Editing Sleeve gastrectomy (section)

== '''Outcomes''' ==

* High-pressure system with     sphincters at both ends - this is why leaks and GORD are more common than     with RYGB
* Expected weight loss at two     years = approx. 60% excess weight, 30% total weight
* Not reversible, but can be     converted into a RYGB or duodenal switch.
* Long-term (>10) outcomes     are suspiciously poorly-studied. Meta-analysis 2023 found a relatively     small number of total patients between 10 and 15 years follow-up but     indicated:
** Mean TWL 24%
** Remission rate T2DM 45% and      HTN 41% (two studies reported 0% T2DM remission)
** De novo GORD 32%, with      incidence Barrett's 0.5% (almost certainly higher in reality)
** Revision surgery 19%