This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS
Outcome of sleeve gastrectomy as a primary bariatric procedure. BJS 2014; 101: 661-668.
Published: 10th April 2014
Authors: P. W. J. van Rutte, J. F. Smulders, J. P. de Zoete, S. W. Nienhuijs
Background
Sleeve gastrectomy is being performed increasingly in Europe. Data on long‐term outcome would be helpful in defining the role of sleeve gastrectomy. The aim of this study was to evaluate the outcome of sleeve gastrectomy as a primary bariatric procedure.
Method
Medical charts of all patients who underwent a primary sleeve gastrectomy at the authors' institution between August 2006 and December 2012 were reviewed retrospectively using a prospective online data registry. For evolution of weight loss and co‐morbidity, only patients with follow‐up of at least 1 year were included. A subgroup analysis was done to compare patients with an intended stand‐alone procedure and those with an intended two‐stage procedure.
Results
A total of 1041 primary sleeve gastrectomies were performed in the study period. Median duration of surgery was 47 min, and median hospital stay was 2 days. Intra‐abdominal bleeding occurred in 27 patients (2·6 per cent) and staple‐line leakage in 24 (2·3 per cent). Some 866 patients had at least 1 year of follow‐up. Mean excess weight loss was 68·4 per cent after 1 year (
Conclusion
Sleeve gastrectomy is a safe and effective bariatric procedure. Maximum weight loss was achieved after 4 years. Long‐term results regarding weight loss and co‐morbidities were satisfactory.
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