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Excessive Weight Loss after Sleeve Gastrectomy: A Systematic Review

Obesity Surgery volume 22, pages 721–731 (2012)Cite this article

Abstract

Background

The clinical significance of sleeve gastrectomy (SG) as a primary bariatric intervention is still under debate. This article aims to systematically analyze excessive weight loss (EWL) in patients after SG.

Methods

A systematic literature search on SG from the period January 2003 to December 2010 was performed. Data described from systematic reviews dealing with gastric bypass procedures was used as comparator.

Results

The final study included 123 papers describing 12,129 patients. Most of the papers describe EWL at 12 months (43.9% of all papers). For SG, the maximum EWL occurred 24 and 36 months postoperatively with a mean EWL of 64.3% (minimum 46.1%, maximum 75.0%) and 66.0% (minimum 60.0%, maximum 77.5%), respectively. At 12 months, the mean EWL in patients receiving SG was significantly lower when compared to patients who underwent gastric bypass (SG 56.1%, gastric bypass 68.3%; p < 0.01, two-sided Wilcoxon test). Although patients with gastric bypass still had higher EWL rates at 24 months compared to patients after SG, these differences were not significant (SG 61.3%, gastric bypass 69.6%; p = 0.09, two-sided Wilcoxon rank-sum test). Reoperations after SG are necessary in 6.8% (range 0.7–25%) of cases with patients receiving SG as a stand alone procedure and in 9.6–28.5% of cases with patients undergoing SG as a planned first stage procedure.

Conclusions

SG is an effective bariatric procedure with a lasting effect on EWL. Compared with gastric bypasses, there is no difference in EWL at the time point of 24 months.

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Abbreviations

BMI:

Body mass index (kg/m2)

DS:

Duodenal switch

EWL:

Excess weight loss

SG:

Sleeve gastrectomy

RSG:

Re-sleeve gastrectomy

RYGB:

Roux-en-Y gastric bypass

SD:

Standard deviation

References

  1. Gagner M, Deitel M, Kalberer TL, et al. The Second International Consensus Summit for Sleeve Gastrectomy, March 19–21, 2009. Surg Obes Relat Dis. 2009;5:476–85.

    PubMed  Article  Google Scholar 

  2. Sjostrom L. Bariatric surgery and reduction in morbidity and mortality: experiences from the SOS study. Int J Obes (Lond). 2008;32 Suppl 7:S93–7.

    Article  Google Scholar 

  3. Buchwald H, Estok R, Fahrbach K, et al. Weight and type 2 diabetes after bariatric surgery: systematic review and meta-analysis. Am J Med. 2009;122:248–56 e5.

    PubMed  Article  Google Scholar 

  4. Buchwald H, Estok R, Fahrbach K, et al. Trends in mortality in bariatric surgery: a systematic review and meta-analysis. Surgery. 2007;142:621–32. discussion 32-5.

    PubMed  Article  Google Scholar 

  5. Sjostrom CD. Systematic review of bariatric surgery. JAMA. 2005;293:1726. author reply.

    PubMed  Article  Google Scholar 

  6. Scopinaro N, Adami GF, Papadia FS, et al. The effects of biliopancreatic diversion on type 2 diabetes mellitus in patients with mild obesity (BMI 30–35 kg/m(2)) and simple overweight (BMI 25–30 kg/m(2)): a prospective controlled study. Obes Surg. 2011;21:880–8.

    PubMed  Article  Google Scholar 

  7. Lee WJ, Chong K, Ser KH, et al. Gastric bypass vs sleeve gastrectomy for type 2 diabetes mellitus: a randomized controlled trial. Arch Surg. 2011;146:143–8.

    PubMed  Article  Google Scholar 

  8. Garb J, Welch G, Zagarins S, et al. Bariatric surgery for the treatment of morbid obesity: a meta-analysis of weight loss outcomes for laparoscopic adjustable gastric banding and laparoscopic gastric bypass. Obes Surg. 2009;19:1447–55.

    PubMed  Article  Google Scholar 

  9. Weiner RA. Obesity—principles of surgical therapy. Chirurg. 2008;79(826–8):30–6.

    Google Scholar 

  10. Himpens J, Dobbeleir J, Peeters G. Long-term results of laparoscopic sleeve gastrectomy for obesity. Ann Surg. 2010;252:319–24.

    PubMed  Article  Google Scholar 

  11. Gagner M. Laparoscopic sleeve gastrectomy with duodenojejunal bypass for severe obesity and/or type 2 diabetes may not require duodenojejunal bypass initially. Obes Surg. 2010;20:1323–4. author reply 5–6.

    PubMed  Article  Google Scholar 

  12. Scopinaro N, Marinari G, Camerini G, et al. Biliopancreatic diversion for obesity: state of the art. Surg Obes Relat Dis. 2005;1:317–28.

    PubMed  Article  Google Scholar 

  13. Weiner RA, Blanco-Engert R, Weiner S, et al. Laparoscopic biliopancreatic diversion with duodenal switch: three different duodeno-ileal anastomotic techniques and initial experience. Obes Surg. 2004;14:334–40.

    PubMed  CAS  Article  Google Scholar 

  14. Franco JV, Ruiz PA, Palermo M, et al. A review of studies comparing three laparoscopic procedures in bariatric surgery: sleeve gastrectomy, Roux-en-Y gastric bypass and adjustable gastric banding. Obes Surg. 2011;21:1458–68.

