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Laparoscopic sleeve gastrectomy (LSG) has rapidly gained popularity as a definitive bariatric procedure despite the sparse long-term follow-up data. On the basis of extensive experience with the open Magenstrasse and Mill operation, we began practice of LSG in 2000. The objective of the present study was to analyze 8–9 years of our follow-up data for LSG at a university hospital in the United Kingdom.

From January 2000 to December 2001, 20 patients underwent LSG. A 32F bougie was used for calibration in all cases.

The preoperative median body mass index was 45.8 kg/m² (range 35.8–63.7), and 9 patients (45%) were superobese (body mass index ≥50 kg/m²). For LSG as a definitive bariatric procedure, 8–9-year follow-up data were available for 13 patients. Of the remainder, 4 patients underwent revision surgery and 3 were lost to follow-up after 2 years. For the …