Background: The laparoscopic sleeve gastrectomy (LSG) is the most common bariatric procedure performed worldwide while the laparoscopic adjustable gastric banding (LAGB) has been almost abandoned. Aim of this study was to retrospectively assess 10-year outcomes of LSG through a matched comparison with LAGB.
Materials And Methods: Retrospective search of prospectively maintained database of our university was carried out to find all patients that underwent LSG before December 2010. Each subject with LSG was matched one-to-one with a patient that had undergone LAGB in the same period with correspondent preoperative age, BMI, and sex.
Results: A total of 76 patients underwent LSG before 2010 and were all included in this study; a matched group of 76 out of 178 LAGB patients with 10-year follow-up was retrieved from our database. Comparison between the two groups showed better outcomes after LSG at 1 and 5 years but weight loss was comparable with the LAGB group at 10 years (%TWL 22.2 ± 13 vs 21.2 ± 16.1; p = 0.89). No significant difference was found in conversion/removal rate (15.8% vs 18.4%; p = 0.67).
Conclusion: LSG is an effective stand-alone bariatric procedure with better outcomes than LAGB in medium term, but results are comparable at 10 years. Subjects undergoing LSG should be informed that conversion to RYGB or OAGB may be necessary to achieve further weight loss or to treat reflux.
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http://dx.doi.org/10.1007/s11695-021-05735-w | DOI Listing |
Cureus
December 2024
General and Bariatric Surgery, University of Pittsburgh Medical Center (UPMC) Community Osteopathic Hospital, Harrisburg, USA.
Introduction Obesity is a major disease process in the United States with increasing prevalence and is associated with various comorbid conditions. Bariatric surgery, particularly laparoscopic sleeve gastrectomy (LSG), is an effective weight loss intervention but presents challenges in postoperative pain management. This study compares the effectiveness of ultrasound-guided transversus abdominis plane (UTAP) blocks, laparoscopic-guided transversus abdominis plane (LTAP) blocks, and no regional anesthesia on overall opioid use and postoperative outcomes in LSG patients.
View Article and Find Full Text PDFObes Surg
December 2024
Department of General Surgery, The Affiliated Wuxi No. 2 Hospital of Nanjing Medical University, Nanjing, China.
Background: Laparoscopic sleeve gastrectomy has become the most popular weight loss surgery currently, but it inevitably leaves multiple small scars in the abdomen. Although the appearance of single-incision laparoscopic sleeve gastrectomy achieve better cosmetic results, it may lead to postoperative complications such as umbilical hernia and umbilical infection. The author has developed a new surgical approach that can compensate for these deficiencies, which we called needlescopic laparoscope sleeve gastrectomy (NLSG).
View Article and Find Full Text PDFPLoS One
December 2024
Department of Surgery, School of Medicine, Iwate Medical University, Yahaba, Iwate, Japan.
Metabolic surgery, including laparoscopic sleeve gastrectomy (LSG), may improve hypertension (HTN) complicated by severe obesity; however, insufficient deliberation exists regarding the therapeutic effect of post-metabolic surgery on HTN. This study aimed to analyze the factors correlated with HTN remission and recurrence post-LSG in patients who have severe obesity, and to create a classification system to predict HTN remission and recurrence. Of the 102 patients who underwent LSG at Iwate Medical University Hospital between 2008 and 2020, 62 were enrolled in this study.
View Article and Find Full Text PDFSurg Technol Int
December 2024
Department of Gastroenterological Surgery, Clinique Clementville, Montpellier, France.
Introduction: Preventing staple line bleeding (SLB) is still a main issue in bariatric surgery procedures, especially after laparoscopic sleeve gastrectomy (LSG). Staple line reinforcements (SLR), mattress sutures, or titanium clip application did not show any statistical superiority compared to other methods. In this randomized controlled trial, we tested hemostatic powder (HP) in order to assess a possible role in the prevention of active bleeding, hematoma formation, the need for transfusions, and the increased risk for hospitalization.
View Article and Find Full Text PDFNutrients
December 2024
Postgraduate Program in Clinical and Experimental Physiopathology, Faculty of Medical Sciences, State University of Rio de Janeiro, Rio de Janeiro 20550-013, RJ, Brazil.
Background/objective: Weight regain has serious health consequences after bariatric surgery, and disordered eating behaviors (EBs) may be involved in it. We compared disordered EB symptoms in post-bariatric patients according to low vs. high ratio of weight regain (RWR) and investigated associations between disordered EB symptoms with weight regain and time since surgery.
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