    PubMed  Article  Google Scholar 

  15. Weiner RA, Weiner S, Pomhoff I, et al. Laparoscopic sleeve gastrectomy—influence of sleeve size and resected gastric volume. Obes Surg. 2007;17:1297–305.

    PubMed  Article  Google Scholar 

  16. Gagner M, Gumbs AA, Milone L, et al. Laparoscopic sleeve gastrectomy for the super-super-obese (body mass index >60 kg/m(2)). Surg Today. 2008;38:399–403.

    PubMed  Article  Google Scholar 

  17. Iannelli A, Schneck AS, Noel P, et al. Re-sleeve gastrectomy for failed laparoscopic sleeve gastrectomy: a feasibility study. Obes Surg. 2011;21:832–5.

    PubMed  Article  Google Scholar 

  18. Dapri G, Cadiere GB, Himpens J. Laparoscopic repeat sleeve gastrectomy versus duodenal switch after isolated sleeve gastrectomy for obesity. Surg Obes Relat Dis. 2011;7:38–43.

    PubMed  Article  Google Scholar 

  19. O'Brien PE, McPhail T, Chaston TB, et al. Systematic review of medium-term weight loss after bariatric operations. Obes Surg. 2006;16:1032–40.

    PubMed  Article  Google Scholar 

  20. Deitel M, Crosby RD, Gagner M. The First International Consensus Summit for Sleeve Gastrectomy (SG), New York City, October 25–27, 2007. Obes Surg. 2008;18:487–96.

    PubMed  Article  Google Scholar 

  21. Sarela AI, Dexter SP, O'Kane M, Menon A, McMahon MJ. Long-term follow-up after laparoscopic sleeve gastrectomy: 8–9-year results. Surg Obes Relat Dis 2011 [Epub ahead of print].

  22. D'Hondt M, Vanneste S, Pottel H, et al. 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. Surg Endosc. 2011;25:2498–504.

    PubMed  Article  Google Scholar 

  23. Kehagias I, Karamanakos SN, Argentou M, et al. Randomized clinical trial of laparoscopic Roux-en-Y gastric bypass versus laparoscopic sleeve gastrectomy for the management of patients with BMI < 50 kg/m2. Obes Surg. 2011;21:1650–6.

    PubMed  Article  Google Scholar 

  24. D'Hondt MA, Pottel H, Devriendt D, et al. Can a short course of prophylactic low-dose proton pump inhibitor therapy prevent stomal ulceration after laparoscopic Roux-en-Y gastric bypass? Obes Surg. 2010;20:595–9.

    PubMed  Article  Google Scholar 

  25. Dapri G, Cadiere GB, Himpens J. Reinforcing the staple line during laparoscopic sleeve gastrectomy: prospective randomized clinical study comparing three different techniques. Obes Surg. 2010;20:462–7.

    PubMed  Article  Google Scholar 

  26. Deitel M, Gagner M, Erickson AL, et al. Third International Summit: current status of sleeve gastrectomy. Surg Obes Relat Dis. 2011;7:749–59.

    PubMed  Article  Google Scholar 

  27. Menenakos E, Stamou KM, Albanopoulos K, et al. Laparoscopic sleeve gastrectomy performed with intent to treat morbid obesity: a prospective single-center study of 261 patients with a median follow-up of 1 year. Obes Surg. 2010;20:276–82.

    PubMed  Article  Google Scholar 

  28. Fuks D, Verhaeghe P, Brehant O, et al. Results of laparoscopic sleeve gastrectomy: a prospective study in 135 patients with morbid obesity. Surgery. 2009;145:106–13.

    PubMed  Article  Google Scholar 

  29. Nocca D, Krawczykowsky D, Bomans B, et al. A prospective multicenter study of 163 sleeve gastrectomies: results at 1 and 2 years. Obes Surg. 2008;18:560–5.

    PubMed  CAS  Article  Google Scholar 

  30. Felberbauer FX, Langer F, Shakeri-Manesch S, et al. Laparoscopic sleeve gastrectomy as an isolated bariatric procedure: intermediate-term results from a large series in three Austrian centers. Obes Surg. 2008;18:814–8.

    PubMed  Article  Google Scholar 

  31. Consten EC, Gagner M, Pomp A, et al. Decreased bleeding after laparoscopic sleeve gastrectomy with or without duodenal switch for morbid obesity using a stapled buttressed absorbable polymer membrane. Obes Surg. 2004;14:1360–6.

    PubMed  Article  Google Scholar 

Attachment 1 Complete literature list of the 123 analyzed papers

  1. Regan JP, Inabnet WB, Gagner M, et al. Early experience with two-stage laparoscopic Roux-en-Y gastric bypass as an alternative in the super-super obese patient. Obes Surg. 2003;13:861–4.

    PubMed  CAS  Article  Google Scholar 

  2. Almogy G, Crookes PF, Anthone GJ. Longitudinal gastrectomy as a treatment for the high-risk super-obese patient. Obes Surg. 2004;14:492–7.

    PubMed  Article  Google Scholar 

  3. Consten EC, Gagner M, Pomp A, et al. Decreased bleeding after laparoscopic sleeve gastrectomy with or without duodenal switch for morbid obesity using a stapled buttressed absorbable polymer membrane. Obes Surg. 2004;14:1360–6.

