TY - JOUR

T1 - Long-term outcomes of laparoscopic sleeve gastrectomy in Denmark from 2010 to 2016

T2 - a nationwide cohort study

AU - Gormsen, Johanne

AU - Poulsen, Inge Marie

AU - Engberg, Anne Samsøe

AU - Erichsen, Sune Brinch

AU - Lassen, Cecilie Brandt

AU - Helgstrand, Frederik

N1 - Publisher Copyright: © 2024 American Society for Metabolic and Bariatric Surgery

PY - 2024/7

Y1 - 2024/7

N2 - Background: Bariatric surgery is the most effective treatment of morbid obesity and obesity-related conditions. Laparoscopic sleeve gastrectomy (LSG) has become increasingly popular in Denmark and worldwide. Objective: To evaluate long-term outcomes including postoperative complications after LSG. Setting: University Hospitals, Denmark. Methods: This was a nationwide multicenter cohort study including all patients who underwent LSG during 2010 to 2016 in Denmark. Data were collected from the Danish Obesity Surgery Registry and medical records. Representatives from all public bariatric centers in Denmark registered information on demography, indication, preoperative tests, operative information, weight loss, status of co-morbidities, and early and late complications. Results: In total, 541 patients were included in the study. Median follow-up was 6 years, and 536 patients (99%) were available at the end of follow-up. The patients achieved a persistent weight loss. Quality of life significantly improved after both 12 and 24 months. Overall, 3% of the patients had a major complication ≤30 days after the procedure and 3% underwent reoperation. One in 5 patients (22%) had an early minor complication. In the long term, 3% of the patients had a major complication and 24% of the patients had ≥1 minor complication. The most common surgery-related healthcare contacts addressed gastroesophageal reflux, weight recurrence, and stenosis symptoms. Conclusions: Patients after LSG achieved sufficient weight loss and improved quality of life. The procedure was safe with low risk of early and late major complications. However, there was a high frequency of early and late minor complications in 22% and 24% of the patients, respectively.

AB - Background: Bariatric surgery is the most effective treatment of morbid obesity and obesity-related conditions. Laparoscopic sleeve gastrectomy (LSG) has become increasingly popular in Denmark and worldwide. Objective: To evaluate long-term outcomes including postoperative complications after LSG. Setting: University Hospitals, Denmark. Methods: This was a nationwide multicenter cohort study including all patients who underwent LSG during 2010 to 2016 in Denmark. Data were collected from the Danish Obesity Surgery Registry and medical records. Representatives from all public bariatric centers in Denmark registered information on demography, indication, preoperative tests, operative information, weight loss, status of co-morbidities, and early and late complications. Results: In total, 541 patients were included in the study. Median follow-up was 6 years, and 536 patients (99%) were available at the end of follow-up. The patients achieved a persistent weight loss. Quality of life significantly improved after both 12 and 24 months. Overall, 3% of the patients had a major complication ≤30 days after the procedure and 3% underwent reoperation. One in 5 patients (22%) had an early minor complication. In the long term, 3% of the patients had a major complication and 24% of the patients had ≥1 minor complication. The most common surgery-related healthcare contacts addressed gastroesophageal reflux, weight recurrence, and stenosis symptoms. Conclusions: Patients after LSG achieved sufficient weight loss and improved quality of life. The procedure was safe with low risk of early and late major complications. However, there was a high frequency of early and late minor complications in 22% and 24% of the patients, respectively.

KW - Laparoscopic sleeve gastrectomy

KW - Long-term outcomes

KW - Postoperative complications

UR - http://www.scopus.com/inward/record.url?scp=85188018282&partnerID=8YFLogxK

U2 - 10.1016/j.soard.2024.01.015

DO - 10.1016/j.soard.2024.01.015

M3 - Journal article

C2 - 38485577

AN - SCOPUS:85188018282

VL - 20

SP - 679

EP - 686

JO - Surgery for Obesity and Related Diseases

JF - Surgery for Obesity and Related Diseases

SN - 1550-7289

IS - 7

ER -