Objective:

To evaluate the long-term efficacy of laparoscopic sleeve gastrectomy (LSG) in terms of weight loss and resolution of obesity-related complications over a follow-up period of 5 and 11 years, highlighting the significance of these complications.

Key Findings:

• Significant weight loss was observed at both 5 and 11 years postoperatively, with specific percentages to be included.
• Resolution of obesity-related complications was noted in a substantial number of patients, with exact figures to enhance clarity.

Interpretation:

LSG is an effective long-term intervention for weight loss and management of obesity-related complications, demonstrating sustained results over a decade, with implications for clinical practice.

Limitations:

• Retrospective design may introduce selection bias, potentially affecting the reliability of the findings.
• Limited generalizability due to single-surgeon study, which may not reflect broader surgical practices.
• Potential loss to follow-up may affect outcome assessment, leading to incomplete data.

Conclusion:

Laparoscopic sleeve gastrectomy shows promising long-term outcomes in weight loss and resolution of obesity-related complications, supporting its role as a primary treatment for severe obesity, with suggestions for future research directions.