Long-term outcomes after laparoscopic sleeve gastrectomy in Kuwait

Laila Khalid AlKhaldi, Nadia Ahmad AlSaffar, Fajer AlHamdan, Rawan Almutairi, Maryam Hajj Alipour, Eliana Al Haddad, Salman AlSabah 1

Affiliations

doi: 10.5144/0256-4947.2019.100

Abstract

Background: Laparoscopic sleeve gastrectomy (LSG) has been established as an effective means of weight loss. Multiple studies report LSG as a cost-effective procedure with few perioperative complications.

Objectives: Report long-term weight changes after LSG in a single center in Kuwait.

Design: Retrospective analysis of data collected 5-8 years after surgery.

Setting: A single medical center.

Patients and methods: All patients that had undergone LSG between December 2008 and December 2011.

Main outcome measures: Weight changes, short-term complications following surgery (within one month).

Sample size: 187.

Results: The mean age at the time of the surgery was 36.5 (10.3) years. Females composed 71.6% of this study population.Two patients (1.1%) presented with a leak within 30 days of the surgery. Twenty-one (11.2%) patients underwent revisional bariatric surgery after LSG. Mean (SD) BMI decreased from 47.1 (8.3) kg/m2 before surgery to 34.3 (7) kg/m2 5-8 years after surgery. Mean (SD) body weight decreased from 126.3 (25.3) kg to 91.6 (19.9) kg 5-8 years following LSG. The mean excess body weight loss was 58.8% (29.2%).

Conclusion: LSG is a bariatric procedure with low complications and mortality in relation to other forms of bariatric surgery. It is associated with a significant improvement in weight loss in the long term.

Limitations: Recall bias due to the nature of collecting the data, small sample size.

Conflict of interest: None.

Conflict of interest statement

CONFLICT OF INTEREST: None.

Similar articles

Short-Term Results of Revisional Single-Anastomosis Gastric Bypass After Sleeve Gastrectomy for Weight Regain.

AlSabah S, Al Haddad E, Al-Subaie S, Ekrouf S, Alenezi K, Almulla A, Alhaddad M.Obes Surg. 2018 Aug;28(8):2197-2202. doi: 10.1007/s11695-018-3158-3.PMID: 29520703

Laparoscopic sleeve gastrectomy as revisional surgery for adjustable gastric band erosion.

Park YH, Kim SM.J Laparoendosc Adv Surg Tech A. 2014 Sep;24(9):593-600. doi: 10.1089/lap.2013.0584. Epub 2014 Jul 29.PMID: 25072398

Safety and short-term outcomes of laparoscopic sleeve gastrectomy as a revisional approach for failed laparoscopic adjustable gastric banding in the treatment of morbid obesity.

Acholonu E, McBean E, Court I, Bellorin O, Szomstein S, Rosenthal RJ.Obes Surg. 2009 Dec;19(12):1612-6. doi: 10.1007/s11695-009-9941-4.PMID: 19711138

Roux-en-Y Gastric Bypass Versus Sleeve Gastrectomy as Revisional Procedures after Adjustable Gastric Band: 5-Year Outcomes.

Angrisani L, Vitiello A, Santonicola A, Hasani A, De Luca M, Iovino P.Obes Surg. 2017 Jun;27(6):1430-1437. doi: 10.1007/s11695-016-2502-8.PMID: 27995516

Surgery for weight loss in adults.

Colquitt JL, Pickett K, Loveman E, Frampton GK.Cochrane Database Syst Rev. 2014 Aug 8;2014(8):CD003641. doi: 10.1002/14651858.CD003641.pub4.PMID: 25105982 Free PMC article. Review.

Cited by

Long-term Outcomes of Sleeve Gastrectomy in Adolescent Patients: The Effect of Weight Loss in Younger Years to Outcomes in Adulthood.

Al Sabah S, Haddad EA, Shuaibi S, Qadhi I, Al-Saidan L, Khayat A.BMC Surg. 2023 Apr 28;23(1):103. doi: 10.1186/s12893-023-02006-6.PMID: 37118797 Free PMC article.

Long-term nutritional deficiencies following sleeve gastrectomy: a 6-year single-centre retrospective study.

Mulita F, Lampropoulos C, Kehagias D, Verras GI, Tchabashvili L, Kaplanis C, Liolis E, Iliopoulos F, Perdikaris I, Kehagias I.Prz Menopauzalny. 2021 Dec;20(4):170-176. doi: 10.5114/pm.2021.110954. Epub 2021 Nov 24.PMID: 35069068 Free PMC article.

Five-year outcomes for laparoscopic sleeve gastrectomy from a single center in Turkey.

Seyit H, Alis H.Ann Saudi Med. 2020 Jul-Aug;40(4):310-315. doi: 10.5144/0256-4947.2020.310. Epub 2020 Aug 6.PMID: 32757987 Free PMC article.

