Long-term outcomes after laparoscopic sleeve gastrectomy in Kuwait.

Abstract

BACKGROUNDLaparoscopic sleeve gastrectomy (LSG) has been established as an effective means of weight loss. Multiple studies report LSG as a cost-effective procedure with few perioperative complications.OBJECTIVESReport long-term weight changes after LSG in a single center in Kuwait.DESIGNRetrospective analysis of data collected 5–8 years after surgery.SETTINGA single medical center.PATIENTS AND METHODSAll patients that had undergone LSG between December 2008 and December 2011.MAIN OUTCOME MEASURESWeight changes, short-term complications following surgery (within one month).SAMPLE SIZE187.RESULTSThe mean age at the time of the surgery was 36.5 (10.3) years. Females composed 71.6% of this study population. Two patients (1.1%) presented with a leak within 30 days of the surgery. Twenty-one (11.2%) patients underwent revisional bariatric surgery after LSG. Mean (SD) BMI decreased from 47.1 (8.3) kg/m2 before surgery to 34.3 (7) kg/m2 5–8 years after surgery. Mean (SD) body weight decreased from 126.3 (25.3) kg to 91.6 (19.9) kg 5–8 years following LSG. The mean excess body weight loss was 58.8% (29.2%).CONCLUSIONLSG is a bariatric procedure with low complications and mortality in relation to other forms of bariatric surgery. It is associated with a significant improvement in weight loss in the long term.LIMITATIONSRecall bias due to the nature of collecting the data, small sample size.