Our Summary

This research paper is about a new weight loss surgery technique called Nissen sleeve gastrectomy. This method combines two existing procedures and is designed to prevent gastroesophageal reflux disease (GERD), a common side effect of one of the original surgeries. The study aims to evaluate how successful this new procedure is in the long term (5 years) in terms of weight loss, improvement of GERD and other health conditions related to obesity, and the rate of complications.

The study was conducted at Montpellier University Hospital, France, on 144 patients who had this surgery as their first weight loss procedure. After excluding some patients based on certain criteria, 133 patients were studied, and nearly 82% of them were followed up for 5 years. The patients, on average, lost about 22% of their total weight and about 59.4% of their excess weight. Among the 63 patients who had symptoms of GERD before the surgery, about 85.5% of them showed improvement after 5 years. However, only 25 patients had a specific type of stomach examination at the 5-year mark. The rate of patients needing another surgery in the short and long term was 8.1%, and no patient died from the surgery.

In conclusion, the Nissen sleeve gastrectomy seems to be a promising procedure for long-term weight loss and for treating conditions like GERD related to obesity. The risk of complications and the need for additional surgeries is relatively low.

FAQs

  1. What is the Nissen sleeve gastrectomy procedure and what is it designed to prevent?
  2. What were the long-term outcomes for patients who underwent the Nissen sleeve gastrectomy procedure?
  3. What was the rate of complications and need for additional surgeries after undergoing the Nissen sleeve gastrectomy?

Doctor’s Tip

A helpful tip a doctor might tell a patient about gastrectomy is to follow a nutritious diet and exercise regularly to support weight loss and overall health after the surgery. It is important to attend follow-up appointments and communicate any concerns or symptoms to your healthcare provider. Additionally, it is essential to adhere to any dietary or lifestyle recommendations provided by your healthcare team to optimize the success of the procedure.

Suitable For

Patients who are typically recommended gastrectomy are those who are severely obese and have not been successful with other weight loss methods such as diet and exercise. Additionally, patients who have obesity-related health conditions such as diabetes, high blood pressure, sleep apnea, or GERD may also be recommended for gastrectomy. It is important for patients to undergo a thorough evaluation and consultation with a healthcare provider to determine if gastrectomy is the best option for their weight loss and health goals.

Timeline

Before gastrectomy:

  • Patient undergoes extensive evaluation by healthcare team to determine eligibility for surgery
  • Patient may be required to lose a certain amount of weight before surgery
  • Patient attends pre-operative counseling and education sessions
  • Patient undergoes various pre-operative tests and screenings
  • Patient may need to make lifestyle changes in preparation for surgery

After gastrectomy:

  • Patient is closely monitored in the hospital for any immediate post-operative complications
  • Patient follows a strict diet and exercise plan prescribed by healthcare team
  • Patient gradually reintroduces solid foods into their diet
  • Patient attends regular follow-up appointments with healthcare team
  • Patient may experience weight loss, improvement in health conditions related to obesity, and reduction in GERD symptoms
  • Patient may need to take vitamins and supplements to prevent nutritional deficiencies
  • Patient may need to make long-term lifestyle changes to maintain weight loss and overall health.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with the Nissen sleeve gastrectomy procedure?
  2. How does this procedure compare to other weight loss surgeries in terms of effectiveness and safety?
  3. Will I need to make any changes to my diet or lifestyle after undergoing this surgery?
  4. What is the expected timeline for recovery and when can I expect to see significant weight loss results?
  5. How often will I need to follow up with you after the surgery to monitor my progress and address any concerns?
  6. Are there any specific dietary restrictions or supplements I will need to take post-surgery?
  7. How will this surgery impact my ability to absorb nutrients and vitamins from food?
  8. What long-term effects should I expect from the Nissen sleeve gastrectomy procedure?
  9. Will I need to undergo any additional procedures or treatments in the future to maintain weight loss and manage any health conditions related to obesity?
  10. Can you provide me with information on support groups or resources for patients who have undergone this surgery?

Reference

Authors: Savvala N, Amico M, Joumaa S, Jaussent A, Silvestri M, Lefebvre P, Khamajeet A, Picot MC, Galtier F, Nocca D; Bariatric surgery study group. Journal: Surg Obes Relat Dis. 2025 Mar;21(3):311-318. doi: 10.1016/j.soard.2024.10.019. Epub 2024 Oct 29. PMID: 39613550