title: Results of Laparoscopic Sleeve Gastrectomy-5-Year Follow-Up Study in an Eastern European Emerging Bariatric Center.
abstract: Laparoscopic sleeve gastrectomy (LSG) has gained ground in Eastern Europe in the decade but fewer reports of large series with medium-term follow-up exist. We describe a single-surgeon experience in LSG (the first 101 consecutive cases) in a Balkan emerging bariatric center.
  
  
  
  A prospectively maintained database of the initial 101 consecutive patients submitted to LSG in our clinic between October 2010 and February 2016 was reviewed.
  
  
  
  The percentages of mean excess weight loss (%EWL) in the 101 patients (mean age of 42 ± 10.6 years, 77 % female, median preoperative body mass index (BMI) of 44.5 kg/m2) were 51.3 (n = 82 followed-up patients) at 6 months postoperatively, 78.2 (n = 69) at 1 year, and 75.8 (n = 39), 77.1 (n = 20), 67.5 (n = 17), and 52.9 (n = 7) at 2, 3, 4, and 5 years, respectively. One year after LSG, all comorbidities showed remission or significant improvement in all 69 followed-up patients; the highest resolution was seen with hypertension (73.3 %). We noted a negative correlation between a decrease in %EWL and both the age of the patient and the initial state weight and BMI. The mortality in our group was nil; we had three cases (2.9 %) of bleeding and no leaks.
  
  
  
  LSG is a safe procedure, with low postoperative morbidity rates and excellent short-term %EWL results up to 3 years after surgery, including resolution or improvement of the main obesity-related comorbidities. The results were superior in the category of younger and lower initial BMI obese patients.
authors.affiliation: Surgery Clinic No. 2, University of Medicine and Pharmacy of Târgu Mureș, Gh. Marinescu St., No. 50, 540109, Tîrgu Mureș, Romania.
authors.forename: Radu Mircea
authors.initials: RM
authors.lastname: Neagoe
authors.affiliation: Surgery Clinic No. 2, University of Medicine and Pharmacy of Târgu Mureș, Gh. Marinescu St., No. 50, 540109, Tîrgu Mureș, Romania. dr_muremir@yahoo.com.
authors.forename: Mircea
authors.initials: M
authors.lastname: Mureșan
authors.affiliation: Surgery Clinic No. 2, University of Medicine and Pharmacy of Târgu Mureș, Gh. Marinescu St., No. 50, 540109, Tîrgu Mureș, Romania.
authors.forename: Șerban
authors.initials: Ș
authors.lastname: Bancu
authors.affiliation: Surgery Clinic No. 2, University of Medicine and Pharmacy of Târgu Mureș, Gh. Marinescu St., No. 50, 540109, Tîrgu Mureș, Romania.
authors.forename: Ionuț
authors.initials: I
authors.lastname: Balmos
authors.affiliation: Surgery Clinic No. 2, University of Medicine and Pharmacy of Târgu Mureș, Gh. Marinescu St., No. 50, 540109, Tîrgu Mureș, Romania.
authors.forename: Vasile
authors.initials: V
authors.lastname: Băișan
authors.affiliation: Epidemiology Department, University of Medicine and Pharmacy of Târgu Mureș, Tîrgu Mureș, Romania.
authors.forename: Septimiu
authors.initials: S
authors.lastname: Voidăzan
authors.affiliation: Surgery Clinic No. 2, University of Medicine and Pharmacy of Târgu Mureș, Gh. Marinescu St., No. 50, 540109, Tîrgu Mureș, Romania.
authors.forename: Daniela
authors.initials: D
authors.lastname: Sala
mesh_terms: D000328:Adult; D015897:Comorbidity; D005061:Europe, Eastern / Q000453:epidemiology; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000706:statistics & numerical data*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000453:epidemiology* / Q000601:surgery*; D012189:Retrospective Studies; D015431:Weight Loss
keywords: Eastern Europe; Emerging center; Laparoscopic sleeve gastrectomy; Morbid obesity