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Obesity Surgery

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01-11-2017 | Original Contributions

Long-Term Results After Sleeve Gastrectomy for Gastroesophageal Reflux Disease: a Single-Center French Study

Authors: Etienne Chuffart, Maxime Sodji, François Dalmay, Antonio Iannelli, Muriel Mathonnet

Published in: Obesity Surgery | Issue 11/2017

Abstract

Background

Many studies have analyzed the impact of sleeve gastrectomy (SG) on weight loss and/or the evolution of obesity-related comorbid conditions, but few have reported the long-term outcomes after surgery. The objective of this study was to investigate the outcomes after SG on weight loss, obesity-related comorbid conditions, quality of life (QoL), and GERD symptoms (GERDS) beyond 5 years.

Methods

A prospective database was retrospectively searched for the following factors: gender, age, anthropometrics, presence of comorbid conditions, QoL (BAROS questionnaire), and presence of GERDS. The data were analyzed before and at 1 and 6 years after surgery.

Results

Of the 64 patients included, 32.8% were lost to follow-up (76% during the first postoperative year). A complete follow-up of >5 years was obtained for 41 patients. Before surgery, mean excess BMI was 22 ± 7 kg/m², and 26.8% of patients had GERDS. Percent excess BMI loss was 55 ± 30% at 1 year and 48 ± 27% at 6 years. Preoperative BMI and absence of type 2 diabetes (T2D) before surgery were the only independent variables for long-term failure. Six years after SG, remission from metabolic comorbidities was as follows: 50% for T2D, 28% for blood hypertension, 58% for dyslipidemia, and 33% for sleep-apnea syndrome. Thirty percent of patients with preoperative GERD had resolution of symptoms at 6 years whereas 9 patients (32%) had de novo GERD. QoL was improved for 62% of patients at 6 years.

Conclusion

The benefits of SG on weight loss, resolution of comorbidities, and QoL were maintained in the long term for most patients.

Eschwege E, Charles MA, Basdevant A. ObEpi Roche 2012. Enquête épidémiologique nationale sur le surpoids et l’obésité. 6ème ed. Mississauga: Publisher Hoffmann-La Roche Ltd; 2012. http://www.roche.fr/content/dam/roche_france/fr_FR/doc/obepi_2012.pdf.

Ogden CL, Caroll MD, Kit BK, et al. Prevalence of childhood and adult obesity in the United States, 2011-2012. JAMA. 2014;311(8):806–14. doi:10.1001/jama.2014.732.CrossRefPubMedPubMedCentral

Prospective Studies Collaboration, Whitlock G, Lewington S, et al. Body-mass index and cause-specific mortality in 900 000 adults: collaborative analyses of 57 prospective studies. Lancet. 2009 Mar 28;373(9669):1083–96.CrossRefPubMedCentral

Colquitt JL, Pickett K, Loveman E, et al. Surgery for weight loss in adults. Cochrane Database Syst Rev. 2014;8:CD003641. doi:10.1002/14651858.CD003641.

Sovik TT, Aasheim ET, Taha O, et al. Weight loss, cardiovascular risk factors, and quality of life after gastric bypass and duodénal switch: a randomised trial. Ann Intern Med. 2011;155:281–91. doi:10.7326/0003-4819-155-5-201109060-00005.CrossRefPubMed

National Institute for Clinical Excellence. Obesity: the prevention, identification, assessment and management of overweight and obesity in adults and children: clinical guidelines. London: Publisher National Institute for Health and Clinical Excellence (UK); 2006. Bookshelf ID: NBK264165

Obésité: prise en charge chirurgicale chez l’adulte. Synthèse des recommandations de bonne pratique. Haute Autorité de Santé, Saint-Denis La Plaine, 2011; www.has-sante.fr

Iannelli A, Dainese R, Piche T, et al. Laparoscopic sleeve gastrectomy for morbid obesity. World J Gastroenterol. 2008;14(6):821–7.CrossRefPubMedPubMedCentral

Stenard F, Iannelli A. Laparoscopic sleeve gastrectolmy and gastroesophageal reflux. World J Gastroenterol. 2015;21(36):10348–57. doi:10.3748/wjg.v21 .i36.10348.CrossRefPubMedPubMedCentral

10.

Wolf AM, Falcone AR, Kortner B, et al. BAROS: an effective system to evaluate the results of patients after bariatric surgery. Obes Surg. 2000;10(5):445–50.CrossRefPubMed

11.

Reinhold RB. Critical analysis of long term weight loss following gastric bypass. Surg Gynecol Obstet. 1982;155(3):385–94.PubMed

12.

Himpens J, Dobbeleir J, Peeters G. Long-term results of laparoscopic sleeve gastrectomy for obesity. Ann Surg. 2010 Aug;252(2):319–24. doi:10.1097/SLA.0b013e3181e90b31.CrossRefPubMed

13.

Diamantis T, Apostolou KG, Alexandrou A, et al. Review of long-term weight loss results after laparoscopic sleeve gastrectomy. Surg Obes Relat Dis. 2014;10(1):177–83. doi:10.1016/j.soard.2013.11.007.CrossRefPubMed

14.

McVay MA, Friedman KE, Applegate KL, et al. Patient predictors of follow-up care attendance in Roux-en-Y gastric bypass patients. Surg Obes Relat Dis. 2013;9(6):956–62. doi:10.1016/j.soard.2012.11.005.CrossRefPubMed

15.

Sockalingam S, Cassin S, Hawa R, et al. Predictors of post-bariatric surgery appointment attendance: the role of relationship style. Obes Surg. 2013;23(12):2026–32. doi:10.1007/s11695-013-1009-9.CrossRefPubMed

16.

