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Long-Term Matched Comparison of Primary and Revisional Laparoscopic Sleeve Gastrectomy

BACKGROUND: Reports of long-term (> 5–15-year) outcomes assessing the safety and efficacy of primary revisional laparoscopic sleeve gastrectomy (LSG) are few. METHODS: Retrospective long-term comparisons of primary (pLSG) and revisional (rLSG) procedures were matched for gender, age ± 5 years, an...

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Autores principales: Sakran, Nasser, Soued, Sharon, Hod, Keren, Buchwald, Jane N., Soifer, Kim, Kessler, Yafit, Adelson, Dana, Biton, Reut, Goitein, David, Raziel, Asnat
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9809525/
https://www.ncbi.nlm.nih.gov/pubmed/36595147
http://dx.doi.org/10.1007/s11695-022-06436-8
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author Sakran, Nasser
Soued, Sharon
Hod, Keren
Buchwald, Jane N.
Soifer, Kim
Kessler, Yafit
Adelson, Dana
Biton, Reut
Goitein, David
Raziel, Asnat
author_facet Sakran, Nasser
Soued, Sharon
Hod, Keren
Buchwald, Jane N.
Soifer, Kim
Kessler, Yafit
Adelson, Dana
Biton, Reut
Goitein, David
Raziel, Asnat
author_sort Sakran, Nasser
collection PubMed
description BACKGROUND: Reports of long-term (> 5–15-year) outcomes assessing the safety and efficacy of primary revisional laparoscopic sleeve gastrectomy (LSG) are few. METHODS: Retrospective long-term comparisons of primary (pLSG) and revisional (rLSG) procedures were matched for gender, age ± 5 years, and body mass index (BMI) ± 5 kg/m(2). Weight loss, associated medical condition status, and patient satisfaction were evaluated. RESULTS: Between May 1, 2006, and December 31, 2016, 194 matched patients with severe obesity (mean BMI 44.1 ± 6.7 kg/m(2); age 44.2 ± 10.0 years, 67.0% female) underwent pLSG (n = 97) or rLSG (n = 97) and were followed for a mean 12.1 ± 1.5 vs 7.6 ± 2.1 years. Respective mean weight regain from nadir was 15.0 ± 14.4 kg vs 11.9 ± 12.2 kg. Respective percent mean total weight loss and excess weight loss were 20.9 ± 12.7% and 51.8 ± 33.1%, and 18.3 ± 12.8% and 43.4 ± 31.6% at last follow-up, with no significant difference between groups. Resolution of type 2 diabetes (HbA1(C) < 6.5%, off medications) was 23.1% vs 11.1%; hypertension 36.0% vs 16.0%; and hyperlipidemia 37.1% vs 35.3%. Patients in the pLSG group were significantly more satisfied with LSG (59.8% vs 43.3%, p < 0.05) and more likely to choose the procedure again. CONCLUSIONS: There were no significant differences in long-term weight loss or associated medical condition outcomes in matched pLSG and rLSG patients. GRAPHICAL ABSTRACT: [Image: see text]
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spelling pubmed-98095252023-01-04 Long-Term Matched Comparison of Primary and Revisional Laparoscopic Sleeve Gastrectomy Sakran, Nasser Soued, Sharon Hod, Keren Buchwald, Jane N. Soifer, Kim Kessler, Yafit Adelson, Dana Biton, Reut Goitein, David Raziel, Asnat Obes Surg Original Contributions BACKGROUND: Reports of long-term (> 5–15-year) outcomes assessing the safety and efficacy of primary revisional laparoscopic sleeve gastrectomy (LSG) are few. METHODS: Retrospective long-term comparisons of primary (pLSG) and revisional (rLSG) procedures were matched for gender, age ± 5 years, and body mass index (BMI) ± 5 kg/m(2). Weight loss, associated medical condition status, and patient satisfaction were evaluated. RESULTS: Between May 1, 2006, and December 31, 2016, 194 matched patients with severe obesity (mean BMI 44.1 ± 6.7 kg/m(2); age 44.2 ± 10.0 years, 67.0% female) underwent pLSG (n = 97) or rLSG (n = 97) and were followed for a mean 12.1 ± 1.5 vs 7.6 ± 2.1 years. Respective mean weight regain from nadir was 15.0 ± 14.4 kg vs 11.9 ± 12.2 kg. Respective percent mean total weight loss and excess weight loss were 20.9 ± 12.7% and 51.8 ± 33.1%, and 18.3 ± 12.8% and 43.4 ± 31.6% at last follow-up, with no significant difference between groups. Resolution of type 2 diabetes (HbA1(C) < 6.5%, off medications) was 23.1% vs 11.1%; hypertension 36.0% vs 16.0%; and hyperlipidemia 37.1% vs 35.3%. Patients in the pLSG group were significantly more satisfied with LSG (59.8% vs 43.3%, p < 0.05) and more likely to choose the procedure again. CONCLUSIONS: There were no significant differences in long-term weight loss or associated medical condition outcomes in matched pLSG and rLSG patients. GRAPHICAL ABSTRACT: [Image: see text] Springer US 2023-01-03 2023 /pmc/articles/PMC9809525/ /pubmed/36595147 http://dx.doi.org/10.1007/s11695-022-06436-8 Text en © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Original Contributions
Sakran, Nasser
Soued, Sharon
Hod, Keren
Buchwald, Jane N.
Soifer, Kim
Kessler, Yafit
Adelson, Dana
Biton, Reut
Goitein, David
Raziel, Asnat
Long-Term Matched Comparison of Primary and Revisional Laparoscopic Sleeve Gastrectomy
title Long-Term Matched Comparison of Primary and Revisional Laparoscopic Sleeve Gastrectomy
title_full Long-Term Matched Comparison of Primary and Revisional Laparoscopic Sleeve Gastrectomy
title_fullStr Long-Term Matched Comparison of Primary and Revisional Laparoscopic Sleeve Gastrectomy
title_full_unstemmed Long-Term Matched Comparison of Primary and Revisional Laparoscopic Sleeve Gastrectomy
title_short Long-Term Matched Comparison of Primary and Revisional Laparoscopic Sleeve Gastrectomy
title_sort long-term matched comparison of primary and revisional laparoscopic sleeve gastrectomy
topic Original Contributions
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9809525/
https://www.ncbi.nlm.nih.gov/pubmed/36595147
http://dx.doi.org/10.1007/s11695-022-06436-8
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