perception and Awareness of Bariatric Surgery Among Primary Care Physicians in Kuwait.

“…(1) The Gulf States are experiencing obesity at epidemic levels,(2) with Kuwait, Qatar and Libya among the ten countries with the highest prevalence of obesity worldwide. (3) In Kuwait the prevalence of obesity has been found to be over 40%, (4) with a further 37% of the population categorized as overweight; mean BMI is reported as 28.4 kg/m -which falls at the high-end of the overweight category. (5) Within the Eastern Mediterranean Region, obesity has a signi cant impact upon mortality -with an estimated 417,115 deaths associated with increased BMI, annually, and the majority of these excess deaths are related to diabetes and cardiovascular conditions.…”

Effect of laparoscopic sleeve gastrectomy on vasoactive mediators in obese hypertensive patients: A prospective study

“…Laparoscopic sleeve gastrectomy (LSG) is considered an efficient and robust approach for weight reduction in obese patients, besides managing the metabolic comorbidities linked to obesity. Previous research showed that LSG is a cost‐effective operation with less perioperative problems in comparison with Roux‐en‐Y gastric bypass (RYGB) 11 …”

“…Previous research showed that LSG is a cost-effective operation with less perioperative problems in comparison with Roux-en-Y gastric bypass (RYGB). 11 The role of bariatric surgery to attain a sustained remission of HTN is yet to be determined because long-term follow-up studies are few. 12 Obesity is linked to dysregulation of the blood levels of different vasoconstrictors and vasodilatory molecules, some with an undefined role in the pathogenesis of HTN.…”