title: Laparoscopic sleeve gastrectomy for morbid obesity: 5-year results.
abstract: BACKGROUND
  Data concerning the long-term efficacy of laparoscopic sleeve gastrectomy in the treatment of morbid obesity remain scarce. In this retrospective, the authors present 5-year follow-up of 30 patients having undergone laparoscopic sleeve gastrectomy.
  
  
  METHODS
  Since 2004, 30 patients underwent laparoscopic sleeve gastrectomy and completed 5 years of follow-up. Five patients were subsequently subjected to laparoscopic Roux-en-Y gastric bypass and were excluded from further analysis. The remaining 25 patients comprised the study population.
  
  
  RESULTS
  Mean excess weight loss was 65.2 ± 6.1%, 64.7 ± 5.6%, 62 ± 4.9%, 58.2 ± 5.5%, and 56.4 ± 5.8% for the first 5 years, respectively. There were no deaths, nor any major morbidity. Remission of comorbidities was observed in 40% to 80.9% of cases.
  
  
  CONCLUSIONS
  Laparoscopic sleeve gastrectomy is a safe and effective means of treatment of morbid obesity both in the short and in the long term. More research is needed to better predict which patient will benefit most from this operation.
authors.affiliation: 1st Department of Surgery, Laikon University Hospital, National and Kapodistrian University of Athens, Agiou Thoma 17, Athens, Greece. Electronic address: antreasalexandrou@hotmail.com.
authors.forename: Andreas
authors.initials: A
authors.lastname: Alexandrou
authors.affiliation: 1st Department of Surgery, Laikon University Hospital, National and Kapodistrian University of Athens, Agiou Thoma 17, Athens, Greece.
authors.forename: Antonios
authors.initials: A
authors.lastname: Athanasiou
authors.affiliation: 1st Department of Surgery, Laikon University Hospital, National and Kapodistrian University of Athens, Agiou Thoma 17, Athens, Greece.
authors.forename: Adamantios
authors.initials: A
authors.lastname: Michalinos
authors.affiliation: 1st Department of Surgery, Laikon University Hospital, National and Kapodistrian University of Athens, Agiou Thoma 17, Athens, Greece.
authors.forename: Evangelos
authors.initials: E
authors.lastname: Felekouras
authors.affiliation: 1st Department of Surgery, Laikon University Hospital, National and Kapodistrian University of Athens, Agiou Thoma 17, Athens, Greece.
authors.forename: Christos
authors.initials: C
authors.lastname: Tsigris
authors.affiliation: 1st Department of Surgery, Laikon University Hospital, National and Kapodistrian University of Athens, Agiou Thoma 17, Athens, Greece.
authors.forename: Theodoros
authors.initials: T
authors.lastname: Diamantis
mesh_terms: D000328:Adult; D015897:Comorbidity; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D009767:Obesity, Morbid / Q000601:surgery*; D061646:Operative Time; D012371:Robotics; D016896:Treatment Outcome; D015431:Weight Loss
keywords: 5-Year results; Excess weight loss; Morbid obesity; Sleeve gastrectomy