Melissas J, Braghetto I, Molina JC, et al. Gastroesophageal reflux disease and sleeve gastrectomy. Obes Surg. 2015;25(12):2430–5. doi:10.1007/s11695-015-1906-1.CrossRefPubMed

17.

Petersen WV, Meile T, Küper MA, et al. Functional importance of laparoscopic sleeve gastrectomy for lower esophageal sphincter in patients with morbid obesity. Obes Surg. 2012;22(3):360–6. doi:10.1007/s11695-011-0536-5.CrossRefPubMed

18.

DuPree CE, Blair K, Steele SR, et al. Laparoscpic sleeve gastrectomy in patients with preexisting gastroesophageal reflux disease: a national analysis. JAMA Surg. 2014;149(4):328–34. doi:10.1001/jamasurg.2013.4323.CrossRefPubMed

19.

Miguel GP, Azevedo JL, de Souza PH, et al. Erosive esophagitis after bariatric surgery: banded vertical gastrectomy versus banded Roux-en-Y gastric bypass. Obes Surg. 2011;21(2):167–72. doi:10.1007/s11695-010-0321-x.CrossRefPubMed

20.

Nini E, Slim K, Scesa JL, et al. Evaluation of laparoscopic bariatric surgery using the BAROS score. Ann Chir. 2002;127(2):107–14.CrossRefPubMed

21.

Moorehead MK, Ardelt-Gattinger E, Lechner H, et al. The validation of the Moorehead-Ardelt quality of life questionnaire II. Obes Surg. 2003 Oct;13(5):684–92. doi:10.1381/096089203322509237.CrossRefPubMed

22.

Driscoll S, Gregory DM, Fardy JM, et al. Long-term health-related quality of life in bariatric surgery patients: a systematic review and meta-analysis. Obesity. 2016;24(1):60–70. doi:10.1002/oby.21322.CrossRefPubMed

23.

Fezzi M, Kolotkin RL, Nedelcu M, et al. Improvement in quality of life after laparoscopic sleeve gastrectomy. Obes Surg. 2011 Aug;21(8):1161–7. doi:10.1007/s11695-011-0361-x.CrossRefPubMed

24.

Alley JB, Fenton SJ, Harnisch MC, et al. Quality of life after sleeve gastrectomy and adjustable gastric banding. Surg Obes Relat Dis. 2012 Feb;8(1):31–40. doi:10.1016/j.soard.2011.03.009.CrossRefPubMed

25.

Iannelli A, Schneck AS, Noel P, et al. Re-sleeve gastrectomy for failed laparoscopic sleeve gastrectomy: a feasibility study. Obes Surg. 2011 Jul;21(7):832–5. doi:10.1007/s11695-010-0290-0.CrossRefPubMed

26.

Iannelli A, Debs T, Martin F, et al. Laparoscopic conversion of sleeve gastrectomy to Roux-en-Y gastric bypass: indications and preliminary results. Surg Obes Relat Dis. 2016;12 doi:10.1016/j.soard.2016.04.008.

27.

Moszkowicz D, Rau C, Guenzi M, et al. Laparoscopic omega-loop gastric bypass for the conversion of failed sleeve gastrectomy: early experience. J Visc Surg. 2013 Dec;150(6):373–8. doi:10.1016/j.jviscsurg.2013.08.010.CrossRefPubMed

28.

Iannelli A, Schneck A-S, Topart P, et al. Laparoscopic sleeve gastrectomy followed by duodenal switch in selected patients versus single-stage duodenal switch for superobesity: case-control study. Surg Obes Relat Dis. 2013 Aug;9(4):531–8. doi:10.1016/j.soard.2012.02.003.CrossRefPubMed

29.

Martini F, Paolino L, Marzano E, et al. Single-anastomosis pylorus-preserving bariatric procedure: review of the literature. Obes Surg. 2016;26(10):2503–15. doi:10.1007/s11695-016-2310-1.CrossRefPubMed

30.

Nedelcu M, Noel P, Iannelli A, et al. Revised sleeve gastrectomy (re-sleeve). Surg Obes Relat Dis. 2015;11(6):1282–8. doi:10.1016/j.soard.2015.02.009.CrossRefPubMed

31.

Lee W-J, Ser K-H, Chong K, et al. Laparoscopic sleeve gastrectomy for diabetes treatment in nonmorbidly obese patients: efficacy and change of insulin secretion. Surgery. 2010 May 1;147(5):664–9. doi:10.1016/j.surg.2009.10.059.CrossRefPubMed

32.

Aminian A, Brethauer SA, Andalib A, et al. Can sleeve gastrectomy “cure” diabetes? Long-term metabolic effects of sleeve gastrectomy in patients with type 2 diabetes. Ann Surg. 2016;264(4):674–81. doi:10.1097/SLA.0000000000001857.CrossRefPubMed

33.

Jiménez A, Ceriello A, Casamitjana R, et al. Remission of type 2 diabetes after Roux-en-Y gastric bypass or sleeve gastrectomy is associated with distinct glycemic profile. Ann Surg. 2015;261(2):316–22. doi:10.1097/SLA.0000000000000586.CrossRefPubMed

Title: Long-Term Results After Sleeve Gastrectomy for Gastroesophageal Reflux Disease: a Single-Center French Study
Authors: Etienne Chuffart
Maxime Sodji
François Dalmay
Antonio Iannelli
Muriel Mathonnet
Publication date: 01-11-2017
Publisher: Springer US
Published in: Obesity Surgery / Issue 11/2017
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-017-2698-2

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Long-Term Results After Sleeve Gastrectomy for Gastroesophageal Reflux Disease: a Single-Center French Study

Abstract

Background

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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