[Long-Term Results of Sleeve Gastrectomy]

Long-Term Results of Sleeve Gastrectomy Abstract. Sleeve gastrectomy (SG) is the most frequently performed bariatric procedure worldwide today. SG has been validated as a safe and effective treatment for morbid obesity. However, long-term results are still rare. Current studies present a slightly lower weight loss compared to Roux-en-Y gastric bypass (RYGB). Mean excess weight loss (EWL) beyond 10 years is around 50 %. SG has a positive effect on comorbidities (e. g. type 2 diabetes, hypertension, dyslipidemia). Diabetes remission is described in up to 62 %. Long-term issue is gastro-esophageal reflux, either persistent or de-novo which can be treated conservatively in most patients. In patients without adequate response to medical treatment, reoperation can be necessary. Other reasons for revisional surgery are insufficient weight loss. SG can be considered as a safe and fairly effective procedure.