Long-term outcomes after laparoscopic sleeve gastrectomy in Kuwait

Area of Science:

• Bariatric Surgery
• Metabolic and Bariatric Surgery
• Minimally Invasive Surgery

Background:

• Laparoscopic sleeve gastrectomy (LSG) is an established bariatric procedure for effective weight loss.
• LSG is recognized for its cost-effectiveness and low perioperative complication rates.

Purpose of the Study:

• To evaluate the long-term weight changes following Laparoscopic sleeve gastrectomy (LSG).
• To assess the outcomes of LSG in a single center in Kuwait over a 5-8 year period.

Main Methods:

• Retrospective analysis of 187 patients who underwent LSG between December 2008 and December 2011.
• Data collection focused on weight changes and short-term complications (within one month post-surgery).
• Long-term follow-up was conducted 5-8 years after the procedure.

Main Results:

• Mean BMI decreased from 47.1 kg/m² to 34.3 kg/m² 5-8 years post-LSG.
• Mean body weight reduced from 126.3 kg to 91.6 kg, with an average excess body weight loss of 58.8%.
• A low complication rate was observed, with 1.1% experiencing a leak within 30 days; 11.2% required revisional surgery.

Conclusions:

• LSG demonstrates significant and sustained long-term weight loss.
• LSG is a bariatric surgery option with favorable outcomes and low mortality compared to other bariatric procedures.
• Potential limitations include recall bias and a relatively small sample size.