Long term effect of sleeve surgery on weight loss and comorbidities

[James Marusek 5,244]

Inbal Golomb and colleagues from Bellinson Hospital in Petah Tikva, Israel. examined data from 443 patients who underwent laparoscopic sleeve gastrectomy (LSG) between 2006 and 2013; the surgery on all the patients was performed by the same team of surgeons. Compared to initial levels, the researchers found that one year after surgery, patients had complete remission of type 2 diabetes (51 percent), hypertension (46 percent), hypercholesterolemia (40 percent), and hypertriglyceridemia (72 percent). However, by 5 years following surgery, these remission rates were 20, 46, 26, and 72 percent respectively. Many of the patients with type 2 diabetes (65 percent at one year and 56 percent by 5 years post surgery) were able to stop using medications for the disease. Similarly, the effect of LSG on body weight waned over time. Initially, the average body weight was 262 lb; at 1, 3 and 5 years post surgery it was 180, 185 and 196 lb respectively.

http://acsh.org/2015/08/not-all-types-of-bariatric-surgery-are-equally-effective-long-term/

[tcon 305]

Further, it must be noted that many patients were lost to follow up — of the over 400 patients who had LSG, only 38 were still available for evaluation five years after the procedure. Thus, more data from a larger group of patients would help in evaluating the longer term success of this particular surgical procedure.

362 patients were not were followed up. The study doesn't seem fair when only 38 people were followed up on.

Regardless of the study, the surgeon operates on the stomach and not the brain. It's a daily struggle. The sleeve should be utilized as a tool to teach you healthier habits. That's why I feel that is important to follow the plan given to you by your surgeon and NUT for the first 12-18 months. After that, watch out for you slider foods and monitor your weight and unhealthy habits that might be creeping in.

Edited August 6, 2015 by tcon