    PubMed  Article  Google Scholar 

  4. Baltasar A, Serra C, Perez N, et al. Laparoscopic sleeve gastrectomy: a multi-purpose bariatric operation. Obes Surg. 2005;15:1124–8.

    PubMed  Article  Google Scholar 

  5. Mognol P, Chosidow D, Marmuse JP. Laparoscopic sleeve gastrectomy as an initial bariatric operation for high-risk patients: initial results in 10 patients. Obes Surg. 2005;15:1030–3.

    PubMed  Article  Google Scholar 

  6. Moon Han S, Kim WW, Oh JH. Results of laparoscopic sleeve gastrectomy (LSG) at 1 year in morbidly obese Korean patients. Obes Surg. 2005;15:1469–75.

    PubMed  Article  Google Scholar 

  7. Langer FB, Reza Hoda MA, Bohdjalian A, et al. Sleeve gastrectomy and gastric banding: effects on plasma ghrelin levels. Obes Surg. 2005;15:1024–9.

    PubMed  CAS  Article  Google Scholar 

  8. Milone L, Strong V, Gagner M. Laparoscopic sleeve gastrectomy is superior to endoscopic intragastric balloon as a first stage procedure for super-obese patients (BMI > or =50). Obes Surg. 2005;15:612–7.

    PubMed  Article  Google Scholar 

  9. Hamoui N, Anthone GJ, Kaufman HS, et al. Sleeve gastrectomy in the high-risk patient. Obes Surg. 2006;16:1445–9.

    PubMed  Article  Google Scholar 

  10. Langer FB, Bohdjalian A, Felberbauer FX, et al. Does gastric dilatation limit the success of sleeve gastrectomy as a sole operation for morbid obesity? Obes Surg. 2006;16:166–71.

    PubMed  Article  Google Scholar 

  11. Silecchia G, Boru C, Pecchia A, et al. Effectiveness of laparoscopic sleeve gastrectomy (first stage of biliopancreatic diversion with duodenal switch) on co-morbidities in super-obese high-risk patients. Obes Surg. 2006;16:1138–44.

    PubMed  Article  Google Scholar 

  12. Bernante P, Foletto M, Busetto L, et al. Feasibility of laparoscopic sleeve gastrectomy as a revision procedure for prior laparoscopic gastric banding. Obes Surg. 2006;16:1327–30.

    PubMed  Article  Google Scholar 

  13. Himpens J, Dapri G, Cadiere GB. A prospective randomized study between laparoscopic gastric banding and laparoscopic isolated sleeve gastrectomy: results after 1 and 3 years. Obes Surg. 2006;16:1450–6.

    PubMed  Article  Google Scholar 

  14. Cottam D, Qureshi FG, Mattar SG, et al. Laparoscopic sleeve gastrectomy as an initial weight-loss procedure for high-risk patients with morbid obesity. Surg Endosc. 2006;20:859–63.

    PubMed  CAS  Article  Google Scholar 

  15. Roa PE, Kaidar-Person O, Pinto D, et al. Laparoscopic sleeve gastrectomy as treatment for morbid obesity: technique and short-term outcome. Obes Surg. 2006;16:1323–6.

    PubMed  Article  Google Scholar 

  16. Gan SS, Talbot ML, Jorgensen JO. Efficacy of surgery in the management of obesity-related type 2 diabetes mellitus. ANZ J Surg. 2007;77:958–62.

    PubMed  Article  Google Scholar 

  17. Dapri G, Vaz C, Cadiere GB, et al. A prospective randomized study comparing two different techniques for laparoscopic sleeve gastrectomy. Obes Surg. 2007;17:1435–41.

    PubMed  Article  Google Scholar 

  18. Braghetto I, Korn O, Valladares H, et al. Laparoscopic sleeve gastrectomy: surgical technique, indications and clinical results. Obes Surg. 2007;17:1442–50.

    PubMed  Article  Google Scholar 

  19. Weiner RA, Weiner S, Pomhoff I, et al. Laparoscopic sleeve gastrectomy—influence of sleeve size and resected gastric volume. Obes Surg. 2007;17:1297–305.

    PubMed  Article  Google Scholar 

  20. Melissas J, Koukouraki S, Askoxylakis J, et al. Sleeve gastrectomy: a restrictive procedure? Obes Surg. 2007;17:57–62.

    PubMed  Article  Google Scholar 

  21. Givon-Madhala O, Spector R, Wasserberg N, et al. Technical aspects of laparoscopic sleeve gastrectomy in 25 morbidly obese patients. Obes Surg. 2007;17:722–7.

    PubMed  Article  Google Scholar 

  22. Lee CM, Cirangle PT, Jossart GH. Vertical gastrectomy for morbid obesity in 216 patients: report of two-year results. Surg Endosc. 2007;21:1810–6.

    PubMed  Article  Google Scholar 

  23. Nocca D, Krawczykowsky D, Bomans B, et al. A prospective multicenter study of 163 sleeve gastrectomies: results at 1 and 2 years. Obes Surg. 2008;18:560–5.

    PubMed  CAS  Article  Google Scholar 

  24. Kasama K, Tagaya N, Kanahira E, et al. Has laparoscopic bariatric surgery been accepted in Japan? The experience of a single surgeon. Obes Surg. 2008;18:1473–8.

