Five-year results of laparoscopic sleeve gastrectomy: effects on XXXX and co-morbidities.

@entity1 @entity353 @entity28 @entity344 @entity354
BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) is becoming the most performed bariatric procedure; however, data available on long-term follow-up are scanty. OBJECTIVES: The aim of the present study was to evaluate the 5-year efficacy of LSG on @entity353 , @entity354 ( @entity354 ) symptoms, and @entity28 -associated co-morbidities. SETTING: Tertiary-care referral hospital. METHODS: This study retrospectively analyzed 105 @entity28 @entity1 undergoing LSG from January 2006 to December 2009. The preoperative evaluation included demographic characteristics, evaluation of co-morbidities, a double-contrast barium swallow, and an @entity344 . The following data were collected at 1, 3, and 5 years after surgery: weight, improvement/remission of co-morbidities, complications, and revisional surgery. RESULTS: According to preoperative body mass index (BMI), @entity1 were divided into Group 1 (n = 61) with BMI <=50 kg/m(2) and Group 2 (n = 44) with BMI>50 kg/m(2). The follow-up rate was 94% after 5 years (n = 99). Delta BMI (BMI at follow-up-preoperative BMI) was significantly higher in Group 2 than in Group 1 at 1-3 years and 5 years (P<.001). Furthermore, at 5 years, Group 2 showed a significantly higher percentage total @entity353 (%TWL) (26.6%  18.3% versus 33.5%  12.9%, P = .006) than Group 1, whereas percentage excess @entity353 was similar (58.4%  21.8% versus 55.3%  19.5%, P = .5).Younger age at surgery and absence of postoperative @entity354 were associated with a better %TWL at 5 years (P<.001 and P = .03). CONCLUSION: LSG is an effective procedure at long-term, with good @entity353 outcomes and with a considerable improvement of @entity28 -associated co-morbidities. Younger age at surgery and absence of postoperative @entity354 were associated with a better %TWL at 5 years.
