Comment on: Long-term outcomes and quality of life after sleeve gastrectomy with major complications - Report - MDSpire

Comment on: Long-term outcomes and quality of life after sleeve gastrectomy with major complications

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  • Ömer Çelik

  • July 2, 2026

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Response to: Long-term Quality of Life and Outcomes Following Sleeve Gastrectomy

Overview

This correspondence discusses the long-term quality of life (QoL) outcomes following sleeve gastrectomy (SG) in patients with major postoperative complications. It highlights that while weight loss outcomes are comparable, QoL is significantly reduced in these patients.

Background

Sleeve gastrectomy is a prevalent bariatric procedure aimed at achieving significant weight loss and improving metabolic health. However, patients experiencing major complications post-surgery may face long-term challenges that affect their quality of life.

Data Highlights

No numerical data provided in the source material.

Key Findings

  • QoL is significantly reduced in patients with a complicated postoperative course after SG.
  • Long-term functional and structural consequences of complications may contribute to QoL deterioration.
  • Reduced physical capacity, impaired exercise tolerance, and chronic pain are likely to affect patient-reported outcomes.
  • Body contour changes post-weight loss can impact body image and self-esteem.
  • The BAROS scoring system may not fully capture the multidimensional nature of postoperative health status.

Clinical Implications

A multidisciplinary approach that includes surgical follow-up, nutritional optimization, and structured rehabilitation may be essential for improving long-term outcomes after SG.

Conclusion

Integrating functional and body image-related parameters in future research may provide a more comprehensive understanding of QoL impairment in patients post-sleeve gastrectomy.

Related Resources & Content

  1. Shimron et al., Updates in Surgery, 2026 -- Long-term outcomes and quality of life after sleeve gastrectomy with major complications
  2. Various Authors, Obesity Surgery, 2017 -- Long-Term Results of Laparoscopic Sleeve Gastrectomy: A Retrospective Analysis from a Single Institution
  3. Various Authors, Obesity Surgery, 2023 -- Long-Term Effects of Laparoscopic Sleeve Gastrectomy on Weight Reduction in Obese Patients: Findings from a 5-Year and 11-Year Follow-Up Analysis
  4. Various Authors, Obesity Surgery, 2026 -- Binge Eating and Addictive-Like Eating Behaviors Seven Years After Sleeve Gastrectomy: Implications for Long-Term Weight Loss Outcomes
  5. SAGES guidelines for the management of comorbidities relevant to metabolic and bariatric surgery - PubMed, 2024
  6. Various Authors, JAMA Surgery, 2025 -- Long-Term Outcomes of Laparoscopic Roux-en-Y Gastric Bypass vs Laparoscopic Sleeve Gastrectomy for Obesity: The SM-BOSS Randomized Clinical Trial
  7. Obesity Surgery — Decreased Hospitalization Requirements Following Sleeve Gastrectomy: An Observational Study from a Single Institution
  8. SAGES guidelines for the management of comorbidities relevant to metabolic and bariatric surgery - PubMed
  9. Long-Term Outcomes of Laparoscopic Roux-en-Y Gastric Bypass vs Laparoscopic Sleeve Gastrectomy for Obesity: The SM-BOSS Randomized Clinical Trial | Trials | JAMA Surgery | JAMA Network
  10. Long-term outcomes and quality of life after sleeve gastrectomy with major complications | Updates in Surgery | Springer Nature Link

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