Five-Year Outcomes with Stand-alone Primary Sleeve Gastrectomy
Purpose Sleeve gastrectomy is now the commonest bariatric procedure worldwide, making it important to determine 5-year weight loss and micronutrient deficiency outcomes following primary, stand-alone sleeve gastrectomy (SG) with adequate follow-up. The purpose of this study was to evaluate weight lo...
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| Veröffentlicht in: | Obesity surgery 2019-05, Vol.29 (5), p.1607-1613 |
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| creator | Boyle, Maureen Carruthers, Nicola Mahawar, Kamal K. |
| description | Purpose
Sleeve gastrectomy is now the commonest bariatric procedure worldwide, making it important to determine 5-year weight loss and micronutrient deficiency outcomes following primary, stand-alone sleeve gastrectomy (SG) with adequate follow-up. The purpose of this study was to evaluate weight loss, co-morbidity resolution, and haematological outcomes at 5 years with primary, stand-alone SG in our unit.
Materials and Methods
Baseline data were obtained from our prospectively maintained database and patients were invited for a 5-year follow-up. For those who could not attend, further information was obtained by telephoning them and contacting their general practitioners.
Results
A total of 92 patients (66 females) underwent primary SG at our centre in 2011. The median age was 46.0 years. The median weight and the body mass index (BMI) were 133.0 kg and 47.0 kg/m
2
respectively. After 5 years, 7 (7.6%) patients had died due to unrelated causes and 11 (12.0%) had been converted to Roux-en-Y gastric bypass (RYGB). Of the remaining 74, we were able to obtain follow-up data on 64 (86.5%). Despite all efforts, 10 (13.5%) patients were lost to follow-up. The median total weight loss was 21.9% and median excess weight loss (EWL) was 48.0%. Patients developed a range of micronutrient deficiencies over the follow-up period.
Conclusion
This study shows acceptable results with SG at 5 years in our unit, but a large number of patients experienced GORD and some patients needed additional micronutrient supplementation over and above our unit recommendation of a single multivitamin/mineral A–Z tablet daily. |
| doi_str_mv | 10.1007/s11695-019-03756-0 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2179525502</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2175717121</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-3d74aa0db829a4d9a06222cdffb36fddbc8440bdb9a210b4fc980ed01fbb6a3f3</originalsourceid><addsrcrecordid>eNp9kE1LAzEURYMotlb_gAsZcOMm-pLMVzaCFFuFgkJ14Sokk0Rb5qMmM5X-e1OnKrhwk7fIyX03B6FTApcEILvyhKQ8wUA4BpYlKYY9NCQZ5Bhimu-jIfAUcM4pG6Aj75cAlKSUHqIBg4zwNCFDdD1ZrA1-MdJFD11bNJXx0ceifYvmraw1lmVTm-jRLSrpNtG8NGZtoqn0rTNF21SbY3RgZenNyW6O0PPk9ml8h2cP0_vxzQwXoViLmc5iKUGrnHIZay4h9KCFtlax1GqtijyOQWnFJSWgYlvwHIwGYpVKJbNshC763JVr3jvjW1EtfGHKUtam6bygJOMJTRKgAT3_gy6bztWh3ZZKMpIRSgJFe6pwjffOWLHqPykIiK1d0dsVwa74shvOETrbRXeqMvrnybfOALAe8OGqfjXud_c_sZ-mz4Sq</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2175717121</pqid></control><display><type>article</type><title>Five-Year Outcomes with Stand-alone Primary Sleeve Gastrectomy</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Boyle, Maureen ; Carruthers, Nicola ; Mahawar, Kamal K.</creator><creatorcontrib>Boyle, Maureen ; Carruthers, Nicola ; Mahawar, Kamal K.</creatorcontrib><description>Purpose
Sleeve gastrectomy is now the commonest bariatric procedure worldwide, making it important to determine 5-year weight loss and micronutrient deficiency outcomes following primary, stand-alone sleeve gastrectomy (SG) with adequate follow-up. The purpose of this study was to evaluate weight loss, co-morbidity resolution, and haematological outcomes at 5 years with primary, stand-alone SG in our unit.
Materials and Methods
Baseline data were obtained from our prospectively maintained database and patients were invited for a 5-year follow-up. For those who could not attend, further information was obtained by telephoning them and contacting their general practitioners.
