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Lifestyle Modification Parallels to Sleeve Success

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Abstract

Background

The role of laparoscopic sleeve gastrectomy (LSG) has increased over the past 10 years. We present our results of patients who were 5 years out from surgery with regard to safety and long-term efficacy.

Methods

Retrospective analysis was carried out from prospectively collected data of patients who underwent LSG for morbid obesity. Bariatric Analysis and Reporting Outcome System (BAROS) and Food Tolerance Scores (FTS) were assessed. At 5 years, two lifestyle modification questions (regarding nutrition habits and physical fitness) were separately assessed.

Results

One hundred fourteen patients underwent LSG and were available for postoperative visits. Mean excess weight loss (EWL) was >65 % during the initial 3 years and declined to 45.3 % in 5 years. Of the patients, 71.92 % did not reach 50 % EWL at 60 months and were considered objective failures. BAROS and FTS scores were 7.15 and 4.32, and 23.5 and 22.5 at 30 and 60 months, respectively. Analyzing the 32 patients with EWL >50 % in the 5-year group, 26 (81.25 %) of them had scored ≥0.5 on the two lifestyle modification questions compared with 6 (18.75 %) that scored <0.5 (P < 0.001).

Conclusion

LSG is an effective bariatric surgical procedure with significant long-term (5 year) weight loss, resolution of comorbid medical conditions and significant improvement in the quality of life. The basis for this success, which must be always emphasized preoperatively by the bariatric team, is knowledge and implementation of better nutritional habits and increasing physical fitness or, in other words, in significant lifestyle modification.

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Conflict of Interest

Dr. Dean Keren, Dr. Ibrahim Matter, and Prof. Alexandra Lavy have completed the ICMJE uniform disclosure form at www.icmje.org/coi_disclosure.pdf and declare no support from any organization for the submitted work, no financial relationships with any organizations that might have an interest in the submitted work in the previous 3 years, and no other relationships or activities that could appear to have influenced the submitted work.

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Authors and Affiliations

  1. Gastroenterology Unit, Bariatric Gastroenterology Clinic, Bnai-Zion Medical Center, Technion Institute of Technology, 47 Golomb Ave, POB 4840, Haifa, 31048, Israel

    Dean Keren

  2. Surgery Department, Bnai-Zion Medical Center, Technion Institute of Technology, 47 Golomb Ave, POB 4840, Haifa, 31048, Israel

    Ibrahim Matter

  3. Gastroenterology Unit, Bnai-Zion Medical Center, Technion Institute of Technology, 47 Golomb Ave, POB 4840, Haifa, 31048, Israel

    Alexandra Lavy

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  1. Dean Keren
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  2. Ibrahim Matter
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  3. Alexandra Lavy
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Correspondence to Dean Keren.

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Keren, D., Matter, I. & Lavy, A. Lifestyle Modification Parallels to Sleeve Success. OBES SURG 24, 735–740 (2014). https://doi.org/10.1007/s11695-013-1145-2

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  • DOI: https://doi.org/10.1007/s11695-013-1145-2

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