Efficiency of Laparoscopic One-Step Revision of Failed Adjusted Gastric Banding to Gastric Sleeve: a Retrospective Review of 101 Consecutive Patients.

Thomopoulos T, Podetta M, Studer AS, Atlas H, Pescarus R, Denis R, Garneau PY.Obes Surg. 2019 Dec;29(12):3868-3873. doi: 10.1007/s11695-019-04061-6.PMID: 31278655

References

  1.  
    1. Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Gakidou E. Global, regional and national prevalence of overweight and obesity in children and adults 1980–2013: A systematic analysis. Lancet. 2014;384(9945):766–781. - PMC - PubMed
  2.  
    1. Alnohair S. Obesity in Gulf Countries. International Journal of Health Sciences. 2014;8(1):79–83. doi: 10.12816/0006074. - DOI - PMC - PubMed
  3.  
    1. Pi-Sunyer X. The Medical Risks of Obesity. Postgraduate Medicine. 2009;121(6):21–33. - PMC - PubMed
  4.  
    1. Silecchia G, Boru C, Pecchia A, Rizzello M, Casella G, Leonetti F, et al. Effectiveness of laparoscopic sleeve gastrectomy (first stage of biliopancreatic diversion with duodenal switch) on co-morbidities in super-obese high-risk patients. Obesity Surgery. 2006 Sep 1;16(9):1138–44. - PubMed
  5.  
    1. Aridi HD, Khazen G, Safadi BY. Comparison of Outcomes Between Laparoscopic Roux-en-Y Gastric Bypass and Sleeve Gastrectomy in a Lebanese Bariatric Surgical Practice. Obesity Surgery. 2017;28(2):396–404. doi: 10.1007/s11695-017-2849-5. - DOI - PubMed
  6.  
    1. Gadiot RP, Biter LU, van Mil S, Zengerink HF, Apers J, Mannaerts GH. Long-term results of laparoscopic sleeve gastrectomy for morbid obesity: 5 to 8-year results. Obesity surgery. 2017 Jan 1;27(1):59–63. - PubMed
  7.  
    1. Consensus Development Conference Panel. NIH conference. Gastrointestinal surgery for severe obesity. Ann Intern Med. 1991;115:956–61. - PubMed
  8.  
    1. Your Practice On ine - IFSO. n.d. Retrieved from http://www.ifso.com/wp-content/themes/ypo-theme/pdfs/tube-gastrectomy.pdf.
  9.  

http://care.zulekhahospitals.com/medical-tourism-bariatrics/?utm_source=acs&utm_medium=ppc&keyword=sleeve%20gastrectomy

  1.  
    1. Arterburn DE, Courcoulas AP. Bariatric surgery for obesity and metabolic conditions in adults. BMJ. 2014 Aug; doi: 10.1136/bmj.g3961. 27349g3961. - DOI - PMC - PubMed
  2.  
    1. Casella G, Soricelli E, Giannotti D, Collalti M, Maselli R, Genco A, et al. Long-term results after laparoscopic sleeve gastrectomy in a large monocentric series. Surgery for Obesity and Related Diseases. 2016 May 1;12(4):757–62. - PubMed
  3.  
    1. Sieber P, Gass M, Kern B, Peters T, Slawik M, Peterli R. Five-year results of laparoscopic sleeve gastrectomy. Surgery for Obesity and Related Diseases. 2014 Mar 1;10(2):243–9. - PubMed
  4.  
    1. El-Anwar A, Shaker H. Laparoscopic sleeve gastrectomy for morbid obesity: Does the size of the bougie matter? The Egyptian Journal of Surgery. 2016;35(1):35. doi: 10.4103/1110-1121.176801. - DOI
  5.  
    1. Pok E, Lee W, Ser K, Chen J, Chen S, Tsou J, Chin K. Laparoscopic sleeve gastrectomy in Asia: Long term outcome and revisional surgery. Asian Journal of Surgery. 2016;39(1):21–28. doi: 10.1016/j.asjsur.2015.03.006. - DOI - PubMed
  6.  
    1. Seki Y, Kasama K, Hashimoto K. Long-Term Outcome of Laparoscopic Sleeve Gastrectomy in Morbidly Obese Japanese Patients. Obesity Surgery. 2015;26(1):138–145. doi: 10.1007/s11695-015-1728-1. - DOI - PubMed
  7.  
    1. Aridi HD, Alami R, Tamim H, Shamseddine G, Fouani T, Safadi B. Long-term outcomes of laparoscopic sleeve gastrectomy: A Lebanese center experience. Surgery for Obesity and Related Diseases. 2016;12(9):1689–1696. doi: 10.1016/j.soard.2015.11.025. - DOI - PubMed

Page Navigation