Long-term Results Of Laparoscopic Sleeve Gastrectomy Research Articles

Sleeve gastrectomy for the treatment of Asian type II diabetics: long term results

Laparoscopic sleeve gastrectomy (LSG) is a restrictive bariatric procedure that is gaining increasing favor among bariatric surgeons in Asia due to its lower technical complexity, limited complication profiles, and good efficacy on weight reduction. Type II diabetes mellitus (T2DM) is a global epidemic that is strongly linked with obesity. While the prevalence of T2DM and obesity has been rapidly cumulating in Asia, more and more research attentions are raised on the long-term metabolic impact of LSG on Asian T2DM patients. Although emerging systematic reviews on the long-term results of LSG have been recently published, most of these results were focusing on data from North America, Latin America and Europe. Specific attention on the long-term results of LSG on Asian T2DM patients was lacking in the literature. In this review, the current literature evidence about the long-term results of LSG on weight reduction and diabetic remission in Asian T2DM patients was analyzed.

Sleeve gastrectomy for the treatment of Asian type II diabetics: long term results

Laparoscopic sleeve gastrectomy (LSG) is a restrictive bariatric procedure that is gaining increasing favor among bariatric surgeons in Asia due to its lower technical complexity, limited complication profiles, and good efficacy on weight reduction. Type II diabetes mellitus (T2DM) is a global epidemic that is strongly linked with obesity. While the prevalence of T2DM and obesity has been rapidly cumulating in Asia, more and more research attentions are raised on the long-term metabolic impact of LSG on Asian T2DM patients. Although emerging systematic reviews on the long-term results of LSG have been recently published, most of these results were focusing on data from North America, Latin America and Europe. Specific attention on the long-term results of LSG on Asian T2DM patients was lacking in the literature. In this review, the current literature evidence about the long-term results of LSG on weight reduction and diabetic remission in Asian T2DM patients was analyzed.

Laparoscopic Sleeve Gastrectomy as Revisional Procedure for Failed Gastric Banding and Vertical Banded Gastroplasty

The problem of revision of failed gastric banding (GB) and vertical banded gastroplasty (VBG) procedures has become a common situation in bariatric surgery. Laparoscopic sleeve gastrectomy (LSG) has been recently used to revise failed restrictive procedures. The objective of this study is to evaluate the results of LSG as revisional procedure for failed GB and VBG. A prospective held database was questioned regarding patients' demographic, indication for revision, conversion to open surgery, morbidity, percentage of excess weight loss (%EWL), evolution of comorbidities, and need for a second procedure after LSG. Forty-one patients, 34 women and seven men with a mean age of 42 years (range 19 to 63 years) and a mean body mass index at 49.9 kg/m(2) (range 35.9-63 kg/m(2)), underwent laparoscopic conversion of GB (36 patients) and VBG (five patients) into LSG. Indication for revisional surgery was insufficient weight loss in all the cases. All procedures were completed laparoscopically. There was no mortality and five patients (12.2%) developed complications (high leak, one patient; intra-abdominal abscess, three patients; and complicated incisional hernia, one patient). At a mean follow-up of 13.4 months, %EWL is on average 42.7% (range 4-76.1%). Six patients had a second procedure (four had laparoscopic duodenal switch, one had laparoscopic Roux-en-Y gastric bypass, and one had laparoscopic biliopancreatic diversion). Conversion of GB and VBG into LSG is feasible and safe. LSG is effective in the short term with a mean %EWL of 42.7% at 13.4 months. Long-term results of LSG as revisional procedure are awaited to establish its efficacy in the long term.

The First International Consensus Summit for Sleeve Gastrectomy (SG), New York City, October 25–27, 2007

Sleeve gastrectomy is a rapid and less traumatic operation, which thus far is showing good resolution of comorbidities and good weight loss if a narrower channel is constructed than for the duodenal switch. There are potential intraoperative complications, which must be recognized and treated promptly. Like other bariatric operations, there are variations in the technique used. The laparoscopic sleeve gastrectomy (LSG) is being performed for super-obese and high-risk patients, but its indications have been increasing. A second-stage bariatric operation may be performed if necessary, with increased safety. Long-term results of LSG and further networking are anxiously awaited.