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Objective <p>To evaluate 10-year outcomes after laparoscopic sleeve gastrectomy (LSG), focusing on weight loss, quality of life, patient satisfaction, physical activity, and psychosocial factors.</p> Methods <p>A prospective cohort of 300 patients who underwent LSG between January 2013 and July 2014 was evaluated. Inclusion criteria were first-time metabolic bariatric surgery, age ≥18 years, and absence of perioperative complications. Long-term follow-up was achieved for 193 patients (64.3% retention).</p> Results <p>At baseline, mean BMI was 42.54 ± 5.10 kg/m² and mean age 42.86 ± 10.65 years. Substantial weight loss occurred, with BMI decreasing to 29.15 kg/m² at one year (p &lt; .001). Weight regain began after three years, reaching a mean BMI of 31.89 kg/m² at 10 years, while 51.5% maintained ≥25% excess weight loss. Overall, quality of life improved in 86.1% of patients, with over half reporting excellent outcomes. The greatest improvements occurred in the self-esteem, physical activity, and social engagement domains of the MA-II, with smaller gains in sexual satisfaction and eating behavior. A significant decline in global quality of life (QOL) was observed over time (p &lt; .001). Postoperatively, 59.3% participated in structured physical activity programs, while 40.7% remained sedentary. Psychosocial benefits included enhanced interpersonal relationships (35.6%) and greater social participation, although a minority reported marital strain (8.3%) or reduced overall satisfaction.</p> Conclusions <p>LSG provides durable weight loss and significant improvements in quality of life across multiple MA-II domains, accompanied by high patient satisfaction (85.6%) and healthier lifestyle behaviors. Nonetheless, partial weight regains, sedentary habits, and variable psychosocial outcomes persist.</p> Graphical Abstract <p></p>

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Beyond Weight Loss: A Decade of Insights into Quality of Life and Well-Being After Laparoscopic Sleeve Gastrectomy

  • 期刊论文

  • 发表日期：

    2026年3月10日

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  • Sergio Susmallian,
  • Ilana Nikiforova,
  • Asnat Raziel

摘要

Objective

To evaluate 10-year outcomes after laparoscopic sleeve gastrectomy (LSG), focusing on weight loss, quality of life, patient satisfaction, physical activity, and psychosocial factors.

Methods

A prospective cohort of 300 patients who underwent LSG between January 2013 and July 2014 was evaluated. Inclusion criteria were first-time metabolic bariatric surgery, age ≥18 years, and absence of perioperative complications. Long-term follow-up was achieved for 193 patients (64.3% retention).

Results

At baseline, mean BMI was 42.54 ± 5.10 kg/m² and mean age 42.86 ± 10.65 years. Substantial weight loss occurred, with BMI decreasing to 29.15 kg/m² at one year (p < .001). Weight regain began after three years, reaching a mean BMI of 31.89 kg/m² at 10 years, while 51.5% maintained ≥25% excess weight loss. Overall, quality of life improved in 86.1% of patients, with over half reporting excellent outcomes. The greatest improvements occurred in the self-esteem, physical activity, and social engagement domains of the MA-II, with smaller gains in sexual satisfaction and eating behavior. A significant decline in global quality of life (QOL) was observed over time (p < .001). Postoperatively, 59.3% participated in structured physical activity programs, while 40.7% remained sedentary. Psychosocial benefits included enhanced interpersonal relationships (35.6%) and greater social participation, although a minority reported marital strain (8.3%) or reduced overall satisfaction.

Conclusions

LSG provides durable weight loss and significant improvements in quality of life across multiple MA-II domains, accompanied by high patient satisfaction (85.6%) and healthier lifestyle behaviors. Nonetheless, partial weight regains, sedentary habits, and variable psychosocial outcomes persist.

Graphical Abstract