    PubMed  Article  Google Scholar 

  25. Frezza EE, Barton A, Herbert H, et al. Laparoscopic sleeve gastrectomy with endoscopic guidance in morbid obesity. Surg Obes Relat Dis. 2008;4:575–9. discussion 580.

    PubMed  Article  Google Scholar 

  26. Tucker ON, Szomstein S, Rosenthal RJ. Indications for sleeve gastrectomy as a primary procedure for weight loss in the morbidly obese. J Gastrointest Surg. 2008;12:662–7.

    PubMed  CAS  Article  Google Scholar 

  27. Moy J, Pomp A, Dakin G, et al. Laparoscopic sleeve gastrectomy for morbid obesity. Am J Surg. 2008;196:e56–9.

    PubMed  Article  Google Scholar 

  28. Gagner M, Gumbs AA, Milone L, et al. Laparoscopic sleeve gastrectomy for the super-super-obese (body mass index >60 kg/m(2)). Surg Today. 2008;38:399–403.

    PubMed  Article  Google Scholar 

  29. Mui WL, Ng EK, Tsung BY, et al. Laparoscopic sleeve gastrectomy in ethnic obese Chinese. Obes Surg. 2008;18:1571–4.

    PubMed  Article  Google Scholar 

  30. Lalor PF, Tucker ON, Szomstein S, et al. Complications after laparoscopic sleeve gastrectomy. Surg Obes Relat Dis. 2008;4:33–8.

    PubMed  Article  Google Scholar 

  31. Rubin M, Yehoshua RT, Stein M, et al. Laparoscopic sleeve gastrectomy with minimal morbidity. Early results in 120 morbidly obese patients. Obes Surg. 2008;18:1567–70.

    PubMed  Article  Google Scholar 

  32. Kasalicky M, Michalsky D, Housova J, et al. Laparoscopic sleeve gastrectomy without an over-sewing of the staple line. Obes Surg. 2008;18:1257–62.

    PubMed  Article  Google Scholar 

  33. Yehoshua RT, Eidelman LA, Stein M, et al. Laparoscopic sleeve gastrectomy—volume and pressure assessment. Obes Surg. 2008;18:1083–8.

    PubMed  Article  Google Scholar 

  34. Melissas J, Daskalakis M, Koukouraki S, et al. Sleeve gastrectomy—a “food limiting” operation. Obes Surg. 2008;18:1251–6.

    PubMed  Article  Google Scholar 

  35. Ou Yang O, Loi K, Liew V, et al. Staged laparoscopic sleeve gastrectomy followed by Roux-en-Y gastric bypass for morbidly obese patients: a risk reduction strategy. Obes Surg. 2008;18:1575–80.

    PubMed  Article  Google Scholar 

  36. Vidal J, Ibarzabal A, Romero F, et al. Type 2 diabetes mellitus and the metabolic syndrome following sleeve gastrectomy in severely obese subjects. Obes Surg. 2008;18:1077–82.

    PubMed  CAS  Article  Google Scholar 

  37. Karamanakos SN, Vagenas K, Kalfarentzos F, et al. Weight loss, appetite suppression, and changes in fasting and postprandial ghrelin and peptide-YY levels after Roux-en-Y gastric bypass and sleeve gastrectomy: a prospective, double blind study. Ann Surg. 2008;247:401–7.

    PubMed  Article  Google Scholar 

  38. Quesada BM, Roff HE, Kohan G, et al. Laparoscopic sleeve gastrectomy as an alternative to gastric bypass in patients with multiple intraabdominal adhesions. Obes Surg. 2008;18:566–8.

    PubMed  Article  Google Scholar 

  39. Felberbauer FX, Langer F, Shakeri-Manesch S, et al. Laparoscopic sleeve gastrectomy as an isolated bariatric procedure: intermediate-term results from a large series in three Austrian centers. Obes Surg. 2008;18:814–8.

    PubMed  Article  Google Scholar 

  40. Parikh M, Gagner M, Heacock L, et al. Laparoscopic sleeve gastrectomy: does bougie size affect mean %EWL? Short-term outcomes. Surg Obes Relat Dis. 2008;4:528–33.

    PubMed  Article  Google Scholar 

  41. Kueper MA, Kramer KM, Kirschniak A, et al. Laparoscopic sleeve gastrectomy: standardized technique of a potential stand-alone bariatric procedure in morbidly obese patients. World J Surg. 2008;32:1462–5.

    PubMed  Article  Google Scholar 

  42. Skrekas G, Lapatsanis D, Stafyla V, et al. One year after laparoscopic “tight” sleeve gastrectomy: technique and outcome. Obes Surg. 2008;18:810–3.

    PubMed  Article  Google Scholar 

  43. Breznikar B, Dinevski D. Bariatric surgery for morbid obesity: pre-operative assessment, surgical techniques and post-operative monitoring. J Int Med Res. 2009;37:1632–45.

    PubMed  Google Scholar 

  44. Iannelli A, Schneck AS, Ragot E, et al. Laparoscopic sleeve gastrectomy as revisional procedure for failed gastric banding and vertical banded gastroplasty. Obes Surg. 2009;19:1216–20.

    PubMed  Article  Google Scholar 

  45. Strain GW, Gagner M, Pomp A, et al. Comparison of weight loss and body composition changes with four surgical procedures. Surg Obes Relat Dis. 2009;5:582–7.

