{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T12:37:23Z","timestamp":1786711043400,"version":"build-2736575974"},"reference-count":31,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"Abstract<\/jats:title>\n \n Introduction:<\/jats:title>\n Laparoscopic sleeve gastrectomy (LSG) yields strong short- and mid-term outcomes, but long-term quality-of-life (QoL) trends remain less defined. Our objectives were to assess 8-year changes in weight, obesity-related medical problems (ORMPs) and QoL after LSG.<\/jats:p>\n <\/jats:sec>\n \n Patients and Methods:<\/jats:title>\n This prospective cohort included 106 adults who underwent LSG (2016\u20132017). Assessments were performed preoperatively and at 1, 5 and 8 years using anthropometric data, ORMPs\u2019 status and the Moorehead-Ardelt II QoL questionnaire. Fifty-four patients completed 8-year follow-up. Linear mixed-effects and non-parametric tests were used for paired comparisons.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n The mean percentage of excess weight loss declined from 73.2% at 1 year to 63.4% at 8 years, with excellent weight loss outcomes decreasing from 92.6% to 81.5% and failure rates rising to 16.7%. QoL improved from \u2212 0.44 preoperatively to 1.80 at 1 year, peaked at 1.99 at 5 years and then declined to 1.41 at 8 years. Weight loss independently predicted higher QoL (\u03b2 = +0.019 per kg lost,\n P<\/jats:italic>\n < 0.001). Most ORMPs remained improved long term, while gastroesophageal reflux disease and smoking increased.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n LSG provides durable long-term benefits; however, attenuation after 5 years and rising behavioural and reflux-related risks highlight the importance of structured, multidisciplinary, lifelong follow-up to preserve outcomes and QoL.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jmas.jmas_71_26","type":"journal-article","created":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T12:00:09Z","timestamp":1786708809000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Eight-year evolution of quality of life after sleeve gastrectomy: A prospective cohort study"],"prefix":"10.4103","author":[{"given":"Ghassan","family":"Chakhtoura","sequence":"first","affiliation":[{"name":"Department of Digestive Surgery, University Medical Center H\u00f4tel-Dieu de France, Faculty of Medicine, Saint Joseph University of Beirut, Beirut, Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farid Abi","family":"Habib","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, University Medical Center H\u00f4tel-Dieu de France, Faculty of Medicine, Saint Joseph University of Beirut, Beirut, Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Mouawad","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, Centre Hospitalier Intercommunal de Villeneuve-Saint-Georges, Greater Paris Metropolis, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Saade","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, University Medical Center H\u00f4tel-Dieu de France, Faculty of Medicine, Saint Joseph University of Beirut, Beirut, Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roger","family":"Noun","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, University Medical Center H\u00f4tel-Dieu de France, Faculty of Medicine, Saint Joseph University of Beirut, Beirut, Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,8,13]]},"reference":[{"key":"R1-20260814","doi-asserted-by":"crossref","first-page":"3586","DOI":"10.1007\/s11695-018-3399-1","article-title":"Update: 10 years of sleeve gastrectomy-the first 103 patients","volume":"28","author":"Felsenreich","year":"2018","journal-title":"Obes Surg"},{"key":"R2-20260814","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1186\/s40608-015-0058-0","article-title":"The sleeve bypass trial: A multicentre randomized controlled trial comparing the long term outcome of laparoscopic sleeve gastrectomy and gastric bypass for morbid obesity in terms 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