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Five-year Outcomes of Sleeve Gastrectomy: A Prospective Multicenter Study.
- Source :
-
American Surgeon . Jun2022, Vol. 88 Issue 6, p1224-1229. 6p. - Publication Year :
- 2022
-
Abstract
- <bold>Background: </bold>Sleeve gastrectomy (SG) is the most frequently performed bariatric procedure in the world. Our purpose was to evaluate the percentage of excess weight loss (%EWL), resolution of obesity-related comorbidities after SG, and identify predictive factors of weight loss failure.<bold>Methods: </bold>A prospective cohort study of adults who underwent SG during 2014 in 7 Belgian-French centers. Their demographic, preoperative, and postoperative data were prospectively collected and analyzed statistically.<bold>Results: </bold>Overall, 529 patients underwent SG, with a mean preoperative weight and body mass index (BMI) of 118.9 ± 19.9 kg and 42.9 ± 5.5 kg/m2, respectively. Body mass index significantly decreased to 32.2 kg/m2 at 5 years (P < .001). The mean %EWL was 63.6% at 5 years. A significant reduction in dyslipidemia (28.0%-18.2%), obstructive sleep apnea (OSAS) (34.6%-25.1%), and arterial hypertension (HTN) (30.4%-21.5%) was observed after 5 years, but not for diabetes and gastroesophageal reflux disease (GERD). At multivariate analysis, age >50 years old, BMI >50 kg/m2, and previous laparoscopic adjustable gastric banding (LAGB) remained independent predictors of weight loss failure.<bold>Conclusions: </bold>Five years after SG, weight loss was satisfactory; the reduction of comorbidities was significant for dyslipidemia, OSAS, and HTN, but not diabetes and GERD. Age >50 years old, BMI >50 kg/m2, and previous LAGB were independent predictors of weight loss failure. [ABSTRACT FROM AUTHOR]
- Subjects :
- *HYPERTENSION
*RESEARCH
*RESEARCH methodology
*MORBID obesity
*RETROSPECTIVE studies
*EVALUATION research
*GASTROESOPHAGEAL reflux
*TREATMENT effectiveness
*GASTRECTOMY
*COMPARATIVE studies
*LAPAROSCOPY
*SLEEP apnea syndromes
*WEIGHT loss
*BODY mass index
*LONGITUDINAL method
*DISEASE complications
Subjects
Details
- Language :
- English
- ISSN :
- 00031348
- Volume :
- 88
- Issue :
- 6
- Database :
- Academic Search Index
- Journal :
- American Surgeon
- Publication Type :
- Academic Journal
- Accession number :
- 157107022
- Full Text :
- https://doi.org/10.1177/0003134821991984