Laparoscopic sleeve gastrectomy as a single-stage procedure for the treatment of morbid obesity and the resulting quality of life, resolution of comorbidities, food tolerance, and 6-year weight loss

被引:191
作者
D'Hondt, Mathieu [1 ]
Vanneste, Sofie [1 ]
Pottel, Hans [2 ]
Devriendt, Dirk [1 ]
Van Rooy, Frank [1 ]
Vansteenkiste, Franky [1 ]
机构
[1] Groeninge Hosp, Dept Digest Surg, B-8500 Kortrijk, Belgium
[2] Katholieke Univ Leuven, Fac Med, B-8500 Kortrijk, Belgium
来源
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | 2011年 / 25卷 / 08期
关键词
Laparoscopic sleeve gastrectomy; Long-term results; Y GASTRIC BYPASS; EFFICACY; LSG;
D O I
10.1007/s00464-011-1572-x
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background This retrospective study evaluated long-term weight loss, resolution of comorbidities, quality of life (QoL), and food tolerance after laparoscopic sleeve gastrectomy (LSG). Methods Between January 2003 and July 2008, 102 patients underwent LSG as a sole bariatric operation. A retrospective review of a prospectively collected database was performed. Demographics, complications, and percentage of excess weight loss (%EWL) were determined. Quality of life was measured using Medical Outcomes Survey Short Form 36 (SF-36) and Bariatric Analysis and Reporting Outcome System (BAROS) questionnaires, which were sent to all patients. The food tolerance score (FTS) was determined and compared with that of nonobese subjects. Results A total of 83 patients (81.4%) were eligible for follow-up evaluation. Their mean initial body mass index (BMI) was 39.3 kg/m(2). No major complications occurred. At a median follow-up point of 49 months (range, 17-80 months), the mean %EWL was 72.3% +/- A 29.3%. For the 23 patients who reached the 6-year follow-up point, the mean %EWL was 55.9% +/- A 25.55%. The mean BAROS score was 6.5 +/- A 2.1, and a "good" to "excellent" score was observed for 75 patients (90.4%). In the comparison of patients with a %EWL greater than 50% and those with a %EWL of 50% or less, the SF-36 scores were statistically different only for "physical functioning" and "general health perception." The mean FTS was 23.8, and 95.2% of the patients described their food tolerance as acceptable to excellent. Conclusions Laparoscopic sleeve gastrectomy is a safe and effective bariatric procedure, although a tendency for weight regain is noted after 5 years of follow-up evaluation. Resolution of comorbidity is comparable with that reported in the literature. The LSG procedure results in good to excellent health-related QoL. Food tolerance is lower for patients after LSG than for nonobese patients who had no surgery, but 95.2% described food tolerance as acceptable to excellent.
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收藏
页码:2498 / 2504
页数:7
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