| Abstract [eng] |
Bariatric surgery has been around for many years and is increasing as the number of morbidly obese people is continuously rising. Over time, sleeve resection has established itself as the most frequently performed bariatric operation and could become the gold standard in the following years. Sleeve resection is particularly popular because it is considered a technically simple surgery and makes fewer changes to the patient’s gastrointestinal tract. However, long term data lasting 10 or more years that examine the effectiveness and outcomes of sleeve resection in terms of weight loss, enhancement of co-morbidities and quality of life are still rare. This literature review examined 7 studies with 480 patients and a follow-up rate of at least 10 years. Weight reduction counts as one of the key factors in the favorable outcome of bariatric surgery. In general, this occurs very successfully in the first years after the surgery but decreases as the post-surgery time progresses. In cases of failure of weight loss, conversion to a different procedure is an option. Patients with extreme obesity are more likely to suffer from gastro-esophageal reflux disease. Some studies have examined how sleeve resection may affect reflux. Most studies tend to recommend a bariatric procedure other than the sleeve for patients with preexisting reflux. In addition to other co-morbidities, quality of life after gastric sleeve was examined as well, as this provides important information about the success rate of sleeve resection, too. There are several assessment tools for that, including the Bariatric Quality of Life Index and Medical Outcome Study Short Form-36. In general, patient satisfaction was better when reflux symptoms were reduced, and sufficient weight loss was achieved. To sum up, surgical weight loss methods remain the best option for morbidly obese patients even after 10 or more years, but more studies with a larger sample size are important to be able to make even better conclusions in the future. |
