Long term (7 or more years) outcomes of the sleeve gastrectomy: a meta-analysis

Clapp, Benjamin; Wynn, Matthew; Martyn, Colin; Foster, Chase H.; O’Dell, Montana; Tyroch, Alan

doi:10.1016/j.soard.2018.02.027

Cited by 223 publications

(119 citation statements)

References 32 publications

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“…Furthermore, the presence of foreign material around the mesogastric junction, especially in patients with esophageal varices, may cause problems. The SG is currently the most performed procedure[ 156 , 157 ] that offers several advantages, including the fact that no intestinal bypass is done, leaving the whole digestive tract accessible to endoscopic exploration, avoiding intestinal bypass related interference with the absorption of immunosuppressive drugs, and leaving the possibility to fashion a Roux-en-Y loop in the event of biliary complications after LT or in cases where a biliodigestive reconstruction is indicated such as in primary biliary cholangitis. However, in cases of portal hypertension, the division of the greater curvature vessels may expose to the risk of bleeding especially if portal pressure is increased and no TIPS has been put in place.…”

Section: Bariatric Surgery-induced Weight Loss In Patients With Obesimentioning

confidence: 99%

Nutritional issues in patients with obesity and cirrhosis

Schiavo¹,

Busetto²,

Cesaretti³

et al. 2018

WJG

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Obesity and metabolic syndrome are considered as responsible for a condition known as the non-alcoholic fatty liver disease that goes from simple accumulation of triglycerides to hepatic inflammation and may progress to cirrhosis. Patients with obesity also have an increased risk of primary liver malignancies and increased body mass index is a predictor of decompensation of liver cirrhosis. Sarcopenic obesity confers a risk of physical impairment and disability that is significantly higher than the risk induced by each of the two conditions alone as it has been shown to be an independent risk factor for chronic liver disease in patients with obesity and a prognostic negative marker for the evolution of liver cirrhosis and the results of liver transplantation. Cirrhotic patients with obesity are at high risk for depletion of various fat-soluble, water-soluble vitamins and trace elements and should be supplemented appropriately. Diet, physical activity and protein intake should be carefully monitored in these fragile patients according to recent recommendations. Bariatric surgery is sporadically used in patients with morbid obesity and cirrhosis also in the setting of liver transplantation. The risk of sarcopenia, micronutrient status, and the recommended supplementation in patients with obesity and cirrhosis are discussed in this review. Furthermore, the indications and contraindications of bariatric surgery-induced weight loss in the cirrhotic patient with obesity are discussed.

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Section: Bariatric Surgery-induced Weight Loss In Patients With Obesimentioning

confidence: 99%

Nutritional issues in patients with obesity and cirrhosis

Schiavo¹,

Busetto²,

Cesaretti³

et al. 2018

WJG

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“…In addition, revision after LSG is a broad term that encompasses re-Sleeve, RYGB, One Anastomosis Gastric Bypass, Duodenal Switch, and even hiatal hernia repair [31,32]. Databases such as the MBSAQIP can contribute a lot to better record these data, allowing the follow-up of individual patients and highlighting the actual failure rates as well as the expected percentage of revisional procedures throughout the time [33].…”

Section: Sleeve and Weight Lossmentioning

confidence: 99%

Results in Weight Loss and Improvement of Comorbidities

Bastos

Cardoso

2020

The Perfect Sleeve Gastrectomy

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“…Inadequate weight loss and weight regain following LSG remains a concern especially with the high number of surgeries being performed. Rate of weight regain after LSG ranges from 14% to 37% in the long term 5 and can cause significant concern, even though the weight rarely reaches preoperative values. This can lead to a requirement for revisional surgery after LSG in 11.8% of the patients over a 5‐year follow‐up period 6 …”

Section: Introductionmentioning

confidence: 99%

Correlation of weight loss with residual gastric volume on computerized tomography in patients undergoing sleeve gastrectomy: A systematic review

et al. 2020

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Summary Laparoscopic Sleeve gastrectomy (LSG) is the most commonly performed bariatric surgical procedure worldwide. There is wide variation however in post‐operative weight loss on long term follow‐up, and residual gastric volume (RGV) is believed to be an important variable. Multiple studies have correlated RGV as assessed by Computerized Tomography volumetry with excess weight loss (EWL%) following LSG, but definite consensus is lacking. This article systematically reviews the published studies in English literature to ascertain whether any correlation exists between the RGV and EWL% following LSG. Ten studies were included in this review, and significant differences were noted in the technique of RGV assessment, and timing of RGV and EWL% assessment. Five studies found a statistically significant correlation between the RGV and EWL%. One study found a correlation which did not reach statistical significance. Two additional studies reported that the resected volume rather than RGV correlated with the EWL%. Meta‐analysis of studies reporting correlation between RGV and EWL% showed that up to 26.3% (95% CI: 5.1%‐56.1%) of variability in EWL% can be explained by variations in RGV. A lower RGV is likely to result in a better post‐operative weight loss following LSG. There is need for standardization of technique and timing of RGV assessment.

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Long term (7 or more years) outcomes of the sleeve gastrectomy: a meta-analysis

Cited by 223 publications

References 32 publications

Nutritional issues in patients with obesity and cirrhosis

Nutritional issues in patients with obesity and cirrhosis

Results in Weight Loss and Improvement of Comorbidities

Correlation of weight loss with residual gastric volume on computerized tomography in patients undergoing sleeve gastrectomy: A systematic review

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