    PubMed  Article  Google Scholar 

  46. Arias E, Martinez PR, Ka Ming Li V, et al. Mid-term follow-up after sleeve gastrectomy as a final approach for morbid obesity. Obes Surg. 2009;19:544–8.

    PubMed  Article  Google Scholar 

  47. Uglioni B, Wolnerhanssen B, Peters T, et al. Midterm results of primary vs. secondary laparoscopic sleeve gastrectomy (LSG) as an isolated operation. Obes Surg. 2009;19:401–6.

    PubMed  Article  Google Scholar 

  48. Hakeam HA, O’Regan PJ, Salem AM, et al. Inhibition of C-reactive protein in morbidly obese patients after laparoscopic sleeve gastrectomy. Obes Surg. 2009;19:456–60.

    PubMed  Article  Google Scholar 

  49. Stroh C, Birk D, Flade-Kuthe R, et al. A nationwide survey on bariatric surgery in Germany—results 2005–2007. Obes Surg. 2009;19:105–12.

    PubMed  Article  Google Scholar 

  50. Kakoulidis TP, Karringer A, Gloaguen T, et al. Initial results with sleeve gastrectomy for patients with class I obesity (BMI 30–35 kg/m2). Surg Obes Relat Dis. 2009;5:425–8.

    PubMed  Article  Google Scholar 

  51. Frezza EE, Wozniak SE, Gee L, et al. Is there any role of resecting the stomach to ameliorate weight loss and sugar control in morbidly obese diabetic patients? Obes Surg. 2009;19:1139–42.

    PubMed  Article  Google Scholar 

  52. Wong SK, Kong AP, Mui WL, et al. Laparoscopic bariatric surgery: a five-year review. Hong Kong Med J. 2009;15:100–9.

    PubMed  Google Scholar 

  53. Frezza EE, Reddy S, Gee LL, et al. Complications after sleeve gastrectomy for morbid obesity. Obes Surg. 2009;19:684–7.

    PubMed  Article  Google Scholar 

  54. Fuks D, Verhaeghe P, Brehant O, et al. Results of laparoscopic sleeve gastrectomy: a prospective study in 135 patients with morbid obesity. Surgery. 2009;145:106–13.

    PubMed  Article  Google Scholar 

  55. Braghetto I, Davanzo C, Korn O, et al. Scintigraphic evaluation of gastric emptying in obese patients submitted to sleeve gastrectomy compared to normal subjects. Obes Surg. 2009;19:1515–21.

    PubMed  Article  Google Scholar 

  56. Sanchez-Santos R, Masdevall C, Baltasar A, et al. Short- and mid-term outcomes of sleeve gastrectomy for morbid obesity: the experience of the Spanish National Registry. Obes Surg. 2009;19:1203–10.

    PubMed  Article  Google Scholar 

  57. Daskalakis M, Weiner RA. Sleeve gastrectomy as a single-stage bariatric operation: indications and limitations. Obes Facts. 2009;2 Suppl 1:8–10.

    PubMed  Article  Google Scholar 

  58. Goitein D, Goitein O, Feigin A, et al. Sleeve gastrectomy: radiologic patterns after surgery. Surg Endosc. 2009;23:1559–63.

    PubMed  Article  Google Scholar 

  59. Lewis CE, Dhanasopon A, Dutson EP, et al. Early experience with laparoscopic sleeve gastrectomy as a single-stage bariatric procedure. Am Surg. 2009;75:945–9.

    PubMed  Google Scholar 

  60. Rosenthal R, Li X, Samuel S, et al. Effect of sleeve gastrectomy on patients with diabetes mellitus. Surg Obes Relat Dis. 2009;5:429–34.

    PubMed  Article  Google Scholar 

  61. Braghetto I, Cortes C, Herquinigo D, et al. Evaluation of the radiological gastric capacity and evolution of the BMI 2–3 years after sleeve gastrectomy. Obes Surg. 2009;19:1262–9.

    PubMed  Article  Google Scholar 

  62. Tagaya N, Kasama K, Kikkawa R, et al. Experience with laparoscopic sleeve gastrectomy for morbid versus super morbid obesity. Obes Surg. 2009;19:1371–6.

    PubMed  Article  Google Scholar 

  63. Bernstine H, Tzioni-Yehoshua R, Groshar D, et al. Gastric emptying is not affected by sleeve gastrectomy—scintigraphic evaluation of gastric emptying after sleeve gastrectomy without removal of the gastric antrum. Obes Surg. 2009;19:293–8.

    PubMed  Article  Google Scholar 

  64. Hakeam HA, O’Regan PJ, Salem AM, et al. Impact of laparoscopic sleeve gastrectomy on iron indices: 1 year follow-up. Obes Surg. 2009;19:1491–6.

    PubMed  Article  Google Scholar 

  65. Genco A, Cipriano M, Materia A, et al. Laparoscopic sleeve gastrectomy versus intragastric balloon: a case–control study. Surg Endosc. 2009;23:1849–53.

    PubMed  Article  Google Scholar 

  66. Peterli R, Wolnerhanssen B, Peters T, et al. Improvement in glucose metabolism after bariatric surgery: comparison of laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy: a prospective randomized trial. Ann Surg. 2009;250:234–41.

