Long-term weight loss in laparoscopic sleeve gastrectomy

Sepúlveda, Matías; Alamo, Munir Alamo; Saba, Jorge; Astorga, Cristián; Lynch, Raúl; Guzmán, Hernán

doi:10.1016/j.soard.2017.07.017

Cited by 40 publications

(12 citation statements)

References 41 publications

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“…The amount of excess weight loss is comparable to other bariatric procedures. [63][64][65] In SG, the stomach is divided longitudinally with removal of 70-80% of the stomach including the greater curvature of the gastric fundus, body, and proximal antrum, leaving the pylorus intact ( Figure 16). This results in a long, narrow stomach and the procedure is irreversible.…”

Section: Pouch Dilatation With Band Slippagementioning

confidence: 99%

Imaging following bariatric surgery: roux-en-Y gastric bypass, laparoscopic adjustable gastric banding and sleeve gastrectomy

Clayton

Carucci

2018

BJR

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Morbid obesity is an increasing health problem, and bariatric surgery is a popular treatment option. Radiologists must be familiar with performing and interpreting studies in this patient population. The typical post-operative findings of the Roux-en-Y gastric bypass (RYGB), laparoscopic adjustable gastric banding (LAGB) and sleeve gastrectomy (SG) procedures on upper gastrointestinal (UGI) series and computerized tomography (CT) are presented. An overview of the potential complications is provided in addition to a description of potential pitfalls in interpreting these studies.

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Section: Pouch Dilatation With Band Slippagementioning

confidence: 99%

Imaging following bariatric surgery: roux-en-Y gastric bypass, laparoscopic adjustable gastric banding and sleeve gastrectomy

Clayton

Carucci

2018

BJR

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“…Considering, in fact, that even the most adopted LSG is not free from inadequate outcomes and revisional surgery, finding an appropriate and shared management of gastric banding could be an important goal in bariatric surgery. Considering the abovementioned anthropometric outcomes of the current series after LAGB, even if in the selected group with low QBF, the latter values were similar to the ones after LSG (% EWL ranging from 49 to 55%) and lower compared to the anthropometric results after RYGB (% EWL ranging from 56 to 63%) [ 31 , 41 – 46 ]. Nevertheless, the Authors are far to presume similar outcomes between LAGB and others more invasive restrictive procedures (i.e., LSG).…”

Section: Discussionmentioning

confidence: 58%

It is really time to retire laparoscopic gastric banding? Positive outcomes after long-term follow-up: the management is the key

Lucido

Scognamiglio²,

Nesta

et al. 2021

Updates Surg

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After the initial widespread diffusion, laparoscopic adjustable gastric banding (LAGB) has been progressively abandoned and laparoscopic sleeve gastrectomy (LSG) has become the worldwide most adopted procedure. Nevertheless, recent reports raised concerns about the long-term weight regain after different bariatric techniques. Considering the large LAGB series recorded in our multicentric bariatric database, we analysed the anthropometric and surgical outcomes of obese patients underwent LAGB at a long-term follow-up, focusing on LAGB management. Between January 2008 to January 2018, demographics, anthropometric and post-operative data of obese patients undergone LAGB were retrospectively evaluated. To compare the postoperative outcomes, the cohort was divided in two groups according to the quantity of band filling (QBF): low band filling group (Group 1) with at most 3 ml of QBF, and patients in the high band filling group (Group 2) with at least 4 ml. 699 obese patients were considered in the analysis (351 in Group 1 and 348 in Group 2). Patients in Group 1 resulted significantly associated (p < 0.05) to higher % EWL and quality of life score (BAROS Score), 49.1 ± 11.3 vs 38.2 ± 14.2 and 5.9 ± 1.8 vs 3.8 ± 2.5, respectively. Moreover, patients with lower band filling (Group 1) complained less episodes of vomiting, epigastric pain and post-prandial reflux and significantly decreased slippage and migration rate (p < 0.001 for all parameters). LAGB is a safe and reversible procedure, whose efficacy is primarily related to correct postoperative handling. Low band filling and strict follow-up seem the success’ key of this technique, which deserves full consideration among bariatric procedures.

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“…O reganho de peso é um cenário frequente entre os pacientes pós-bariátrica. Os principais fatores associados são de ordem socioeconômica, comorbidades psiquiátricas (como ansiedade e depressão), distúrbios alimentares, alterações hormonais e metabólicas e sedentarismo [22][23][24][25][26] .…”

Section: Discussionunclassified

Análise comparativa de parâmetros antropométricos de pacientes obesos submetidos à Cirurgia bariátrica no hospital regional da Asa Norte

Dytz¹,

Wobido²,

Dytz³

2019

PIC

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A obesidade é considerada um problema mundial de agravo à saúde, de causa complexa, e inclui uma combinação de influências psicossociais, ambientais e biológica. A cirurgia bariátrica é tratamento mais eficaz para pacientes com obesidade grave, resultando na melhora do quadro das comorbidades relacionadas à obesidade. No entanto, o reganho de peso e a recidiva de doenças metabólicas, como diabetes e hipertensão, têm sido observados em um subgrupo de pacientes pós-cirurgia bariátrica. Foi realizado um estudo tipo coorte retrospectiva em todos os pacientes operados por cirurgia bariátrica de 2009 a 2018 no Hospital Regional da Asa Norte com avaliação de parâmetros antropométricos e presença de comorbidades pré e pós-operatórios. Durante o período avaliado, 1004 pacientes foram operados por cirurgia bariátrica com predomínio de 87,3% do gênero feminino, idade média de 41,1 anos e o IMC pré-operatório médio de 42,5 kg/m2. A técnica cirúrgica mais prevalente foi o Bypass em Y-Roux (87,5%). A presença de hipertensão arterial estava presente em 479 (51,2%) e diabetes mellitus em 368 (39,5%). Entre os pacientes com dados pós-operatórios completos (714), houve uma perda de peso média de 35,2 kg e porcentagem de perda de peso de 31,0%. A remissão da hipertensão ocorreu em 33,6% dos pacientes, do diabetes em 31,1% e da dislipidemia em 8,8%. 540 pacientes atingiram as metas preconizadas com perda maior que 50% do excesso de peso e reganho aceitável, 93 pacientes perderam menos que 50% do excesso de peso e 80 pacientes tiveram o reganho de mais de 20%. Os parâmetros que estiveram relacionados com falha foram o peso pré-operatório (114,2 ± 19,2 kg vs 110,6 ± 19,0kg; p = 0,036) e o tempo decorrida da cirurgia (5,4 ± 2,7 anos vs 4,8 ± 2,6; p=0,02).Os dados da nossa casuística são compatíveis com os dados reportados na literatura com porcentagem de perda de peso maior que 30% dos pacientes submetidos a cirurgia bariátrica. Observa-se uma predileção pelo Bypass em Y-Roux no hospital estudado. A cirurgia bariátrica também foi eficaz no controle e remissão de comorbidades como hipertensão, diabetes e dislipidemia

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Long-term weight loss in laparoscopic sleeve gastrectomy

Cited by 40 publications

References 41 publications

Imaging following bariatric surgery: roux-en-Y gastric bypass, laparoscopic adjustable gastric banding and sleeve gastrectomy

Imaging following bariatric surgery: roux-en-Y gastric bypass, laparoscopic adjustable gastric banding and sleeve gastrectomy

It is really time to retire laparoscopic gastric banding? Positive outcomes after long-term follow-up: the management is the key

Análise comparativa de parâmetros antropométricos de pacientes obesos submetidos à Cirurgia bariátrica no hospital regional da Asa Norte

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