title: Five-year results of laparoscopic sleeve gastrectomy for the treatment of severe obesity.
abstract: Since 2011, the most used bariatric technique in France has been the sleeve gastrectomy. There are still few studies exploring the medium and long-term results of this technique.
  
  
  
  To describe medium-long-term (5 years) results of a cohort of CHU Montpellier experience in sleeve gastrectomy for morbid obesity.
  
  
  
  All patients that underwent laparoscopic sleeve gastrectomy (LSG) from January 2005 to June 2013 were included in this study.
  
  
  
  A total of 1050 patients were operated. 72.86% were women. The mean preoperative BMI was 44.58 kg/m2(±7.71). A total of 183 patients (18.5%) were super-obese (BMI > 50 kg/m2). LSG was proposed as primary procedure, and also after failure of adjustable gastric banding in 169 patients (16.9%) or after vertical banded gastroplasty in 7 cases (0.7%). There were 38 postoperative gastric fistulas (3.8%) and 3 of them required some kind of bypass to be definitively treated. There were also 34 hemorrhages (3.4%) of which 21 were reoperated for hemostasis. Two gastric stenoses at the angulus (0.2%) were managed with dilation or RYGB. Overall reoperative rate was 6.8%. One patient died of pulmonary embolism. Most common late complication was GERD (39.1%). After 3, 4 and 5 years of LSG, the average of %EBL was, respectively, 75.95% (±29.16) (382 patients), 73.23% (±31.08) (222 patients) and 69.26% (±30.86) (144 patients). The success rate at 5 years was 65.97% (95 patients). The improvement or remission of comorbidities was found, respectively, in 88.4 and 57.2% of diabetic patients; 76.9 and 19.2% for hypertensive patients and 98 and 85% for patients with sleep apnea syndrome.
  
  
  
  LSG is a bariatric surgery technique that presents a very good risk/benefit ratio. Five-year results are very convincing. GERD is the main long-term complication.
authors.affiliation: Université Montpellier 1, Montpellier, France. davidnocca71@gmail.com.|CHU de Montpellier, 80 Avenue Augustin Fliche, 34090, Montpellier, France. davidnocca71@gmail.com.
authors.forename: David
authors.initials: D
authors.lastname: Nocca
authors.affiliation: Université Montpellier 1, Montpellier, France.|CHU de Montpellier, 80 Avenue Augustin Fliche, 34090, Montpellier, France.|Mestrado em Biotecnologia, Universidade Positivo, Curitiba, Brazil.
authors.forename: Marcelo
authors.initials: M
authors.lastname: Loureiro
authors.affiliation: CHU de Montpellier, 80 Avenue Augustin Fliche, 34090, Montpellier, France.
authors.forename: El Mehdi
authors.initials: EM
authors.lastname: Skalli
authors.affiliation: CHU de Montpellier, 80 Avenue Augustin Fliche, 34090, Montpellier, France.
authors.forename: Marius
authors.initials: M
authors.lastname: Nedelcu
authors.affiliation: CHU de Montpellier, 80 Avenue Augustin Fliche, 34090, Montpellier, France.
authors.forename: Audrey
authors.initials: A
authors.lastname: Jaussent
authors.affiliation: CHU de Montpellier, 80 Avenue Augustin Fliche, 34090, Montpellier, France.
authors.forename: Melanie
authors.initials: M
authors.lastname: Deloze
authors.affiliation: Université Montpellier 1, Montpellier, France.|CHU de Montpellier, 80 Avenue Augustin Fliche, 34090, Montpellier, France.
authors.forename: Patrick
authors.initials: P
authors.lastname: Lefebvre
authors.affiliation: Université Montpellier 1, Montpellier, France.|CHU de Montpellier, 80 Avenue Augustin Fliche, 34090, Montpellier, France.
authors.forename: Jean Michel
authors.initials: JM
authors.lastname: Fabre
mesh_terms: D000328:Adult; D050110:Bariatric Surgery / Q000379:methods*; D015992:Body Mass Index; D015331:Cohort Studies; D005260:Female; D005602:France; D005743:Gastrectomy / Q000379:methods*; D015391:Gastroplasty / Q000379:methods; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology; D012086:Reoperation; D012891:Sleep Apnea Syndromes / Q000209:etiology; D015431:Weight Loss
keywords: Bariatric surgery; Gastroesophageal reflux; Hemorrhage; Laparoscopy; Leak; Sleeve gastrectomy