    PubMed  Article  Google Scholar 

  67. Nienhuijs SW, de Zoete JP, Berende CA, et al. Evaluation of laparoscopic sleeve gastrectomy on weight loss and co-morbidity. Int J Surg. 2010;8:302–4.

    PubMed  CAS  Article  Google Scholar 

  68. Gehrer S, Kern B, Peters T, et al. Fewer nutrient deficiencies after laparoscopic sleeve gastrectomy (LSG) than after laparoscopic Roux-Y-gastric bypass (LRYGB)—a prospective study. Obes Surg. 2010;20:447–53.

    PubMed  Article  Google Scholar 

  69. Birkmeyer NJ, Dimick JB, Share D, et al. Hospital complication rates with bariatric surgery in Michigan. JAMA. 2010;304:435–42.

    PubMed  CAS  Article  Google Scholar 

  70. DePaula AL, Stival AR, DePaula CC, et al. Impact on dyslipidemia of the laparoscopic ileal interposition associated to sleeve gastrectomy in type 2 diabetic patients. J Gastrointest Surg. 2010;14:1319–25.

    PubMed  Article  Google Scholar 

  71. Sammour T, Hill AG, Singh P, et al. Laparoscopic sleeve gastrectomy as a single-stage bariatric procedure. Obes Surg. 2010;20:271–5.

    PubMed  Article  Google Scholar 

  72. DeMaria EJ, Pate V, Warthen M, et al. Baseline data from American Society for Metabolic and Bariatric Surgery-designated Bariatric Surgery Centers of Excellence using the Bariatric Outcomes Longitudinal Database. Surg Obes Relat Dis. 2010;6:347–55.

    PubMed  Article  Google Scholar 

  73. Lakdawala MA, Bhasker A, Mulchandani D, et al. Comparison between the results of laparoscopic sleeve gastrectomy and laparoscopic Roux-en-Y gastric bypass in the Indian population: a retrospective 1 year study. Obes Surg. 2010;20:1–6.

    PubMed  Article  Google Scholar 

  74. Omana JJ, Nguyen SQ, Herron D, et al. Comparison of comorbidity resolution and improvement between laparoscopic sleeve gastrectomy and laparoscopic adjustable gastric banding. Surg Endosc. 2010;24:2513–7.

    PubMed  Article  Google Scholar 

  75. Langer FB, Bohdjalian A, Shakeri-Leidenmuhler S, et al. Conversion from sleeve gastrectomy to Roux-en-Y gastric bypass—indications and outcome. Obes Surg. 2010;20:835–40.

    PubMed  Article  Google Scholar 

  76. Keidar A, Appelbaum L, Schweiger C, et al. Dilated upper sleeve can be associated with severe postoperative gastroesophageal dysmotility and reflux. Obes Surg. 2010;20:140–7.

    PubMed  Article  Google Scholar 

  77. Burns EM, Naseem H, Bottle A, et al. Introduction of laparoscopic bariatric surgery in England: observational population cohort study. BMJ. 2010;341:c4296.

    PubMed  Article  Google Scholar 

  78. Srinivasa S, Hill LS, Sammour T, et al. Early and mid-term outcomes of single-stage laparoscopic sleeve gastrectomy. Obes Surg. 2010;20:1484–90.

    PubMed  Article  Google Scholar 

  79. Himpens J, De Schepper M, Dapri G. Laparoscopic conversion of adjustable gastric banding to sleeve gastrectomy: a feasibility study. Surg Laparosc Endosc Percutan Technol. 2010;20:162–5.

    Article  Google Scholar 

  80. Ramos A, Galvao Neto M, Galvao M, et al. Laparoscopic greater curvature plication: initial results of an alternative restrictive bariatric procedure. Obes Surg. 2010;20:913–8.

    PubMed  Article  Google Scholar 

  81. Rizzello M, Abbatini F, Casella G, et al. Early postoperative insulin-resistance changes after sleeve gastrectomy. Obes Surg. 2010;20:50–5.

    PubMed  Article  Google Scholar 

  82. Maluenda F, Csendes A, De Aretxabala X, et al. Alcohol absorption modification after a laparoscopic sleeve gastrectomy due to obesity. Obes Surg. 2010;20:744–8.

    PubMed  Article  Google Scholar 

  83. Lee WJ, Ser KH, Chong K, et al. Laparoscopic sleeve gastrectomy for diabetes treatment in nonmorbidly obese patients: efficacy and change of insulin secretion. Surgery. 2010;147:664–9.

    PubMed  Article  Google Scholar 

  84. Diamantis T, Alexandrou A, Pikoulis E, et al. Laparoscopic sleeve gastrectomy for morbid obesity with intra-operative endoscopic guidance. Immediate peri-operative and 1-year results after 25 patients. Obes Surg. 2010;20:1164–70.

    PubMed  CAS  Article  Google Scholar 

  85. Menenakos E, Stamou KM, Albanopoulos K, et al. Laparoscopic sleeve gastrectomy performed with intent to treat morbid obesity: a prospective single-center study of 261 patients with a median follow-up of 1 year. Obes Surg. 2010;20:276–82.

    PubMed  Article  Google Scholar 

  86. Jacobs M, Bisland W, Gomez E, et al. Laparoscopic sleeve gastrectomy: a retrospective review of 1- and 2-year results. Surg Endosc. 2010;24:781–5.

