title: Long-term (11+years) outcomes in weight, patient satisfaction, comorbidities, and gastroesophageal reflux treatment after laparoscopic sleeve gastrectomy.
abstract: BACKGROUND
  More than 10 years of outcomes for sleeve gastrectomy (LSG) have not yet been documented.
  
  
  OBJECTIVE
  Analysis of>11 years of outcomes of isolated LSG in terms of progression of weight, patient satisfaction, and evolution of co-morbidities and gastroesophageal reflux disease (GERD) treatment.
  
  
  METHODS
  Two European private hospitals.
  
  
  METHODS
  Chart review and personal interview in consecutive patients who underwent primary isolated LSG (2001-2003).
  
  
  RESULTS
  Of the 110 consecutive patients, complete follow-up data was available in 65 (59.1%). Mean follow-up was 11.7±.4 years. Two patients had died of non-procedure-related causes. Twenty (31.7%) patients required 21 reoperations: 14 conversions (10 duodenal switch (DS), 4 Roux-en-Y gastric bypass (RYGB), and 3 resleeve procedures) for weight issues and 2 conversions (RYGB), and 2 hiatoplasties for gastroesophageal reflux disease (GERD). For the 47 (74.6%) individuals who thus kept the simple sleeve construction, percentage of excess body mass index loss (%EBMIL) at 11+years was 62.5%, versus 81.7% (P = .015) for the 16 patients who underwent conversion to another construction. Mean %EBMIL for the entire cohort was 67.4%. At 11+years postoperatively, 30 patients versus 28 preoperatively required treatment for co-morbidities. None of the 7 patients preoperatively suffering from GERD were cured by the LSG procedure. Nine additional patients developed de novo GERD. Overall satisfaction rate was 8 (interquartile range 2) on a scale of 0-10.
  
  
  CONCLUSIONS
  Isolated LSG provides a long-term %EBMIL of 62.5%. Conversion to another construction, required in 25% of the cases, provides a %EBMIL of 81.7% (P = .015). Patient satisfaction score remains good despite unfavorable GERD outcomes.
authors.affiliation: Division of Bariatric Surgery, AZ St-Blasius, Dendermonde, Belgium; Cavell Obesity Center, CHIREC, Brussels, Belgium. Electronic address: gusarman@hotmail.com.
authors.forename: Gustavo A
authors.initials: GA
authors.lastname: Arman
authors.affiliation: Division of Bariatric Surgery, AZ St-Blasius, Dendermonde, Belgium; Cavell Obesity Center, CHIREC, Brussels, Belgium.
authors.forename: Jacques
authors.initials: J
authors.lastname: Himpens
authors.affiliation: Division of Bariatric Surgery, AZ St-Blasius, Dendermonde, Belgium.
authors.forename: Jeroen
authors.initials: J
authors.lastname: Dhaenens
authors.affiliation: Cavell Obesity Center, CHIREC, Brussels, Belgium.
authors.forename: Thierry
authors.initials: T
authors.lastname: Ballet
authors.affiliation: Division of Bariatric Surgery, AZ St-Blasius, Dendermonde, Belgium.
authors.forename: Ramon
authors.initials: R
authors.lastname: Vilallonga
authors.affiliation: Division of Bariatric Surgery, AZ St-Blasius, Dendermonde, Belgium.
authors.forename: Guido
authors.initials: G
authors.lastname: Leman
mesh_terms: D000328:Adult; D015992:Body Mass Index; D018450:Disease Progression; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000379:methods*; D015390:Gastric Bypass / Q000379:methods; D005764:Gastroesophageal Reflux / Q000150:complications / Q000523:psychology / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D009767:Obesity, Morbid / Q000150:complications / Q000523:psychology / Q000601:surgery*; D017060:Patient Satisfaction; D011446:Prospective Studies; D012086:Reoperation; D061665:Time-to-Treatment; D016896:Treatment Outcome; D015431:Weight Loss
keywords: Gastroesophageal reflux; Long-term outcomes; Long-term satisfaction; Obesity surgery; Sleeve gastrectomy; Weight loss