title: Sleeve gastrectomy: 5-year outcomes of a single institution.
abstract: BACKGROUND
  Laparoscopic sleeve gastrectomy (SG) is the most recent bariatric surgical procedure to gain universal acceptance by providers and payers. Long-term clinical data on outcomes is limited at this time.
  
  
  METHODS
  We retrospectively examined 5-year outcomes (weight loss, complications, and resolution of co-morbid conditions) of patients undergoing SG at our institution.
  
  
  RESULTS
  Our initial SG was performed in 2005, and we operated on 55 consecutive patients who are 5 years out from surgery. Six patients were excluded from the long-term results. Four patients underwent conversion to a duodenal switch, and 2 patients died in the first year outside the perioperative period. Average starting body mass index was 65 kg/m(2). Five-year average percent excess weight loss was 86% (range 50%-103%). Percentage of co-morbidities resolved: hypertension (95%), type 2 diabetes mellitus (100%), hyperlipidemia (100%), and obstructive sleep apnea (100%). Gastroesophageal reflux disease (GERD) was resolved in 53%, and new GERD symptoms developed in 11% of patients. There was 1 staple line leak (1.9%), no strictures, no gastrointestinal bleeding, and no perioperative deaths.
  
  
  CONCLUSIONS
  In this study, SG is a well-tolerated and effective bariatric surgical procedure with good long-term weight loss and resolution of co-morbid medical conditions.
authors.affiliation: Department of Surgery, Wright State University, Dayton, Ohio, USA. rawlinml@yahoo.com
authors.forename: Logan
authors.initials: L
authors.lastname: Rawlins
authors.forename: Melissa P
authors.initials: MP
authors.lastname: Rawlins
authors.forename: Carey C
authors.initials: CC
authors.lastname: Brown
authors.forename: David L
authors.initials: DL
authors.lastname: Schumacher
mesh_terms: D000328:Adult; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000601:surgery; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D005764:Gastroesophageal Reflux / Q000150:complications / Q000601:surgery; D006801:Humans; D006949:Hyperlipidemias / Q000150:complications / Q000601:surgery; D006973:Hypertension / Q000150:complications / Q000601:surgery; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D012189:Retrospective Studies; D020181:Sleep Apnea, Obstructive / Q000150:complications / Q000601:surgery; D016896:Treatment Outcome; D015431:Weight Loss; D055815:Young Adult