Long-term outcomes of laparoscopic sleeve gastrectomy from the Indian subcontinent

Misra, Shivanshu; Bhattacharya, Siddhartha; Kumar, Saravana; Nandhini, B Deepa; Saminathan, Suganya; Raj, Praveen

doi:10.1007/s11695-019-04103-z

Cited by 20 publications

(9 citation statements)

References 64 publications

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“…In our study, %EWL at 5 years was 60.27%, which was significantly higher than the %EWL of 19.5%-64.2% reported in other related studies from Asia. [11][12][13] None of the patients developed severe complications, such as death, anastomotic leakage, bleeding, or anastomotic stenosis. However, the incidences of postoperative alopecia (34.85%) and nausea and vomiting (29.97%) were high.…”

Section: Discussionmentioning

confidence: 98%

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Long-Term Weight Loss Outcome of Laparoscopic Sleeve Gastrectomy Predicted by the Percentage of Excess Weight Loss at 6 Months in Chinese Patients with Body Mass Index ≥ 32.5 Kg/m2

Wang¹,

Tian²,

Xu³

et al. 2022

DMSO

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Purpose To evaluate the predictive effect of the initial weight loss on the long-term weight loss in Chinese patients with a body mass index (BMI) ≥ 32.5 kg/m 2 who underwent LSG. Patients and Methods The follow-up was completed via phone or WeChat for outpatients and at the hospital for inpatients. We evaluated the BMI, percentage of excess weight loss (%EWL), and type 2 diabetes mellitus, hypertension, and hyperlipidemia statuses. Linear and logistic regression analyses were performed on the relationship between the initial and long-term weight loss. The optimal cut-off value was determined by receiver operating characteristic (ROC) curve analysis. Results We enrolled 307 patients, with a median preoperative BMI of 39.68 (35.68, 45.47) kg/m 2 . %EWL ≥ 50% was regarded as successful weight loss, and 76.55% of the patients lost their weight successfully. (Reviewer #1, comment #4) %EWL at 6 months and 5 years were positively correlated ( P < 0.001). Further, the following linear equation could express the relationship: (%EWL 5 years = 29.193 + 0.526 × %EWL 6 months ). %EWL ≥ 58.57% at 6 months was the best predictor of successful weight loss at 5 years after LSG (Reviewer #1, comment #5) (sensitivity, 73.62%; specificity, 73.61%; AUC value, 0.780). Internal verification of the prediction model revealed satisfactory results in terms of discrimination and calibration. Conclusion In Chinese patients with BMI ≥ 32.5 kg/m 2 who underwent LSG, %EWL at 6 months and 5 years were correlated. %EWL ≥ 58.57% at 6 months was a predictor of successful long-term weight loss.

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Section: Discussionmentioning

confidence: 98%

“…In Asia, however, the %EWL at 5 years after LSG ranges widely from 19.5% to 64.2%. [11][12][13] Although these data suggest that LSG is effective, results from China may vary.…”

Section: Introductionmentioning

confidence: 98%

Long-Term Weight Loss Outcome of Laparoscopic Sleeve Gastrectomy Predicted by the Percentage of Excess Weight Loss at 6 Months in Chinese Patients with Body Mass Index ≥ 32.5 Kg/m2

Wang¹,

Tian²,

Xu³

et al. 2022

DMSO

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“…The durability of weight loss, improvement in co-morbidities, and associated risk of mortality and morbidity are the main factors that account for the efficacy of a BS. Different LSG investigations showed a considerable resolution or improvement in comorbid conditions in patients with different age groups [13][14][15] , and also in high-risk surgical patients after a short 16 , medium-and long-term period [17][18][19] ; however, the results were varying.…”

Section: Discussionmentioning

confidence: 98%

One-Year Outcomes of Laparoscopic Sleeve Gastrectomy in Morbidly Obese Patients Regarding Preoperative BMI, Gender, and Age

Tabasi

Farsimadan

Iranpour

et al. 2021

Preprint

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The outcome of laparoscopic sleeve gastrectomy (LSG), one of the most common bariatric surgery (BS) procedure, may differ depending on the patient’s age, gender, preoperative BMI. In this study, we aimed to evaluate the efficacy of LSG technique on weight loss, obesity-associated co-morbidities and complications in patients undergoing LSG over three months and one year, regarding their age, gender, and BMI. The LSG associated complications in participants regarding their preoperative BMI (<39.9 and >39.9), age (30-40 and 40-50), and gender were assessed after 2 3 and 12 months. Besides, the remission and improvement rates of comorbid conditions in patients were examined after 12 months of LSG. Our results showed that LSG led to a significant weight loss in the resolution of obesity-associated co-morbidities and different complications after one year. No significant difference was found in the improvement and the resolution of obesity-associated co-morbidities according to gender. Also, the class 3 patients had significantly higher rates of hearing loss after 12 months and had higher levels of depression and brittle nails three months after the surgery. The younger patients also showed a significantly higher percentage of dry skin, intolerance to bread, and menstrual disorder compared to the older group.

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“…LSG is one of the most widely performed bariatric surgical methods worldwide, with notable weight loss success reported in the short-and medium-term. [12] The number of publications reporting short-and medium-term outcomes has increased with the widespread use of this procedure. In a study involving 1050 patients undergoing LSG, Nocca et al [13] reported a 5-year %EWL of 65.9%.…”

Section: Discussionmentioning

confidence: 99%

An analysis of weight loss failure and weight regain in patients undergoing laparoscopic sleeve gastrectomy

göker¹

2022

Laparosc Endosc Surg Sci

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Introduction:The present study evaluates the weight regain (WR) and weight loss failure at the end of 4 years in patients undergoing laparoscopic sleeve gastrectomy (LSG). Materials and Methods:The data of patients who underwent a LSG in a single center for the treatment of morbid obesity were reviewed and analyzed retrospectively. Body mass index (BMI) was measured before surgery in all patients. The patients underwent a control examination and BMI measurement at 1, 2 3, and 4 years. The data were analyzed using the Statistical Package for the Social Sciences.Results: A total of 179 patients were included in the study. The proportion of male patients was significantly higher in the group of patients who re-gained weight than in those who did not re-gain weight at the end of 4 years. The rate of smokers was lower in the group of patients who re-gained weight than those who did not re-gain weight at the end of 4 years (p<0.05). Conclusion:The short-and long-term results of the present study suggest that LSG is an effective bariatric surgery procedure. WR was at the lowest levels in the first 3 years after LSG, but showed a progressive increase at the end of 4 years.

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Long-term outcomes of laparoscopic sleeve gastrectomy from the Indian subcontinent

Cited by 20 publications

References 64 publications

Long-Term Weight Loss Outcome of Laparoscopic Sleeve Gastrectomy Predicted by the Percentage of Excess Weight Loss at 6 Months in Chinese Patients with Body Mass Index ≥ 32.5 Kg/m2

Long-Term Weight Loss Outcome of Laparoscopic Sleeve Gastrectomy Predicted by the Percentage of Excess Weight Loss at 6 Months in Chinese Patients with Body Mass Index ≥ 32.5 Kg/m2

One-Year Outcomes of Laparoscopic Sleeve Gastrectomy in Morbidly Obese Patients Regarding Preoperative BMI, Gender, and Age

An analysis of weight loss failure and weight regain in patients undergoing laparoscopic sleeve gastrectomy

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