PMID- 28707172 OWN - NLM STAT- MEDLINE DCOM- 20180521 LR - 20220408 IS - 1708-0428 (Electronic) IS - 0960-8923 (Print) IS - 0960-8923 (Linking) VI - 28 IP - 1 DP - 2018 Jan TI - Long-Term Outcomes of Laparoscopic Sleeve Gastrectomy-a Single-Center, Retrospective Study. PG - 130-134 LID - 10.1007/s11695-017-2795-2 [doi] AB - INTRODUCTION: Sleeve gastrectomy (LSG) is one of the most popular bariatric procedures. We present our long-term results regarding weight loss, comorbidities, and gastric reflux disease. MATERIAL AND METHODS: We identified patients who underwent LSG in our institution between 2006 and 2009. We revised the data, and the patients with outdated contact details were tracked with the national health insurance database and social media (facebook). Each of the identified patients was asked to complete an online or telephone survey covering, among others, their weight and comorbidities. On that basis, we calculated the percent total weight loss (%TWL) and percent excess weight loss (%EWL), along with changes in body mass index (DeltaBMI). Satisfactory weight loss was set at >50% EWL (for BMI = 25 kg/m(2)). We evaluated type 2 diabetes (T2DM) and arterial hypertension (AHT) based on the pharmacological therapy. GERD presence was evaluated by the typical symptoms and/or proton pump inhibitor (PPI) therapy. RESULTS: One hundred twenty-seven patients underwent LSG between 2006 and 2009. One hundred twenty patients were qualified for this study. Follow-up data was available for 100 participants (47 female, 53 male). Median follow-up period reached 8.0 years (from 7.1 to 10.7). Median BMI upon qualification for LSG was 51.6 kg/m(2). Sixteen percent of patients required revisional surgery over the years (RS group), mainly because of insufficient weight loss (14 Roux-Y gastric bypass-LRYGB; one mini gastric bypass, one gastric banding). For the LSG (LSG group n = 84), the mean %EWL was 51.1% (+/-22.3), median %TWL was 23.5% (IQR 17.7-33.3%), and median DeltaBMI was 12.1 kg/m(2) (IQR 8.2-17.2). Fifty percent (n = 42) of patients achieved the satisfactory %EWL of 50%. For RS group, the mean %EWL was 57.8% (+/-18.2%) and median %TWL reached 33% (IQR 27.7-37.9%). Sixty-two percent (n = 10) achieved the satisfactory weight loss. Fifty-nine percent of patients reported improvement in AHT therapy, 58% in T2DM. After LSG, 60% (n = 60) of patients reported recurring GERD symptoms and 44% were treated with proton pomp inhibitors (PPI). In 93% of these cases, GERD has developed de novo. CONCLUSIONS: Isolated LSG provides fairly good effects in a long-term follow-up with mean %EWL at 51.1%. Sixteen percent of patients require additional surgery due to insufficient weight loss. More than half of the subjects observe improvement in AHT and T2DM. Over half of the patients complain of GERD symptoms, which in most of the cases is a de novo complaint. FAU - Kowalewski, Piotr K AU - Kowalewski PK AD - Department of General Surgery, Military Institute of Medicine, Szaserow 128, 04-141, Warsaw, Poland. pietia.kowalewski@gmail.com. FAU - Olszewski, Robert AU - Olszewski R AD - Department of Geriatrics, National Institute of Geriatrics Rheumatology and Rehabilitation, Warsaw, Poland. AD - Department of Ultrasound, Institute of Fundamental Technological Research, Polish Academy of Sciences, Warsaw, Poland. FAU - Waledziak, Maciej S AU - Waledziak MS AD - Department of General Surgery, Military Institute of Medicine, Szaserow 128, 04-141, Warsaw, Poland. FAU - Janik, Michal R AU - Janik MR AD - Department of General Surgery, Military Institute of Medicine, Szaserow 128, 04-141, Warsaw, Poland. FAU - Kwiatkowski, Andrzej AU - Kwiatkowski A AD - Department of General Surgery, Military Institute of Medicine, Szaserow 128, 04-141, Warsaw, Poland. FAU - Galazka-Swiderek, Natalia AU - Galazka-Swiderek N AD - Department of Internal Medicine, Regional Hospital, Leczna, Poland. FAU - Cichon, Krzysztof AU - Cichon K AD - Department of Internal Medicine, Regional Hospital, Leczna, Poland. FAU - Bragoszewski, Jakub AU - Bragoszewski J AD - Department of General Surgery, Military Institute of Medicine, Szaserow 128, 04-141, Warsaw, Poland. FAU - Pasnik, Krzysztof AU - Pasnik K AD - Department of General Surgery, Military Institute of Medicine, Szaserow 128, 04-141, Warsaw, Poland. LA - eng PT - Journal Article PL - United States TA - Obes Surg JT - Obesity surgery JID - 9106714 SB - IM MH - Adolescent MH - Adult MH - Body Mass Index MH - Comorbidity MH - Diabetes Mellitus, Type 2/epidemiology/surgery MH - Female MH - Follow-Up Studies MH - *Gastrectomy/adverse effects/methods/statistics & numerical data MH - Gastroesophageal Reflux/etiology MH - Humans MH - *Laparoscopy/adverse effects/methods/statistics & numerical data MH - Male MH - Middle Aged MH - Obesity, Morbid/epidemiology/*surgery MH - Postoperative Complications/epidemiology/etiology MH - Retrospective Studies MH - Treatment Outcome MH - Weight Loss/physiology MH - Young Adult PMC - PMC5735208 OTO - NOTNLM OT - Bariatric surgery OT - Comorbidities OT - GERD OT - Long-term follow-up OT - Sleeve COIS- CONFLICT OF INTEREST: The authors declare that they have no conflict of interest. ETHICAL STATEMENT: All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. CONSENT STATEMENT: Informed consent was obtained from all individual participants included in the study. EDAT- 2017/07/15 06:00 MHDA- 2018/05/22 06:00 PMCR- 2017/07/13 CRDT- 2017/07/15 06:00 PHST- 2017/07/15 06:00 [pubmed] PHST- 2018/05/22 06:00 [medline] PHST- 2017/07/15 06:00 [entrez] PHST- 2017/07/13 00:00 [pmc-release] AID - 10.1007/s11695-017-2795-2 [pii] AID - 2795 [pii] AID - 10.1007/s11695-017-2795-2 [doi] PST - ppublish SO - Obes Surg. 2018 Jan;28(1):130-134. doi: 10.1007/s11695-017-2795-2.