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Thursday, August 11, 2016

10 year data on Bariatric surgery Feb 2016

52 cases over 10 years

RESULTS:

"A mean maximum percent excess weight loss of 71±25% (percent total weight loss: 28±15%) was reached at a median of 12 (range 12-120) months after SG.

 At 10 years, a mean percent excess weight loss of 53±25% was achieved by 32 patients, corresponding to a percent total weight loss of 26.3±13.4%.

Nineteen of the 53 patients (36%) were converted to Roux-en-Y gastric bypass (n = 18) or duodenal switch (n = 1) due to
1- significant weight regain (n = 11), 
2-reflux (n = 6), or
3-acute revision (n = 2)
at a median of 36 months.

Two patients died at 3 and 101 months postoperatively, unrelated to SG.

A total of 31 patients (59%) suffered from weight regain
of 10 kg or more,
among them 24 patients (45%) with 15 kg or more,
16 patients (30%) with 20 kg or more,
 and 7 patients (13%) with 25 kg or more weight regain from nadir.

 Mean BAROS  (Bariatric Analysis and Reporting Outcome System) score was 2.4±2.2 at 10 years follow-up, classifying SG as "fairly efficient."

I have two questions.
1-How many patients gained all their weight back after 10 years?  

2-Was diet medication considered in the treatment of the regain? 

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