Long-Term Matched Comparison of Primary and Revisional Laparoscopic Sleeve Gastrectomy

Nasser Sakran, Sharon Soued, Keren Hod, Jane N. Buchwald, Kim Soifer, Yafit Kessler, Dana Adelson, Reut Biton, David Goitein, Asnat Raziel

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Background: Reports of long-term (> 5–15-year) outcomes assessing the safety and efficacy of primary revisional laparoscopic sleeve gastrectomy (LSG) are few. Methods: Retrospective long-term comparisons of primary (pLSG) and revisional (rLSG) procedures were matched for gender, age ± 5 years, and body mass index (BMI) ± 5 kg/m2. Weight loss, associated medical condition status, and patient satisfaction were evaluated. Results: Between May 1, 2006, and December 31, 2016, 194 matched patients with severe obesity (mean BMI 44.1 ± 6.7 kg/m2; age 44.2 ± 10.0 years, 67.0% female) underwent pLSG (n = 97) or rLSG (n = 97) and were followed for a mean 12.1 ± 1.5 vs 7.6 ± 2.1 years. Respective mean weight regain from nadir was 15.0 ± 14.4 kg vs 11.9 ± 12.2 kg. Respective percent mean total weight loss and excess weight loss were 20.9 ± 12.7% and 51.8 ± 33.1%, and 18.3 ± 12.8% and 43.4 ± 31.6% at last follow-up, with no significant difference between groups. Resolution of type 2 diabetes (HbA1C < 6.5%, off medications) was 23.1% vs 11.1%; hypertension 36.0% vs 16.0%; and hyperlipidemia 37.1% vs 35.3%. Patients in the pLSG group were significantly more satisfied with LSG (59.8% vs 43.3%, p < 0.05) and more likely to choose the procedure again. Conclusions: There were no significant differences in long-term weight loss or associated medical condition outcomes in matched pLSG and rLSG patients. Graphical Abstract: [Figure not available: see fulltext.].

Original languageEnglish
Pages (from-to)695-705
Number of pages11
JournalObesity Surgery
Volume33
Issue number3
DOIs
StatePublished - Mar 2023

Bibliographical note

Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Keywords

  • Bariatric/metabolic surgery
  • Long-term
  • Matched case
  • Obesity
  • Revision
  • Sleeve gastrectomy
  • Weight regain

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