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Long-Term Results After Sleeve Gastrectomy for Gastroesophageal Reflux Disease: a Single-Center French Study

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Abstract

Background

Many studies have analyzed the impact of sleeve gastrectomy (SG) on weight loss and/or the evolution of obesity-related comorbid conditions, but few have reported the long-term outcomes after surgery. The objective of this study was to investigate the outcomes after SG on weight loss, obesity-related comorbid conditions, quality of life (QoL), and GERD symptoms (GERDS) beyond 5 years.

Methods

A prospective database was retrospectively searched for the following factors: gender, age, anthropometrics, presence of comorbid conditions, QoL (BAROS questionnaire), and presence of GERDS. The data were analyzed before and at 1 and 6 years after surgery.

Results

Of the 64 patients included, 32.8% were lost to follow-up (76% during the first postoperative year). A complete follow-up of >5 years was obtained for 41 patients. Before surgery, mean excess BMI was 22 ± 7 kg/m2, and 26.8% of patients had GERDS. Percent excess BMI loss was 55 ± 30% at 1 year and 48 ± 27% at 6 years. Preoperative BMI and absence of type 2 diabetes (T2D) before surgery were the only independent variables for long-term failure. Six years after SG, remission from metabolic comorbidities was as follows: 50% for T2D, 28% for blood hypertension, 58% for dyslipidemia, and 33% for sleep-apnea syndrome. Thirty percent of patients with preoperative GERD had resolution of symptoms at 6 years whereas 9 patients (32%) had de novo GERD. QoL was improved for 62% of patients at 6 years.

Conclusion

The benefits of SG on weight loss, resolution of comorbidities, and QoL were maintained in the long term for most patients.

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Authors and Affiliations

  1. Department of Digestive Surgery, CHU of Limoges, 2 av Martin Luther King, 87042, Limoges, France

    Etienne Chuffart & Muriel Mathonnet

  2. Bariatric Surgery, Clinique F Chénieux, 18 rue du Général Catroux, 87000, Limoges, France

    Maxime Sodji

  3. CEBIMER, Faculté de Médecine de Limoges, 2 rue du Dr Marcland, 87042, Limoges, France

    François Dalmay

  4. Hôpital de l’Archet, Pôle Digestif, Centre Hospitalier Universitaire de Nice, 06202, Nice, France

    Antonio Iannelli

Authors
  1. Etienne Chuffart
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  2. Maxime Sodji
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  4. Antonio Iannelli
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Corresponding author

Correspondence to Muriel Mathonnet.

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The authors declare that they have no conflict of interest.

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Ethical Approval

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.

For this retrospective study, formal consent is not required.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Chuffart, E., Sodji, M., Dalmay, F. et al. Long-Term Results After Sleeve Gastrectomy for Gastroesophageal Reflux Disease: a Single-Center French Study. OBES SURG 27, 2890–2897 (2017). https://doi.org/10.1007/s11695-017-2698-2

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  • DOI: https://doi.org/10.1007/s11695-017-2698-2

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