Complications and Nutrient Deficiencies Two Years after Sleeve Gastrectomy

Nicole Pech; Frank Meyer; Hans Lippert; Thomas Manger; Christine Stroh


BMC Surg. 2012;12(13) 

In This Article


Obesity has developed into an epidemic. Approximately 1.7 billion people are overweight, and 312 million are obese.[1,2] In Germany in 2009, 60.1 % of male and 42.9 % of female population was overweight.[3] There are currently no conservative treatments that produce the %EWL results and stable courses observed following bariatric surgery. Obesity is associated with an increased mortality risk.[4] Obesity is also associated with increased health costs. A BMI = 35 kg/m2 is associated with a 200 % increase in health care costs compared the normal weight range.[5]

As a result of the obesity epidemic bariatric and metabolic surgeries have grown in popularity in recent years, resulting that the number of operations is rapidly increasing. Laparoscopic sleeve Gastrectomy (SG) was performed as the single step procedure for surgically induced weight loss in 2000.[6]

SG can be suggested as a first step procedure for multimorbid patients with a BMI > 50 kg/m2, considering the high mortality rate of 6 % following biliopancreatic diversion (BPD) with DS.[7,8] In literature is the lack of studies with high evidence levels on SG reporting long term follow up data, results on reoperation rate or long term complication rate for surgical complications as well as nutrient deficiencies.

The aim of the following systematic study was to investigate nutritional deficiencies and outcomes following SG during a mean follow up period of two years.