LONG TERM OUTCOMES OF SLEEVE GASTRECTOMY: A SYSTEMATIC REVIEW
Dr. Ahmed Ahmed* and Bijen Patel
ABSTRACT
Purpose: Sleeve Gastrectomy is the primary stage procedure before
performing an ultimate more complicated procedure. Short and
medium term results of sleeve gastrectomy in terms of maintaining
weight loss as well as improvement in co-morbidities and lesser
complications provide the world with an improved surgical procedure
to eradicate obesity. The aim of the study is to examine the long-term results of sleeve
gastrectomy. Methodology: A thorough and systematic literature search of a number of
electronic databases was performed Inclusion criteria for the search comprises of controlled
trials, cohort studies and case series. Statistical analysis of the results was performed and
displayed as mean, standard deviation and percentage. Correlation of some variables in
relation with %EWL using the Pearson coefficient was used. Results: There has been
improvement or resolution for the major co-morbidities (hypertension, diabetes mellitus,
hyperlipidemia and obstructive sleep apnea). On the other hand, in the long term LSG may
not improve the reflux. Conclusion: LSG is an efficient surgical option for obesity
management. The long-term results drawn from this review have been similar to the
promising short and midterm results in terms of maintaining weight loss and co morbidities
resolution.
Keywords: Sleeve gastrectomy, bariatric surgery, long term effects, obesity, and co morbidities.
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