Laparoscopic sleeve gastrectomy as a single-stage procedure for the treatment of morbid obesity and the resulting quality of life, resolution of comorbidities, food tolerance, and 6-year weight loss

• Published in: Surgical endoscopy Vol. 25; no. 8; pp. 2498 - 2504
• Main Authors: D’Hondt, Mathieu, Vanneste, Sofie, Pottel, Hans, Devriendt, Dirk, Van Rooy, Frank, Vansteenkiste, Franky
• Format: Journal Article
• Language: English
• Published: New York Springer-Verlag 01.08.2011; Springer; Springer Nature B.V
• Subjects: Abdominal Surgery; Adolescent; Adult; Aged; Biological and medical sciences; Body mass index; Comorbidity; Diet; Digestive system. Abdomen; Endoscopy; Female; Food; Gastrectomy - methods; Gastroenterology; Gastrointestinal surgery; Gynecology; Hepatology; Hospitals; Humans; Investigative techniques, diagnostic techniques (general aspects); Laparoscopy; Laparoscopy - methods; Male; Medical sciences; Medicine; Medicine & Public Health; Metabolic diseases; Middle Aged; Obesity; Obesity, Morbid - complications; Obesity, Morbid - surgery; Patients; Proctology; Quality of Life; Questionnaires; Retrospective Studies; Stomach; Stomach, duodenum, intestine, rectum, anus; Surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the digestive system; Time Factors; Weight control; Weight Loss; Young Adult; United States > US; Long-term results; Laparoscopic sleeve gastrectomy; Endoscopic surgery; Obesity; Nutrition disorder; Tolerance; Laparoscopy; Sleeve; Gastrectomy; Quality of life; Treatment; Endoscopy; Nutritional status
• ISSN: 0930-2794; 1432-2218; 1432-2218
• DOI: 10.1007/s00464-011-1572-x

Background This retrospective study evaluated long-term weight loss, resolution of comorbidities, quality of life (QoL), and food tolerance after laparoscopic sleeve gastrectomy (LSG). Methods Between January 2003 and July 2008, 102 patients underwent LSG as a sole bariatric operation. A retrospective review of a prospectively collected database was performed. Demographics, complications, and percentage of excess weight loss (%EWL) were determined. Quality of life was measured using Medical Outcomes Survey Short Form 36 (SF-36) and Bariatric Analysis and Reporting Outcome System (BAROS) questionnaires, which were sent to all patients. The food tolerance score (FTS) was determined and compared with that of nonobese subjects. Results A total of 83 patients (81.4%) were eligible for follow-up evaluation. Their mean initial body mass index (BMI) was 39.3 kg/m 2 . No major complications occurred. At a median follow-up point of 49 months (range, 17–80 months), the mean %EWL was 72.3% ± 29.3%. For the 23 patients who reached the 6-year follow-up point, the mean %EWL was 55.9% ± 25.55%. The mean BAROS score was 6.5 ± 2.1, and a “good” to “excellent” score was observed for 75 patients (90.4%). In the comparison of patients with a %EWL greater than 50% and those with a %EWL of 50% or less, the SF-36 scores were statistically different only for “physical functioning” and “general health perception.” The mean FTS was 23.8, and 95.2% of the patients described their food tolerance as acceptable to excellent. Conclusion Laparoscopic sleeve gastrectomy is a safe and effective bariatric procedure, although a tendency for weight regain is noted after 5 years of follow-up evaluation. Resolution of comorbidity is comparable with that reported in the literature. The LSG procedure results in good to excellent health-related QoL. Food tolerance is lower for patients after LSG than for nonobese patients who had no surgery, but 95.2% described food tolerance as acceptable to excellent.