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.