Key result
Laparoscopic sleeve gastrectomy resulted in a mean excess weight loss of 78.2% at 12 months and 69.7% at 120 months, alongside significant resolution of obesity-related comorbidities.
Why the study?
Few studies have reported the medium- and long-term efficacy and safety of laparoscopic sleeve gastrectomy in Eastern Europe.
What are the medium and long-term outcomes of laparoscopic sleeve gastrectomy on weight loss and comorbidity resolution in obese patients?
Observational (n=70)
No
What are the medium and long-term outcomes of laparoscopic sleeve gastrectomy on weight loss and comorbidity resolution in obese patients?
Laparoscopic sleeve gastrectomy provides effective long-term weight loss and high rates of comorbidity resolution, though weight regain is common after 2 years.
Answers are grounded in this paper and cite their sources.
Supports long-term sleeve gastrectomy durability in obesity; extends cohort data but leaves open need for randomized confirmation.
BACKGROUND AND AIMS: Laparoscopic sleeve gastrectomy is at present the most popular bariatric procedure due to its significant effect on weight loss, resolution of comorbidities and improvement in the quality of life. However, there are not many studies showing its medium and long term efficacy and safety in Eastern Europe. We aim to report the outcomes of laparoscopic sleeve gastrectomy as a primary bariatric procedure from a single surgical department. METHODS: This is a retrospective analysis of obese patients who underwent laparoscopic sleeve gastrectomy between 2009 - 2016 in our department. Outcomes were analyzed in terms of weight loss, comorbidity resolution and quality of life changes. The mean percentage of excess weight loss during follow-up was 78.2% at 12 months, 80.2%, 76.7%, 74.7%, 72.8%, 73.3%, 74.1%, 67.2%, 64.07%, 69.7% at 24, 36, 48, 60, 72, 84, 96, 108 and 120 months, respectively. Weight regain occurred in 61 (87.1%) patients during the postoperative period. The mean weight regained was 8.1 ± 4.8 kg at 24 months postoperatively. Regarding the quality of life, 83% of patients declared an increase in self-esteem. Resolution of diabetes, arterial hypertension, and obstructive sleep apnea syndrome occurred in 80%, 42.5% and 70.1% of patients respectively. CONCLUSIONS: Laparoscopic sleeve gastrectomy is an effective procedure, with good outcomes in the medium and long term, although a tendency for weight regain was noted after 2 years. Resolution of comorbidities is comparable with that reported in the literature, namely an improvement of the quality of life.
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Mocian et al. (2021) conducted an observational in Obesity (n=70). Laparoscopic sleeve gastrectomy was evaluated on Percentage of excess weight loss (%EWL) at 12 months (p=<0.0001). Laparoscopic sleeve gastrectomy resulted in a mean excess weight loss of 78.2% at 12 months and 69.7% at 120 months, alongside significant resolution of obesity-related comorbidities.
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