Medico-Surgical Department of Gastroenterology, Hepatopancreatology and Digestive Oncology, Hôpital Universitaire de Bruxelles (HUB) - Erasmus Hospital, Route de Lennik 808, 1070, Brussels, Belgium.
Obes Surg. 2023 Aug;33(8):2356-2360. doi: 10.1007/s11695-023-06709-w. Epub 2023 Jun 29.
Laparoscopic sleeve gastrectomy (LSG) is the most frequently performed bariatric procedure in the world. The aim of the study was to evaluate outcomes after 10 years.
Patients who underwent LSG between 2005 and 2010 in a single center were retrospectively assessed, focusing mainly on the percentage of excess weight loss (%EWL) after 10 years. Inadequate weight loss was defined as a %EWL < 50% or the need to perform a revisional bariatric surgery.
Overall, 149 patients underwent LSG, with a median preoperative body mass index of 42.0 ± 6.5 kg/m. Ten patients (6.7%) underwent previous bariatric procedure. Patients eating behavior was described as volume eaters in 73 (49%), sweet eaters in 11 (7.4%) and both volume and sweet eaters in 65 (43.6%). Six patients died during follow-up and 25 patients were lost to follow-up, leaving 118 (79%) patients who completed full follow-up. Thirty-five patients (23.5%) needed a revisional bariatric surgery. For the 83 remaining patients, the mean %EWL was 35.9% at 10 years, only 23 of 83 patients (27.7%) had a %EWL ≥ 50%. Thus 80.5% patients (95/118) experienced inadequate weight loss 10 years after LSG. A lower %EWL after 1 year was predictive for inadequate weight loss after 10 years.
Ten years after LSG, the rate of inadequate weight loss was high, reaching 80% of patients. Thirty percent of patients required a revisional bariatric procedure. New studies must try to identify patients who are good candidates for LSG and strategies to improve long-term outcomes.
腹腔镜袖状胃切除术（LSG）是目前全球应用最广泛的减重手术。本研究旨在评估术后 10 年的结果。
对单中心 2005 年至 2010 年间接受 LSG 的患者进行回顾性评估，主要关注术后 10 年的体重减轻百分比（%EWL）。体重减轻不足定义为%EWL<50%或需要进行减重手术修正。
共有 149 例患者接受了 LSG，术前体重指数中位数为 42.0±6.5kg/m2。10 例（6.7%）患者曾接受过其他减重手术。患者的进食行为被描述为 73 例（49%）的“大量进食者”、11 例（7.4%）的“甜食偏好者”和 65 例（43.6%）的“两者皆是”。随访期间有 6 例患者死亡，25 例患者失访，最终有 118 例（79%）患者完成了完整的随访。35 例（23.5%）患者需要进行减重手术修正。对于其余 83 例患者，术后 10 年的平均%EWL 为 35.9%，仅 83 例患者中的 23 例（27.7%）%EWL≥50%。因此，LSG 术后 10 年，80.5%（95/118）的患者体重减轻不足。术后 1 年的%EWL 较低与术后 10 年的体重减轻不足相关。
LSG 术后 10 年，体重减轻不足的发生率较高，达到 80%的患者。30%的患者需要进行减重手术修正。新的研究必须尝试确定哪些患者是 LSG 的合适候选者，并制定改善长期结果的策略。