    PubMed  Article  Google Scholar 

  87. Chowbey PK, Dhawan K, Khullar R, et al. Laparoscopic sleeve gastrectomy: an Indian experience—surgical technique and early results. Obes Surg. 2010;20:1340–7.

    PubMed  CAS  Article  Google Scholar 

  88. Nath A, Leblanc KA, Hausmann MG, et al. Laparoscopic sleeve gastrectomy: our first 100 patients. JSLS. 2010;14:502–8.

    PubMed  Article  Google Scholar 

  89. Todkar JS, Shah SS, Shah PS, et al. Long-term effects of laparoscopic sleeve gastrectomy in morbidly obese subjects with type 2 diabetes mellitus. Surg Obes Relat Dis. 2010;6:142–5.

    PubMed  Article  Google Scholar 

  90. Abbatini F, Rizzello M, Casella G, et al. Long-term effects of laparoscopic sleeve gastrectomy, gastric bypass, and adjustable gastric banding on type 2 diabetes. Surg Endosc. 2010;24:1005–10.

    PubMed  CAS  Article  Google Scholar 

  91. Himpens J, Dobbeleir J, Peeters G. Long-term results of laparoscopic sleeve gastrectomy for obesity. Ann Surg. 2010;252:319–24.

    PubMed  Article  Google Scholar 

  92. Arroyo K, Alkhoury F, Nadzam G, et al. Magenstrasse and Mill gastroplasty and sleeve gastrectomy as treatment for morbid obesity. Conn Med. 2010;74:589–93.

    PubMed  Google Scholar 

  93. Braghetto I, Lanzarini E, Korn O, et al. Manometric changes of the lower esophageal sphincter after sleeve gastrectomy in obese patients. Obes Surg. 2010;20:357–62.

    PubMed  Article  Google Scholar 

  94. Semanscin-Doerr DA, Windover A, Ashton K, et al. Mood disorders in laparoscopic sleeve gastrectomy patients: does it affect early weight loss? Surg Obes Relat Dis. 2010;6:191–6.

    PubMed  Article  Google Scholar 

  95. Gandsas, A, MD, MBA, FACS, Christina Li, MD; Marvin Tan, MD; Adrian Barbul, MD. Initial outcomes following laparoscopic sleeve gastrectomy in 292 patients as a single-stage procedure for morbid obesity. Bariatric Times. 2010;2010;7:11-13.

  96. Armstrong J, O’Malley SP. Outcomes of sleeve gastrectomy for morbid obesity: a safe and effective procedure? Int J Surg. 2010;8:69–71.

    PubMed  Article  Google Scholar 

  97. Shah S, Shah P, Todkar J, et al. Prospective controlled study of effect of laparoscopic sleeve gastrectomy on small bowel transit time and gastric emptying half-time in morbidly obese patients with type 2 diabetes mellitus. Surg Obes Relat Dis. 2010;6:152–7.

    PubMed  Article  Google Scholar 

  98. Patel S, Eckstein J, Acholonu E, et al. Reasons and outcomes of laparoscopic revisional surgery after laparoscopic adjustable gastric banding for morbid obesity. Surg Obes Relat Dis. 2010;6:391–8.

    PubMed  Article  Google Scholar 

  99. Dapri G, Cadiere GB, Himpens J. Reinforcing the staple line during laparoscopic sleeve gastrectomy: prospective randomized clinical study comparing three different techniques. Obes Surg. 2010;20:462–7.

    PubMed  Article  Google Scholar 

  100. Lacy A, Ibarzabal A, Pando E, et al. Revisional surgery after sleeve gastrectomy. Surg Laparosc Endosc Percutan Technol. 2010;20:351–6.

    Article  Google Scholar 

  101. Bohdjalian A, Langer FB, Shakeri-Leidenmuhler S, et al. Sleeve gastrectomy as sole and definitive bariatric procedure: 5-year results for weight loss and ghrelin. Obes Surg. 2010;20:535–40.

    PubMed  Article  Google Scholar 

  102. Sabbagh C, Verhaeghe P, Dhahri A, et al. Two-year results on morbidity, weight loss and quality of life of sleeve gastrectomy as first procedure, sleeve gastrectomy after failure of gastric banding and gastric banding. Obes Surg. 2010;20:679–84.

    PubMed  Article  Google Scholar 

  103. Becouarn G, Topart P, Ritz P. Weight loss prior to bariatric surgery is not a pre-requisite of excess weight loss outcomes in obese patients. Obes Surg. 2010;20:574–7.

    PubMed  Article  Google Scholar 

  104. Buesing M, Utech M, Halter J, et al. Sleeve gastrectomy in the treatment of morbid obesity. Study results and first experiences with the transvaginal hybrid NOTES technique. Chirurg. 2011;82:675–83.

    PubMed  CAS  Article  Google Scholar 

  105. Triantafyllidis G, Lazoura O, Sioka E, et al. Anatomy and complications following laparoscopic sleeve gastrectomy: radiological evaluation and imaging pitfalls. Obes Surg. 2011;21:473–8.

    PubMed  Article  Google Scholar 

  106. Stamou KM, Menenakos E, Gomatos IP, et al. Clinical implications of sleeve gastrectomy as a source of spleen infarction or ischemia. Obes Surg. 2011;21:1490–3.

