Long-term Reported Outcomes Following Primary Laparoscopic Sleeve Gastrectomy

Area of Science:

• Bariatric surgery
• Obesity management
• Metabolic health

Background:

• Limited data exists on long-term outcomes of laparoscopic sleeve gastrectomy (LSG).
• Assessing patient experience after primary LSG with extended follow-up is crucial.

Purpose of the Study:

• To evaluate the long-term results of primary LSG.
• To investigate the subjective experiences of patients post-LSG.

Main Methods:

• Retrospective observational analysis of 578 patients undergoing primary LSG.
• Data collected via hospital charts, online questionnaires, and telephone interviews.
• Follow-up duration ranged from 5 to 15 years.

Main Results:

• Mean follow-up was 8.8 years; mean excess weight loss (EWL) was 86.9% at nadir.
• 34.6% of patients experienced weight regain (EWL < 50% at follow-up).
• Significant improvements observed in hypertension (51.7%), dyslipidemia (58.1%), and type 2 diabetes (72.2%).

Conclusions:

• Primary LSG offers satisfactory long-term weight and health benefits.
• Weight regain is a notable concern, emphasizing the importance of sustained adherence to guidelines.
• Majority of patients (62.3%) reported satisfaction with the procedure.