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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

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Abstract

Background

This retrospective study evaluated long-term weight loss, resolution of comorbidities, quality of life (QoL), and food tolerance after laparoscopic sleeve gastrectomy (LSG).

Methods

Between January 2003 and July 2008, 102 patients underwent LSG as a sole bariatric operation. A retrospective review of a prospectively collected database was performed. Demographics, complications, and percentage of excess weight loss (%EWL) were determined. Quality of life was measured using Medical Outcomes Survey Short Form 36 (SF-36) and Bariatric Analysis and Reporting Outcome System (BAROS) questionnaires, which were sent to all patients. The food tolerance score (FTS) was determined and compared with that of nonobese subjects.

Results

A total of 83 patients (81.4%) were eligible for follow-up evaluation. Their mean initial body mass index (BMI) was 39.3 kg/m2. No major complications occurred. At a median follow-up point of 49 months (range, 17–80 months), the mean %EWL was 72.3% ± 29.3%. For the 23 patients who reached the 6-year follow-up point, the mean %EWL was 55.9% ± 25.55%. The mean BAROS score was 6.5 ± 2.1, and a “good” to “excellent” score was observed for 75 patients (90.4%). In the comparison of patients with a %EWL greater than 50% and those with a %EWL of 50% or less, the SF-36 scores were statistically different only for “physical functioning” and “general health perception.” The mean FTS was 23.8, and 95.2% of the patients described their food tolerance as acceptable to excellent.

Conclusion

Laparoscopic sleeve gastrectomy is a safe and effective bariatric procedure, although a tendency for weight regain is noted after 5 years of follow-up evaluation. Resolution of comorbidity is comparable with that reported in the literature. The LSG procedure results in good to excellent health-related QoL. Food tolerance is lower for patients after LSG than for nonobese patients who had no surgery, but 95.2% described food tolerance as acceptable to excellent.

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References

  1. Ren CJ, Patterson E, Gagner M (2000) Early results of laparoscopic biliopancreatic diversion with duodenal switch: a case series of 40 consecutive patients. Obes Surg 10:514–523

    Article  PubMed  CAS  Google Scholar 

  2. Regan JP, Inabnet WB, Gagner M, Pomp A (2003) Early experience with two-stage laparoscopic Roux-en-Y gastric bypass as an alternative in the super-super-obese patient. Obes Surg 13:861–864

    Article  PubMed  CAS  Google Scholar 

  3. Himpens J, Dapri D, Cadière GB (2006) A prospective randomized study between laparoscopic gastric banding and laparoscopic isolated sleeve gastrectomy: results after 1 and 3 years. Obes Surg 16:1450–1456

    Article  PubMed  Google Scholar 

  4. Moon Han S, Kim WW, Oh JH (2005) Results of laparoscopic sleeve gastrectomy (LSG) at 1 year in morbidly obese Korean patients. Obes Surg 15:1469–1475

    Article  PubMed  Google Scholar 

  5. Till H, Blücher W, Kiess W (2008) Efficacy of laparoscopic sleeve gastrectomy (LSG) as a stand-alone technique for children with morbid obesity. Obes Surg 18:1047–1049

    Article  PubMed  CAS  Google Scholar 

  6. Roa P, Kaidar-Person O, Pinto D, Cho M, Szomstein S, Rosenthal RJ (2006) Laparoscopic sleeve gastrectomy as treatment for morbid obesity: technique and short-term outcome. Obes Surg 16:1323–1326

    Article  PubMed  Google Scholar 

  7. Arias E, Martinez PR, Ka Ming Li V, Szomstein S, Rosenthal R (2009) Mid-term follow-up after sleeve gastrectomy as a final approach for morbid obesity. Obes Surg 19:544–548

    Article  PubMed  Google Scholar 

  8. Larsen JK, Geenen R, van Ramhorst B, Brand N, de Wit P, Stroebe W, van Doornen LJ (2003) Psychosocial functioning before and after laparoscopic adjustable gastric banding: a cross-sectional study. Obes Surg 13:629–636

    Article  PubMed  Google Scholar 

  9. Favricatore AN, Wadden TA, Sarwer DB, Faith MS (2005) Health-related quality of life and symptoms of depression in extremely obese persons seeking bariatric surgery. Obes Surg 15:304–309

    Article  Google Scholar 

  10. Sarwer DB, Wadden TA, Fabricatore AN (2005) Psychosocial and behavioral aspects of bariatric surgery. Obes Res 13:639–648

    Article  PubMed  Google Scholar 

  11. Dymek MP, Le Grange D, Neven K, Alverdy J (2001) Quality of life and psychosocial adjustment in patients after Roux-en-Y gastric bypass: a brief report. Obes Surg 11:32–39

    Article  PubMed  CAS  Google Scholar 

  12. Oria HE, Moorehead MK (2009) Updated bariatric analysis and reporting outcome system (BAROS). Surg Obes Relat Dis 5:60–66

    Article  PubMed  Google Scholar 

  13. Brazier JE, Harper R, Jones NM, O’Cathain A, Thomas KJ, Usherwood T, Westlake L (1992) Validation of the SF-36 health survey questionnaire: new outcome measure for primary care. Br Med J 27:1812–1816

    Google Scholar 

  14. Suter M, Calmes JM, Paroz A, Giusti V (2007) A new questionnaire for quick assessment of food tolerance after bariatric surgery. Obes Surg 17:2–8