    PubMed  Article  Google Scholar 

  107. Skroubis G, Karamanakos S, Sakellaropoulos G, et al. Comparison of early and late complications after various bariatric procedures: incidence and treatment during 15 years at a single institution. World J Surg. 2011;35:93–101.

    PubMed  Article  Google Scholar 

  108. Kelogrigoris M, Sotiropoulou E, Stathopoulos K, et al. CT-guided percutaneous drainage of infected collections due to gastric leak after sleeve gastrectomy for morbid obesity: initial experience. Cardiovasc Intervent Radiol. 2011;34:585–9.

    PubMed  CAS  Article  Google Scholar 

  109. Nosso G, Angrisani L, Saldalamacchia G, et al. Impact of sleeve gastrectomy on weight loss, glucose homeostasis, and comorbidities in severely obese type 2 diabetic subjects. J Obes. 2011;2011:340867.

    PubMed  CAS  Google Scholar 

  110. Daskalakis M, Berdan Y, Theodoridou S, et al. Impact of surgeon experience and buttress material on postoperative complications after laparoscopic sleeve gastrectomy. Surg Endosc. 2011;25:88–97.

    PubMed  Article  Google Scholar 

  111. Iannelli A, Anty R, Schneck AS, et al. Inflammation, insulin resistance, lipid disturbances, anthropometrics, and metabolic syndrome in morbidly obese patients: a case control study comparing laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy. Surgery. 2011;149:364–70.

    PubMed  Article  Google Scholar 

  112. Karcz WK, Krawczykowski D, Kuesters S, et al. Influence of sleeve gastrectomy on NASH and type 2 diabetes mellitus. J Obes. 2011;2011:765473.

    PubMed  CAS  Google Scholar 

  113. Bellanger DE, Greenway FL. Laparoscopic sleeve gastrectomy, 529 cases without a leak: short-term results and technical considerations. Obes Surg. 2011;21:146–50.

    PubMed  Article  Google Scholar 

  114. Diamantis T, Alexandrou A, Nikiteas N, et al. Initial experience with robotic sleeve gastrectomy for morbid obesity. Obes Surg. 2011;21:1172–9.

    PubMed  Article  Google Scholar 

  115. Pomerri F, Foletto M, Allegro G, et al. Laparoscopic sleeve gastrectomy—radiological assessment of fundus size and sleeve voiding. Obes Surg. 2011;21:858–63.

    PubMed  Article  Google Scholar 

  116. Alley JB, Fenton SJ, Harnisch MC, et al. Integrated bioabsorbable tissue reinforcement in laparoscopic sleeve gastrectomy. Obes Surg. 2011;21:1311–5.

    PubMed  Article  Google Scholar 

  117. Leyba JL, Aulestia SN, Llopis SN. Laparoscopic Roux-en-Y gastric bypass versus laparoscopic sleeve gastrectomy for the treatment of morbid obesity. A prospective study of 117 patients. Obes Surg. 2011;21:212–6.

    PubMed  Article  Google Scholar 

  118. Basso N, Casella G, Rizzello M, et al. Laparoscopic sleeve gastrectomy as first stage or definitive intent in 300 consecutive cases. Surg Endosc. 2011;25:444–9.

    PubMed  CAS  Article  Google Scholar 

  119. Mohos E, Schmaldienst E, Prager M. Quality of life parameters, weight change and improvement of co-morbidities after laparoscopic Roux Y gastric bypass and laparoscopic gastric sleeve resection—comparative study. Obes Surg. 2011;21:288–94.

    PubMed  Article  Google Scholar 

  120. Iannelli A, Schneck AS, Noel P, et al. Re-sleeve gastrectomy for failed laparoscopic sleeve gastrectomy: a feasibility study. Obes Surg. 2011;21:832–5.

    PubMed  Article  Google Scholar 

  121. Albanopoulos K, Alevizos L, Linardoutsos D, et al. Routine abdominal drains after laparoscopic sleeve gastrectomy: a retrospective review of 353 patients. Obes Surg. 2011;21:687–91.

    PubMed  Article  Google Scholar 

  122. Lazoura O, Zacharoulis D, Triantafyllidis G, et al. Symptoms of gastroesophageal reflux following laparoscopic sleeve gastrectomy are related to the final shape of the sleeve as depicted by radiology. Obes Surg. 2011;21:295–9.

    PubMed  Article  Google Scholar 

  123. Aarts EO, Janssen IM, Berends FJ. The gastric sleeve: losing weight as fast as micronutrients? Obes Surg. 2011;21:207–11.

    PubMed  Article  Google Scholar 

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Affiliations

  1. Department of Surgery, University of Heidelberg, INF 110, 69120, Heidelberg, Germany

    Lars Fischer, Caroline Hildebrandt, Hannes Kenngott, Georg R. Linke, Tobias Gehrig, Markus W. Büchler & Beat P. Müller-Stich

  2. Institute for Medical Biometry and Informatics, Heidelberg, Germany

    Thomas Bruckner

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  1. Lars Fischer
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  2. Caroline Hildebrandt
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Fischer, L., Hildebrandt, C., Bruckner, T. et al. Excessive Weight Loss after Sleeve Gastrectomy: A Systematic Review. OBES SURG 22, 721–731 (2012). https://doi.org/10.1007/s11695-012-0616-1

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Keywords

  • Sleeve gastrectomy
  • Gastric bypass
  • Excessive weight loss