Results
A total of 92 patients (66 females) underwent primary SG at our centre in 2011. The median age was 46.0 years. The median weight and the body mass index (BMI) were 133.0 kg and 47.0 kg/m
2
respectively. After 5 years, 7 (7.6%) patients had died due to unrelated causes and 11 (12.0%) had been converted to Roux-en-Y gastric bypass (RYGB). Of the remaining 74, we were able to obtain follow-up data on 64 (86.5%). Despite all efforts, 10 (13.5%) patients were lost to follow-up. The median total weight loss was 21.9% and median excess weight loss (EWL) was 48.0%. Patients developed a range of micronutrient deficiencies over the follow-up period.
Conclusion
This study shows acceptable results with SG at 5 years in our unit, but a large number of patients experienced GORD and some patients needed additional micronutrient supplementation over and above our unit recommendation of a single multivitamin/mineral A–Z tablet daily.</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-019-03756-0</identifier><identifier>PMID: 30719651</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Aged ; Female ; Follow-Up Studies ; Gastrectomy - methods ; Gastric Bypass - statistics & numerical data ; Gastrointestinal surgery ; Humans ; Male ; Medicine ; Medicine & Public Health ; Micronutrients - deficiency ; Middle Aged ; Obesity ; Obesity, Morbid - surgery ; Original Contributions ; Retrospective Studies ; Surgery ; Surgical outcomes ; Surgical techniques ; Weight control ; Weight Loss ; Young Adult</subject><ispartof>Obesity surgery, 2019-05, Vol.29 (5), p.1607-1613</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2019</rights><rights>Obesity Surgery is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-3d74aa0db829a4d9a06222cdffb36fddbc8440bdb9a210b4fc980ed01fbb6a3f3</citedby><cites>FETCH-LOGICAL-c375t-3d74aa0db829a4d9a06222cdffb36fddbc8440bdb9a210b4fc980ed01fbb6a3f3</cites><orcidid>0000-0003-2551-3462</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11695-019-03756-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11695-019-03756-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30719651$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Boyle, Maureen</creatorcontrib><creatorcontrib>Carruthers, Nicola</creatorcontrib><creatorcontrib>Mahawar, Kamal K.</creatorcontrib><title>Five-Year Outcomes with Stand-alone Primary Sleeve Gastrectomy</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Purpose
Sleeve gastrectomy is now the commonest bariatric procedure worldwide, making it important to determine 5-year weight loss and micronutrient deficiency outcomes following primary, stand-alone sleeve gastrectomy (SG) with adequate follow-up. The purpose of this study was to evaluate weight loss, co-morbidity resolution, and haematological outcomes at 5 years with primary, stand-alone SG in our unit.
Materials and Methods
Baseline data were obtained from our prospectively maintained database and patients were invited for a 5-year follow-up. For those who could not attend, further information was obtained by telephoning them and contacting their general practitioners.
Results
A total of 92 patients (66 females) underwent primary SG at our centre in 2011. The median age was 46.0 years. The median weight and the body mass index (BMI) were 133.0 kg and 47.0 kg/m
2
respectively. After 5 years, 7 (7.6%) patients had died due to unrelated causes and 11 (12.0%) had been converted to Roux-en-Y gastric bypass (RYGB). Of the remaining 74, we were able to obtain follow-up data on 64 (86.5%). Despite all efforts, 10 (13.5%) patients were lost to follow-up. The median total weight loss was 21.9% and median excess weight loss (EWL) was 48.0%. Patients developed a range of micronutrient deficiencies over the follow-up period.
