Luigi Angrisani1, Antonella Santonicola2, Ariola Hasani3, Gabriella Nosso4, Brunella Capaldo4, Paola Iovino2. 1. General and Endoscopic Surgery Unit, San Giovanni Bosco Hospital, Naples, Italy. 2. Gastrointestinal Unit, Department of Medicine and Surgery, University of Salerno, Salerno, Italy. 3. Department of Clinical Medicine and Surgery, University of Naples "Federico II", Naples, Italy. Electronic address: ariolahasani@libero.it. 4. Department of Clinical Medicine and Surgery, University of Naples "Federico II", Naples, Italy.
Abstract
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) is becoming the most performed bariatric procedure; however, data available on long-term follow-up are scanty. OBJECTIVES: The aim of the present study was to evaluate the 5-year efficacy of LSG on weight loss, gastroesophageal reflux disease (GERD) symptoms, and obesity-associated co-morbidities. SETTING: Tertiary-care referral hospital. METHODS: This study retrospectively analyzed 105 obese patients undergoing LSG from January 2006 to December 2009. The preoperative evaluation included demographic characteristics, evaluation of co-morbidities, a double-contrast barium swallow, and an upper-gastrointestinal endoscopy. The following data were collected at 1, 3, and 5 years after surgery: weight, improvement/remission of co-morbidities, complications, and revisional surgery. RESULTS: According to preoperative body mass index (BMI), patients were divided into Group 1 (n = 61) with BMI≤50 kg/m(2) and Group 2 (n = 44) with BMI>50 kg/m(2). The follow-up rate was 94% after 5 years (n = 99). Delta BMI (BMI at follow-up-preoperative BMI) was significantly higher in Group 2 than in Group 1 at 1-3 years and 5 years (P<.001). Furthermore, at 5 years, Group 2 showed a significantly higher percentage total weight loss (%TWL) (26.6%±18.3% versus 33.5%±12.9%, P = .006) than Group 1, whereas percentage excess weight loss was similar (58.4%±21.8% versus 55.3%±19.5%, P = .5).Younger age at surgery and absence of postoperative GERD were associated with a better %TWL at 5 years (P<.001 and P = .03). CONCLUSION: LSG is an effective procedure at long-term, with good weight loss outcomes and with a considerable improvement of obesity-associated co-morbidities. Younger age at surgery and absence of postoperative GERD were associated with a better %TWL at 5 years.
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) is becoming the most performed bariatric procedure; however, data available on long-term follow-up are scanty. OBJECTIVES: The aim of the present study was to evaluate the 5-year efficacy of LSG on weight loss, gastroesophageal reflux disease (GERD) symptoms, and obesity-associated co-morbidities. SETTING: Tertiary-care referral hospital. METHODS: This study retrospectively analyzed 105 obesepatients undergoing LSG from January 2006 to December 2009. The preoperative evaluation included demographic characteristics, evaluation of co-morbidities, a double-contrast barium swallow, and an upper-gastrointestinal endoscopy. The following data were collected at 1, 3, and 5 years after surgery: weight, improvement/remission of co-morbidities, complications, and revisional surgery. RESULTS: According to preoperative body mass index (BMI), patients were divided into Group 1 (n = 61) with BMI≤50 kg/m(2) and Group 2 (n = 44) with BMI>50 kg/m(2). The follow-up rate was 94% after 5 years (n = 99). Delta BMI (BMI at follow-up-preoperative BMI) was significantly higher in Group 2 than in Group 1 at 1-3 years and 5 years (P<.001). Furthermore, at 5 years, Group 2 showed a significantly higher percentage total weight loss (%TWL) (26.6%±18.3% versus 33.5%±12.9%, P = .006) than Group 1, whereas percentage excess weight loss was similar (58.4%±21.8% versus 55.3%±19.5%, P = .5).Younger age at surgery and absence of postoperative GERD were associated with a better %TWL at 5 years (P<.001 and P = .03). CONCLUSION: LSG is an effective procedure at long-term, with good weight loss outcomes and with a considerable improvement of obesity-associated co-morbidities. Younger age at surgery and absence of postoperative GERD were associated with a better %TWL at 5 years.
Authors: Mehmet Ertuğrul Kafalı; Mustafa Şahin; İlhan Ece; Fahrettin Acar; Hüseyin Yılmaz; Hüsnü Alptekin; Leyla Ateş Journal: Turk J Surg Date: 2017-09-01
Authors: Antonella Santonicola; Mario Gagliardi; Giovanni Asparago; Luna Carpinelli; Luigi Angrisani; Paola Iovino Journal: World J Gastroenterol Date: 2020-05-28 Impact factor: 5.742
Authors: Abdel-Naser Elzouki; Muhammad-Aamir Waheed; Salah Suwileh; Islam Elzouki; Hisham Swehli; Maryam Alhitmi; Mona Saad; Elmukhtar Habas; Suhail A Doi; Mohammed I Danjuma Journal: Surg Open Sci Date: 2021-11-19