Weight loss, weight regain, and conversions to Roux-en-Y gastric bypass: 10-year results of laparoscopic sleeve gastrectomy

Jun 19, 2016Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery

Weight loss, weight regain, and switch to gastric bypass over 10 years after sleeve gastrectomy

AI simplified

GLP-1 Therapies on OpenScience ↗PubMed ↗DOI ↗

Abstract

A mean percent excess weight loss of 53±25% was achieved by 32 patients at 10 years post-sleeve gastrectomy.

Weight loss success varied, with a mean percent total weight loss of 26.3±13.4% at the 10-year mark.
36% of patients (19 out of 53) underwent conversion to another surgical procedure due to weight regain or reflux issues.
A total of 31 patients (59%) experienced weight regain of 10 kg or more, with 45% regaining 15 kg or more.
Two patients died during the follow-up period, but the deaths were not related to sleeve gastrectomy.
The mean Bariatric Analysis and Reporting Outcome System (BAROS) score was 2.4±2.2, indicating the procedure was classified as 'fairly efficient.'

AI simplified

BACKGROUND: With promising short-term results, laparoscopic sleeve gastrectomy (SG) has become the second most frequently performed bariatric procedure worldwide. Aside from a growing number of reports covering up to 10 years of follow-up, only limited data have been published so far on long-term results.

OBJECTIVES: The aim of the study was to present a 10-year follow-up for SG.

SETTING: University hospital setting, Austria.

METHODS: We present the first complete 10-year follow-up of 53 consecutive patients who underwent SG before 2006. In this multicenter study, weight loss success, weight regain, and revisional surgery were analyzed beside Bariatric Analysis and Reporting Outcome System (BAROS) scores.

RESULTS: A mean maximum percent excess weight loss of 71±25% (percent total weight loss: 28±15%) was reached at a median of 12 (range 12-120) months after SG. At 10 years, a mean percent excess weight loss of 53±25% was achieved by 32 patients, corresponding to a percent total weight loss of 26.3±13.4%. Nineteen of the 53 patients (36%) were converted to Roux-en-Y gastric bypass (n = 18) or duodenal switch (n = 1) due to significant weight regain (n = 11), reflux (n = 6), or acute revision (n = 2) at a median of 36 months. Two patients died at 3 and 101 months postoperatively, unrelated to SG. A total of 31 patients (59%) suffered from weight regain of 10 kg or more, among them 24 patients (45%) with 15 kg or more, 16 patients (30%) with 20 kg or more, and 7 patients (13%) with 25 kg or more weight regain from nadir. Mean BAROS score was 2.4±2.2 at 10 years follow-up, classifying SG as "fairly efficient."

CONCLUSION: Within a long-term follow-up of 10 years or more after SG, a high incidence of both significant weight regain and intractable reflux was observed, leading to conversion, most commonly to Roux-en-Y gastric bypass.

Full Text

Full text is available at the source.

View full text (XML) ↗View full text ↗

Weight loss, weight regain, and conversions to Roux-en-Y gastric bypass: 10-year results of laparoscopic sleeve gastrectomy

Abstract

Full Text

You found one interesting study. We’ll send the next 7.

what lands in your inbox each week:

Recent issues from the glp-1 therapies brief

Abstract

Full Text

Related papers

You found one interesting study. We’ll send the next 7.

what lands in your inbox each week:

Recent issues from the glp-1 therapies brief