What are the long-term results 8 years after sleeve gastrectomy?

Noe͏̈l, Patrick; Nedelcu, Marius; Eddbali, Imane; Manos, Thierry; Gautier, Michel

doi:10.1016/j.soard.2017.03.007

Cited by 73 publications

(21 citation statements)

References 39 publications

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“…LSG is a perfect concept of a simple and effective operation and is currently the leading bariatric procedure worldwide. Now that long-term data are being reported, it is evident that weight loss failure following LSG is significant with a conversion rate of up to 35.8% at ten years [ 15 – 17 ]. LGP is an evolving bariatric procedure, unfortunately hampered by a high surgical revision rate reaching 57.7% at 18 months [ 3 , 6 , 18 ].…”

Section: Discussionmentioning

confidence: 99%

“…Anatomical/surgical factors of weight regain after LSG includes an initial large sleeve, incompletely resected fundus, and a large remnant antrum, whereas those after LGP includes dilatation or gastric prolapse of the gastric plication as observed in the current series [ 5 , 18 ]. In this setting, revisional LSG is the most obvious option for both procedures, but stapling of scarred and thickened tissues may lead to an increased risk of leakage [ 17 , 19 ]. Also, the LSG pouch is prone to reenlargement with time and may require a second salvage procedure and additional costs.…”

Section: Discussionmentioning

confidence: 99%

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Resectional One Anastomosis Gastric Bypass/Mini Gastric Bypass as a Novel Option for Revision of Restrictive Procedures: Preliminary Results

et al. 2018

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Background Revisional surgery is becoming a common and challenging practice in bariatric centers. The aim of this study was to evaluate resectional one anastomosis gastric bypass/mini gastric bypass (R-OAGB/MGB) as a revisional procedure. Methods From January 2016 to February 2017, data on 21 consecutive patients undergoing R-OAGB/MGB for weight loss failure after primary restrictive procedures were prospectively collected and analysed. Results Mean age was 39 ± 12 years (18–65), and 11 (52.3%) were women. The mean operative time was 96.4 ± 20.9 min (range, 122–80), and the mean postoperative stay was 47.8 ± 7.4 hours (range, 36–73). There were no deaths and no procedure-related complications. The mean body mass index (BMI) decreased from 42.9 ± 6.5 at the time of R-OAGB/MGB to 28.5 ± 4 at the 12-month follow-up. At that time point, the mean percentage of BMI loss (%EBL) and the mean percentage of total body weight loss (%TWL) reached 81.6 ± 0.17% and 35 ± 0.01%, respectively. Conclusion R-OAGB/MGB was technically straightforward, effective, and safe in this at-surgical risk population. R-OAGB/MGB should be added to the armamentarium of revisional bariatric procedures considering its technical aspects and the potential advantage on weight loss.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Resectional One Anastomosis Gastric Bypass/Mini Gastric Bypass as a Novel Option for Revision of Restrictive Procedures: Preliminary Results

et al. 2018

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“…There is a limited amount of studies reporting long-term results (>5 years) after SG (Table 1). Noel et al performed a study to present long-term weight loss results after SG (109). A percentage excess weight loss (%EWL) of 76% at 5 years and 67% at 8 years was reported.…”

Section: Short-and Long-term Weight Loss After Metabolic Surgerymentioning

confidence: 99%

MANAGEMENT OF ENDOCRINE DISEASE: Which metabolic procedure? Comparing outcomes in sleeve gastrectomy and Roux-en Y gastric bypass

Billeter

Herrera

Scheurlen

et al. 2018

European Journal of Endocrinology

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Obesity and its associated comorbidities have become one of the largest challenges for health care in the near future. Conservative therapy for obesity and related comorbidities has a very high failure rate and poor long-term results. Similarly, the conservative and medical management of the majority of metabolic diseases such as type 2 diabetes mellitus are only able to slow down disease progression but have no causal effect on the disease process. Obesity surgery has evolved as a highly effective therapy for severe obesity achieving long-lasting weight loss. Furthermore, several studies have demonstrated the beneficial effects of obesity surgery on reduction of overall mortality, reduction of cardiovascular events and superior control of obesity-related diseases such as type 2 diabetes mellitus, dyslipidemia and also the non-alcoholic steatohepatitis compared to medical therapy. Based on these findings, the term 'metabolic surgery' with the focus on treating metabolic diseases independent of body weight has been coined. Of great interest are recent studies that show that even existing complications of metabolic diseases such as diabetic nephropathy or the non-alcoholic steatohepatitis can be reversed by metabolic surgery. Although metabolic surgery has proven to be a safe and effective treatment for obesity, resolution of comorbidities and enhancing quality of life, it is still uncertain and unclear, which surgical procedure is the most effective to achieve these metabolic effects. The aim of this review is to compare the effects of the two currently most widely used metabolic operations, the Roux-en-Y gastric bypass and the sleeve gastrectomy in the treatment of obesity and its related comorbidities.

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“…During the last years, laparoscopic sleeve gastrectomy (LSG) has become the most commonly performed bariatric procedure in the world [2]. This procedure is relatively safe and effective, providing a high rate of weight loss and lasting long-term results [3]. Regarding the surgical technique, there is consensus on the use of a bougie placed along the lesser curvature in order to calibrate the width of the remaining stomach during the resection.…”

Section: Introductionmentioning

confidence: 99%

Cervical esophageal perforation caused by the use of bougie during laparoscopic sleeve gastrectomy: a case report and review of the literature

et al. 2020

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Background: Obesity is considered a chronic disease with an increasing prevalence worldwide during the last decades. Laparoscopic sleeve gastrectomy is the most commonly performed bariatric procedure, due to its relative safety and longterm efficacy. The use of bougie to ensure correct size of the gastric tube is part of the standard operation, usually placed by the anesthesiologist and with a very low rate of complications. We report the first case, to our knowledge, of a cervical esophageal perforation caused by the use of bougie during laparoscopic sleeve gastrectomy. Case presentation: The complication occurred in a previously healthy 42-year old female patient who underwent laparoscopic sleeve gastrectomy for class 1 obesity (BMI 31 kg/m 2) and was diagnosed the first post-operative day. She was subsequently treated with an emergency thoracoscopy and evacuation of a mediastinal fluid collection, with additional neck incision for primary closure of the esophageal defect which was reinforced with a sternocleidomastoid muscle flap. The post-operative course was uneventful. Conclusions: We made a literature review to better understand the options considering the diagnosis and treatment in case of very proximal iatrogenic esophageal perforations. The risks related to the use of bougie during surgery should not be underestimated, and its insertion must be done with extreme caution. Esophageal perforation is still a challenging, life threatening complication where prompt diagnosis and adequate treatment are essential.

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What are the long-term results 8 years after sleeve gastrectomy?

Cited by 73 publications

References 39 publications

Resectional One Anastomosis Gastric Bypass/Mini Gastric Bypass as a Novel Option for Revision of Restrictive Procedures: Preliminary Results

Resectional One Anastomosis Gastric Bypass/Mini Gastric Bypass as a Novel Option for Revision of Restrictive Procedures: Preliminary Results

MANAGEMENT OF ENDOCRINE DISEASE: Which metabolic procedure? Comparing outcomes in sleeve gastrectomy and Roux-en Y gastric bypass

Cervical esophageal perforation caused by the use of bougie during laparoscopic sleeve gastrectomy: a case report and review of the literature

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