Conclusion
This study shows acceptable results with SG at 5 years in our unit, but a large number of patients experienced GORD and some patients needed additional micronutrient supplementation over and above our unit recommendation of a single multivitamin/mineral A–Z tablet daily.</description><subject>Adult</subject><subject>Aged</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gastrectomy - methods</subject><subject>Gastric Bypass - statistics & numerical data</subject><subject>Gastrointestinal surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Micronutrients - deficiency</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Obesity, Morbid - surgery</subject><subject>Original Contributions</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Surgical techniques</subject><subject>Weight control</subject><subject>Weight Loss</subject><subject>Young Adult</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kE1LAzEURYMotlb_gAsZcOMm-pLMVzaCFFuFgkJ14Sokk0Rb5qMmM5X-e1OnKrhwk7fIyX03B6FTApcEILvyhKQ8wUA4BpYlKYY9NCQZ5Bhimu-jIfAUcM4pG6Aj75cAlKSUHqIBg4zwNCFDdD1ZrA1-MdJFD11bNJXx0ceifYvmraw1lmVTm-jRLSrpNtG8NGZtoqn0rTNF21SbY3RgZenNyW6O0PPk9ml8h2cP0_vxzQwXoViLmc5iKUGrnHIZay4h9KCFtlax1GqtijyOQWnFJSWgYlvwHIwGYpVKJbNshC763JVr3jvjW1EtfGHKUtam6bygJOMJTRKgAT3_gy6bztWh3ZZKMpIRSgJFe6pwjffOWLHqPykIiK1d0dsVwa74shvOETrbRXeqMvrnybfOALAe8OGqfjXud_c_sZ-mz4Sq</recordid><startdate>20190501</startdate><enddate>20190501</enddate><creator>Boyle, Maureen</creator><creator>Carruthers, Nicola</creator><creator>Mahawar, Kamal K.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2551-3462</orcidid></search><sort><creationdate>20190501</creationdate><title>Five-Year Outcomes with Stand-alone Primary Sleeve Gastrectomy</title><author>Boyle, Maureen ; Carruthers, Nicola ; Mahawar, Kamal K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-3d74aa0db829a4d9a06222cdffb36fddbc8440bdb9a210b4fc980ed01fbb6a3f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gastrectomy - methods</topic><topic>Gastric Bypass - statistics & numerical data</topic><topic>Gastrointestinal surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Micronutrients - deficiency</topic><topic>Middle Aged</topic><topic>Obesity</topic><topic>Obesity, Morbid - surgery</topic><topic>Original Contributions</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><topic>Surgical techniques</topic><topic>Weight control</topic><topic>Weight Loss</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Boyle, Maureen</creatorcontrib><creatorcontrib>Carruthers, Nicola</creatorcontrib><creatorcontrib>Mahawar, Kamal K.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Boyle, Maureen</au><au>Carruthers, Nicola</au><au>Mahawar, Kamal K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Five-Year Outcomes with Stand-alone Primary Sleeve Gastrectomy</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2019-05-01</date><risdate>2019</risdate><volume>29</volume><issue>5</issue><spage>1607</spage><epage>1613</epage><pages>1607-1613</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>Purpose
Sleeve gastrectomy is now the commonest bariatric procedure worldwide, making it important to determine 5-year weight loss and micronutrient deficiency outcomes following primary, stand-alone sleeve gastrectomy (SG) with adequate follow-up. The purpose of this study was to evaluate weight loss, co-morbidity resolution, and haematological outcomes at 5 years with primary, stand-alone SG in our unit.
Materials and Methods
Baseline data were obtained from our prospectively maintained database and patients were invited for a 5-year follow-up. For those who could not attend, further information was obtained by telephoning them and contacting their general practitioners.
Results
A total of 92 patients (66 females) underwent primary SG at our centre in 2011. The median age was 46.0 years. The median weight and the body mass index (BMI) were 133.0 kg and 47.0 kg/m
2
respectively. After 5 years, 7 (7.6%) patients had died due to unrelated causes and 11 (12.0%) had been converted to Roux-en-Y gastric bypass (RYGB). Of the remaining 74, we were able to obtain follow-up data on 64 (86.5%). Despite all efforts, 10 (13.5%) patients were lost to follow-up. The median total weight loss was 21.9% and median excess weight loss (EWL) was 48.0%. Patients developed a range of micronutrient deficiencies over the follow-up period.
Conclusion
This study shows acceptable results with SG at 5 years in our unit, but a large number of patients experienced GORD and some patients needed additional micronutrient supplementation over and above our unit recommendation of a single multivitamin/mineral A–Z tablet daily.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>30719651</pmid><doi>10.1007/s11695-019-03756-0</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-2551-3462</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0960-8923 |
| ispartof | Obesity surgery, 2019-05, Vol.29 (5), p.1607-1613 |
| issn | 0960-8923 1708-0428 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adult Aged Female Follow-Up Studies Gastrectomy - methods Gastric Bypass - statistics & numerical data Gastrointestinal surgery Humans Male Medicine Medicine & Public Health Micronutrients - deficiency Middle Aged Obesity Obesity, Morbid - surgery Original Contributions Retrospective Studies Surgery Surgical outcomes Surgical techniques Weight control Weight Loss Young Adult |
| title | Five-Year Outcomes with Stand-alone Primary Sleeve Gastrectomy |
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