New Paper Examines Long Term Outcomes After Sleeve Gastrectomy

Posted on: 31st Mar, 2020

sasse-surgical-longterm-outcomes-sleeve-gastrectomy
In the recent 2019 publication, Felsenreich and colleagues do a thorough job examining all of the long term reported studies and data regarding sleeve gastrectomy outcomes. The results paint a picture of a very safe and very effective procedure, with a few limitations.

From the Report

First of all, the average overall weight loss beyond five years among the four studies with the longest followup shows an average of 60% of the excess weight loss maintained off. And a high rate of remission of type 2 diabetes, hypertension and sleep apnea are achieved. Among the ten longest studies, type 2 diabetes remission is around 55%. But everyone would agree that we would like to see everyone maintain 80-90% of the excess weight off for the long term, and 100% of people in remission from diabetes. But how is that achieved?
Long term weight loss and weight maintenance remain an elusive goal. While sleeve gastrectomy in published studies is the safest, least invasive weight-loss intervention, the magnitude of weight lost appears less than the more aggressive duodenal switch. The sleeve procedure has become safer in hospital data than many very common and safe procedures including gallbladder removal, hysterectomy and ventral hernia repair. So it makes sense to stick with sleeve as the primary procedure, and approximately 65% of bariatric operations are now sleeve procedures. But for those who do not achieve sufficient weight loss and resolution of comorbid conditions, aggressive counseling, diet intervention, exercise, psychology interventions and coaching, prescription weight-loss medications, and revisional surgery should be offered.
In fact, revisional surgery in combination with the above strategies leads to significantly more weight loss among subjects who did not experience great long term success after the sleeve.

Similar Recent Posts

  • “A Game Changer” — A Patient Review of Sacral Nerve Modulation for Incontinence

    • dr-sasse-reno-sacral-nerve-modulation-review

      Incontinence is an ongoing struggle for millions of Americans, and most of the well-known solutions aren’t technically solutions. Instead, they address the symptoms of incontinence, instead of resolving the problem itself. The most effective treatment for incontinence, sacral nerve modulation, has a success rate of more than 90% and many ecstatic proponents. Dr. Sasse’s patient, Read More…

  • What’s Going On With Vitamin D and COVID-19?

    • dr-kent-sasse-reno-vitamin-d-covid-19

      Recent reports out of the U.K. indicate low Vitamin D levels and obesity may be important reasons people get sicker from Covid-19. Early deaths among health care providers in England disproportionally hit doctors of Indian origin who have darker pigmented skin and lower Vitamin D levels. In the U.S, an incredible 80% of African Americans Read More…

  • Does Bariatric Surgery Shorten Your Life? Overwhelming Data and Large Studies Say The Opposite

    • sasse-surgical-reno-questions-to-ask-before-weight-loss-surgery

      Sometimes a medical treatment just seems odd, and people wonder if it might have adverse effects. This is a question some raise with respect to bariatric surgery, a minimally invasive surgical procedure to treat obesity and type 2 diabetes. The most common form of the procedure today is a 45-minute procedure with four to five bandages, Read More…

Contact Us with any Questions Regarding your Bariatric Health

It is important that you give us your accurate weight and height, so we can best assist you.

There are Two Ways to Get Started
Actual Patient
Address
Sasse Surgical Associates
75 Pringle Way
Suite 804

Reno, NV 89502
Minimally invasive weight loss surgery experts.info@sassesurgical.com(775) 829-7999
Phone
Office Hours
Monday
7:30 am - 5:00 pm
Tuesday
7:30 am - 5:00 pm
Wednesday
7:30 am - 5:00 pm
Thursday
7:30 am - 5:00 pm
Friday
7:30 am - 3:00 pm
Saturday
Closed
Sunday
Closed