    Article  PubMed  Google Scholar 

  15. Benjaminov O, Beglaibter N, Gindy L, Spivak H, Singer P, Wienberg M, Stark A, Rubin M (2007) The effect of low-carbohydrate diet on the nonalcoholic fatty liver in morbidly obese patients prior to bariatric surgery. Surg Endosc 21:1423–1427

    Article  PubMed  CAS  Google Scholar 

  16. Milone L, Strong V, Gagner M (2005) Laparoscopic sleeve gastrectomy is superior to intragastric balloon as a first-stage procedure for super-obese patients (BMI ≥ 50 kg/m²). Obes Surg 15:612–617

    Article  PubMed  Google Scholar 

  17. Sánchez-Santos R, Masdevall C, Baltasar A, Martínez-Blázquez C, Ruiz García, de Gordejuela A, Ponsi E, Sánchez-Pernaute A, Vesperinas G, Del Castillo D, Bombuy E, Durán-Escribano C, Ortega L, Ruiz de Adana JC, Baltar J, Maruri I, García-Blázquez E, Torres A (2009) Short- and midterm outcomes of sleeve gastrectomy for morbid obesity: the experience of the Spanish National Registry. Obes Surg 19:1203–1210. Epub 2 July 2009

    Article  PubMed  Google Scholar 

  18. Cottam D, Qureshi FG, Mattar SG, Sharma S, Holover S, Bonanomi G, Ramanathan R, Schauer P (2006) Laparoscopic sleeve gastrectomy as an initial weight-loss procedure for high-risk patients with morbid obesity. Surg Endosc 20:859–863

    Article  PubMed  CAS  Google Scholar 

  19. Clinical Issues Committee of American Society for Metabolic, Bariatric Surgery (2007) Sleeve gastrectomy as a bariatric procedure. Surg Obes Relat Dis 3:573–576

    Article  Google Scholar 

  20. Givon-Madhala O, Spector R, Wasserberg N, Beglaibter N, Lustigman H, Stein M, Arar N, Rubin M (2007) Technical aspects of laparoscopic sleeve gastrectomy in 25 morbidly obese patients. Obes Surg 17:722–727

    Article  PubMed  Google Scholar 

  21. Langer FB, Bohdjalian A, Felberbauer FX, Fleischmann E, Reza Hoda MA, Ludvik B, Zacherl J, Jakesz R, Prager G (2006) Does gastric dilation limit the success of sleeve gastrectomy as a sole operation for morbid obesity? Obes Surg 16:166–171

    Article  PubMed  Google Scholar 

  22. Weiner RA, Weiner S, Pomhoff I, Makarewicz W, Weigand G (2007) Laparoscopic sleeve gastrectomy: influence of sleeve size and resected gastric volume. Obes Surg 17:1297–1305

    Article  PubMed  Google Scholar 

  23. Buchwald H, Avidor Y, Braunwald E, Jensen MD, Pories W, Fahrbach K, Schoelles K (2004) Bariatric surgery: a systematic review and meta-analysis (review). JAMA 292:1724–1737

    Article  PubMed  CAS  Google Scholar 

  24. Frezza EE, Chiriva-Internati M, Wachtel MS (2008) Analysis of the results of sleeve gastrectomy for morbid obesity and the role of ghrelin. Surg Today 38:481–483

    Article  PubMed  CAS  Google Scholar 

  25. Akkary E, Duffy A, Bell R (2008) Deciphering the sleeve: technique, indications, efficacy, and safety of sleeve gastrectomy. Obes Surg 18:1323–1329

    Article  PubMed  Google Scholar 

  26. Gumbs AA, Gagner M, Dakin G, Pomp A (2007) Sleeve gastrectomy for morbid obesity. Obes Surg 17:962–969

    Article  PubMed  Google Scholar 

  27. Freys SM, Tigges H, Heimbucher J, Fuchs KH, Fein M, Thiede A (2001) Quality of Life following laparoscopic gastric banding in patients with morbid obesity. J Gastrointest Surg 5:401–407

    Article  PubMed  CAS  Google Scholar 

  28. Dixon JB, Dixon ME, O’Brein PE (2001) Quality of life after Lap-Band placement: influence of time, weight loss, and comorbidities. Obes Res 9:713–721

    Article  PubMed  CAS  Google Scholar 

  29. Dixon JB, O’Brein PE (2002) Changes in comorbidities and improvements in quality of life after LAP-BAND placement. Am J Surg 184:51S–54S

    Article  PubMed  Google Scholar 

  30. Tolonen P, Victorzon M, Mäkelä J (2004) Impact of laparoscopic adjustable gastric banding for morbid obesity on disease specific and health-related quality of life. Obes Surg 14:788–795

    Article  PubMed  Google Scholar 

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Disclosures

Mathieu D’Hondt, Sofie Vanneste, Hans Pottel, Dirk Devriendt, Frank Van Rooy, and Franky Vansteenkiste have no conflicts of interest or financial ties to disclose.

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Authors and Affiliations

  1. Department of Digestive Surgery, Groeninge Hospital, President Kennedylaan 4, 8500, Kortrijk, Belgium

    Mathieu D’Hondt, Sofie Vanneste, Dirk Devriendt, Frank Van Rooy & Franky Vansteenkiste

  2. Faculty of Medicine, Catholic University Leuven, Campus Kortrijk, Etienne Sabbelaan 53, 8500, Kortrijk, Belgium

    Hans Pottel

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  1. Mathieu D’Hondt
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  2. Sofie Vanneste
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  3. Hans Pottel
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Correspondence to Mathieu D’Hondt.

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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 25, 2498–2504 (2011). https://doi.org/10.1007/s00464-011-1572-x

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