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Correlation of Gastric Volume and Weight Loss 5 Years Following Sleeve Gastrectomy

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Abstract

Introduction

The volume of the gastric reservoir (VGR) after sleeve gastrectomy influences weight loss in the short-term, but long-term results are scarce. The aim was to analyze the correlation between the VGR and weight loss at 5 years of follow-up.

Methods

It is a prospective observational study of 50 patients undergoing sleeve gastrectomy (SG) from February 2009 to December 2013. An upper gastrointestinal series was performed at 1 month and at 1 and 5 years after surgery. A composite formula was used for VGR estimation. Weight loss-related data included the following: body mass index (BMI), percentage of excess weight loss (%EWL), and percentage of excess BMI loss (%EBMIL) at 1 month and at 1 and 5 years. Uni- and multivariate analyses were carried out to determine other factors that might influence long-term weight loss results.

Results

The %EWL at 1 year was 74.5(63.8–86) vs. 55.5(47–74.3) at 5 years (p < 0.001). The VGR 1 month after surgery was 114.9 (90.5–168.3) mL. The VGR increased from 216.7 (155.1–278.6) to 367.5 (273–560.3) mL (p < 0.001) at 1 and 5 years. Although a significant inverse correlation was observed between VGR and BMI, %EWL, and %EBMIL at 1 year, it disappeared at 5 years. In the multivariate analysis, the main factor to predict worse weight results at 5 years was a pre-surgical BMI ≥ 50 kg/m2.

Conclusion

The VGR increased progressively during the study period. Although an inverse relationship between VGR and weight was found at 1 year, this correlation did not remain at 5 years. A preoperative BMI ≥ 50 kg/m2 is the main predictive factor of poor weight outcomes.

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Acknowledgment

We thank Xavier Duran from the Methodology & Biostatistics Support Unit, Hospital del Mar Medical Research Institute (IMIM), Barcelona, Catalonia, Spain, for his support and assistance in analyzing data.

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Authors and Affiliations

  1. Bariatric and Metabolic Surgery Unit, Section of Gastrointestinal Surgery, Hospital del Mar, Barcelona, Spain

    Clara Pañella, Alba González, Carme Serra, Luís Grande, Manuel Pera & José M Ramón

  2. Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain

    Clara Pañella, Alberto Goday, Luís Grande, Manuel Pera & José M Ramón

  3. Department of Radiology, Hospital del Mar, Barcelona, Spain

    Marcos Busto

  4. Department of Endocrinology, Hospital del Mar, Barcelona, Spain

    Alberto Goday

  5. Department of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain

    Alberto Goday

  6. CiberOBN, Instituto de Salud Carlos III, Madrid, Spain

    Alberto Goday

  7. Department of Surgery, Universitat Autònoma de Barcelona, Barcelona, Spain

    Luís Grande & Manuel Pera

Authors
  1. Clara Pañella
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  2. Marcos Busto
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  3. Alba González
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  4. Carme Serra
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  6. Luís Grande
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  7. Manuel Pera
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  8. José M Ramón
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Correspondence to Clara Pañella.

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Pañella, C., Busto, M., González, A. et al. Correlation of Gastric Volume and Weight Loss 5 Years Following Sleeve Gastrectomy. OBES SURG 30, 2199–2205 (2020). https://doi.org/10.1007/s11695-020-04445-z

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  • DOI: https://doi.org/10.1007/s11695-020-04445-z

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