Long term outcomes of sleeve gastrectomy for morbid obesity

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Published Nov 15, 2013
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Vol. 91 No. 10 (2013): Issue Oct 2013

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Clément Gayet
Bogdan Badic
Solene Guinard
Gaby Kansou
Sylvain Dileon
Mohamed Attari
Abdelhakim Atmani
Jean-Pierre Bail

Abstract

Background: Sleeve gastrectomy (SG) is a recent increasingly realized isolated procedure performed in the surgical treatment of obesity. The goal of this study was to evaluate the long term postoperative results among a multicentric cohort.
methods : Retrospective multicenter study including patients operated from 2006 to 2010 within the Brest’s Bariatric Surgery Network.
results : The immediate postoperative course was uneventful in 90%. The minor complication rate was 6.9%. The major complication rate was 3%. Postoperative mortality was nil. Late complication rate was 5%. The excess weight loss mean was 42 ± 20 % at 4 years. Success rate was 55%, and the result was judged moderate in 31%. The improvement of co-morbidities has focused on type 2 diabetes to cure 49%, dyslipidemia was corrected in 60% of cases. Improved hypertension in 47% of cases, the disappearance of sleep apnea paired in 62% of cases.
Conclusion : This study confirms in a multicenter feasibility of the SG and its effectiveness Long-term weight loss and resolution of comorbidities in addition it emphasizes the need for monitoring post operative extended to detect any vitamin deficiencies.

Keywords:

Bariatric Surgery; Sleeve gastrectomy; long-term outcoms

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