Sleeve Gastrectomy in Different Age Groups: a Comparative Study of 5-Year Outcomes

Keren, Dean; Matter, Ibrahim; Rainis, Tova

doi:10.1007/s11695-015-1735-2

Cited by 44 publications

(14 citation statements)

References 44 publications

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“…Consistent with the present findings, a study by Charalampakis et al [16] found an improved MAQOL within 24 months after LSG. In the present study there was no influence of gender and age on the improvement of MAQOL, which is in line with current literature [26]. Confirming patients’ expectations and goals, obesity surgery led to a reduction of comorbidities in the present study.…”

Section: Discussionsupporting

confidence: 93%

Patient Perspective in Obesity Surgery: Goals for Weight Loss and Improvement of Body Shape in a Prospective Cohort Study

et al. 2018

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Objective: Obesity surgery provides sustainable weight loss, improvement of comorbidities, and improved quality of life (QOL). There is few evidence on the patient perspective and goals. This study compared expected and achieved weight loss, body shape, and QOL. Methods: Patients completed the Moorehead-Ardelt QOL questionnaire (MAQOL) and questionnaires on actual and expected weight loss and body shape, comorbidities, and goals of obesity surgery preoperatively and within 24 months postoperatively. Results: 44 patients completed questionnaires pre- and postoperatively. BMI, MAQOL and comorbidities significantly improved postoperatively. Patients’ expected weight loss goal corresponded to a postoperative BMI of 32.6 ± 5.6 kg/m² and was not different from their achieved BMI within 24 months after surgery (33.9 ± 6.3 kg/m², p = 0.276). Self-reported body shape improved but did not reach preoperatively expected goals. During the weight loss period, patients adapted their weight loss and body shape goals to higher levels. Patients attributed a higher part of their success in weight loss to surgery postoperatively (79.5 ± 22.0 vs. 89.1 ± 18.4%, p = 0.028). Conclusion: Patients lost as much weight as they had expected and later modified the goals to even greater weight loss. Body shape improved but did not reach expected levels. QOL improved independently from weight loss and body shape. Patients attributed successful weight loss predominantly to surgery.

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Section: Discussionsupporting

confidence: 93%

Patient Perspective in Obesity Surgery: Goals for Weight Loss and Improvement of Body Shape in a Prospective Cohort Study

et al. 2018

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“…The benefit of LSG in terms of HRQOL improvement was also proven in older patients > 55 years of age, which interestingly was even higher than in younger groups [39][40]. Both studies also showed safety of this procedure in older patients.…”

Section: Discussionmentioning

confidence: 69%

Quality of life after laparoscopic sleeve gastrectomy – review of literature

Wityk¹,

Makarewicz²,

Kaczmarkiewicz³

et al. 2020

Eur J Trans Clin Med

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Background: The last decade brought changes the most frequently performed types of bariatric procedures. Despite the well-documented positive impact of bariatric surgery on depression, somatic comorbidities, lifespan prolongation and cancer risk, there is still insufficient data on patients' quality of life (QoL) after this operation. Methods: PubMed and Scopus databases as well as Mendeley search engine were used to find publications from last ten years focusing on QoL after LSG. 702 abstracts were reviewed. 13 articles with 1630 patients in total were analyzed. Results: Six different QoL assessment tools were described in the reviewed literature: SF-36, BAROS, Moorehead-Ardelt II questionnaire, IWQOL-Lite, GIQLI and SF8. In majority of studies the QoL was improved. Preand postoperative assessment with SF-36 showed significant improvement. The mean BAROS score was 5.1-7.1 with 77-96% of patients achieving "good" to "excellent" outcomes. In some studies, QoL was better in females and in one study QoL was below the general population norms. Some studies demonstrated lack of improvement in QoL after LSG or no correlation between excess weight loss and health related QOL. Conclusions: High quality research about QoL after LSG is limited, though quality of life seems to be better after that procedure.

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“…According to the fifth International Federation for the Surgery of Obesity and metabolic disorders (IFSO) 2019 report, 305 242 LSG procedures were performed during 2015‐2018, 1 accounting for 58.6% of all bariatric procedures. Studies with long term follow‐up have reported an excess weight loss varying from 40% to 57% 2‐4 . Inadequate weight loss and weight regain following LSG remains a concern especially with the high number of surgeries being performed.…”

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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Sleeve Gastrectomy in Different Age Groups: a Comparative Study of 5-Year Outcomes

Abstract: LSG is a useful tool for people who want to modify their eating habits and lose weight healthily. This study suggests that long-term weight loss, improvements in comorbidity, and compliance to follow-up are significant for patients >55 years old.

Cited by 44 publications

References 44 publications

Patient Perspective in Obesity Surgery: Goals for Weight Loss and Improvement of Body Shape in a Prospective Cohort Study

Patient Perspective in Obesity Surgery: Goals for Weight Loss and Improvement of Body Shape in a Prospective Cohort Study

Quality of life after laparoscopic sleeve gastrectomy – review of literature

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

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