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Long-term outcomes of laparoscopic sleeve gastrectomy - a single-center prospective observational study.
Neagoe, Radu; Muresan, Mircea; Timofte, Daniel; Darie, Ruxandra; Razvan, Ion; Voidazan, Septimiu; Muresan, Simona; Sala, Daniela.
Afiliación
  • Neagoe R; Surgery Clinic No. 2, University of Medicine, Pharmacy, Science and Technology, Targu Mures, Romania.
  • Muresan M; Surgery Clinic No. 2, University of Medicine, Pharmacy, Science and Technology, Targu Mures, Romania.
  • Timofte D; Surgery Clinic No. 3, University of Medicine and Pharmacy Gr.T.Popa, Iasi, Romania.
  • Darie R; Surgery Clinic No. 2, University of Medicine, Pharmacy, Science and Technology, Targu Mures, Romania.
  • Razvan I; Surgery Clinic No. 2, University of Medicine, Pharmacy, Science and Technology, Targu Mures, Romania.
  • Voidazan S; Epidemiology Department, University of Medicine, Pharmacy, Science and Technology, Targu Mures, Romania.
  • Muresan S; Physiology Department, University of Medicine, Pharmacy, Science and Technology, Targu Mures, Romania.
  • Sala D; Surgery Clinic No. 2, University of Medicine, Pharmacy, Science and Technology, Targu Mures, Romania.
Wideochir Inne Tech Maloinwazyjne ; 14(2): 242-248, 2019 Apr.
Article en En | MEDLINE | ID: mdl-31118990
INTRODUCTION: Laparoscopic sleeve gastrectomy (LSG) is an established bariatric procedure. AIM: We present our long-term results regarding weight loss and comorbidities during 9 years. MATERIAL AND METHODS: We calculated the percent excess weight loss (%EWL) and changes in body mass index (ΔBMI). We evaluated arterial hypertension (AHT), type 2 diabetes (T2DM) and obstructive sleep apnea syndrome (OSAS). RESULTS: One hundred seventy-nine patients were included (136 female/43 male), mean age of 40.47 ±11.08 years, median preoperative body mass index (BMI) of 42.93 kg/m2. Median follow-up period was 72 months (36-84 months). The %EWL during follow-up was 41.8 (n = 179 patients, at 3-month follow-up), 64.1 (n = 163), 75.33 (n = 134), 77.1 (n = 103), 76,03 (n = 99), 73.78 (n = 64), 71.58 (n = 37), 63.83 (n = 22) and 64.1 (n = 14) at 6, 12, 18, 24, 36, 48, 60 and 72 months, respectively. We noted a negative correlation between %EWL and both the age and initial weight and BMI of the patient; a negative correlation between gender (male patients) and %EWL was also found. After LSG, 68.2% of patients with AHT presented resolution (no medication) or significant improvement (doses reduced) of the disease. As regards T2DM, 65.8% described resolution or significant improvement after surgery. Furthermore, 31 (70.4%) patients with preoperative OSAS reported resolution/improvement within a year from surgery. CONCLUSIONS: Laparoscopic sleeve gastrectomy is a safe and effective procedure, with good results in the short and medium term. Long-term follow-up reveals a tendency to weight regain after approximately 2 years from primary surgery, with the need for revisional surgery in some cases.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies Idioma: En Revista: Wideochir Inne Tech Maloinwazyjne Año: 2019 Tipo del documento: Article País de afiliación: Rumanía Pais de publicación: Polonia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies Idioma: En Revista: Wideochir Inne Tech Maloinwazyjne Año: 2019 Tipo del documento: Article País de afiliación: Rumanía Pais de publicación: Polonia