PMID- 28689733 OWN - NLM STAT- MEDLINE DCOM- 20181012 LR - 20181012 IS - 0219-3108 (Electronic) IS - 1015-9584 (Linking) VI - 41 IP - 3 DP - 2018 May TI - Long-term outcome of laparoscopic sleeve gastrectomy from a single center in mainland China. PG - 285-290 LID - S1015-9584(16)30445-6 [pii] LID - 10.1016/j.asjsur.2017.04.003 [doi] AB - BACKGROUND/OBJECTIVE: Laparoscopic sleeve gastrectomy (LSG) is at present the most popular bariatric procedure due to its significant weight loss, remission of co-morbidities, and acceptable morbidity. But, there are not many studies showing its long term efficacy and safety in Chinese patients. The aim of this study is to give five results of LSG in terms of weight loss, co-morbidity (Type 2 diabetes mellitus) resolution and possible complications from a single center in mainland China. MATERIAL AND METHODS: This is a retrospective study of 218 obese patients who underwent LSG by a single surgeon from June 2011 to June 2016. Patients were subjected to standardized perioperative evaluation and education program. Patients were followed up after 1, 3, 6, 12, 18, and 24 months and yearly thereafter. Long term outcomes in terms of weight loss in kg, % of total weight loss (%TWL), % excess weight loss (%EWL), % resolution of type 2 diabetes mellitus (T2DM) and % complication rate are studied. RESULTS: The %TWL was 33.8 +/- 5.9, 28.8 +/- 8.9, 26.6 +/- 6.9, 18.0 +/- 7.6, 15.0 +/- 7.1 and %EWL was 62.8 +/- 16.9 (n-96), 49.5 +/- 18.5 (n-43), 39.8 +/- 13.1 (n-15), 32.2 +/- 2.1 (n-13), 19.5 +/- 8.7 (n-2) at 1, 2, 3, 4 and 5 years, respectively. T2DM remission rate was 72.9% at one year. There were no major complications like leak, stricture, staple line bleeding, port site herniation and gastro-esophageal reflux disease (GERD). There was no mortality. Most common early complication was port site dehiscence (10%), managed conservatively; none requiring readmission. No reoperation was done for weight regain. CONCLUSION: LSG is a safe and effective procedure with good five year results. Weight regain remains a concern two years post surgery. Standardization of LSG is important to reduce major complications. CI - Copyright (c) 2017. Published by Elsevier Taiwan. FAU - Hans, Pankaj Kumar AU - Hans PK AD - Department of General Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, China. FAU - Guan, Wei AU - Guan W AD - Department of General Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, China. FAU - Lin, Shibo AU - Lin S AD - Department of General Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, China. FAU - Liang, Hui AU - Liang H AD - Department of General Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, China. Electronic address: drhuiliang@126.com. LA - eng PT - Journal Article DEP - 20170708 PL - Netherlands TA - Asian J Surg JT - Asian journal of surgery JID - 8900600 SB - IM MH - Adolescent MH - Adult MH - Aged MH - China MH - Diabetes Mellitus, Type 2/complications/surgery MH - Female MH - Follow-Up Studies MH - Gastrectomy/*methods MH - Humans MH - *Laparoscopy MH - Male MH - Middle Aged MH - Obesity, Morbid/complications/*surgery MH - Postoperative Complications/epidemiology MH - Retrospective Studies MH - Treatment Outcome MH - Weight Loss MH - Young Adult OTO - NOTNLM OT - Five year outcomes OT - Laparoscopic sleeve gastrectomy OT - Long term outcomes OT - No major complications OT - Weight regain EDAT- 2017/07/12 06:00 MHDA- 2018/10/13 06:00 CRDT- 2017/07/11 06:00 PHST- 2016/11/30 00:00 [received] PHST- 2017/03/30 00:00 [revised] PHST- 2017/04/17 00:00 [accepted] PHST- 2017/07/12 06:00 [pubmed] PHST- 2018/10/13 06:00 [medline] PHST- 2017/07/11 06:00 [entrez] AID - S1015-9584(16)30445-6 [pii] AID - 10.1016/j.asjsur.2017.04.003 [doi] PST - ppublish SO - Asian J Surg. 2018 May;41(3):285-290. doi: 10.1016/j.asjsur.2017.04.003. Epub 2017 Jul 8.