Biliopancreatic Limb Length in One Anastomosis Gastric Bypass: Which Is the Best?

Pizza, Francesco; Lucido, Francesco Saverio; D’Antonio, Dario; Tolone, Salvatore; Gambardella, Claudio; Dell’Isola, Chiara; Docimo, Ludovico; Marvaso, A

doi:10.1007/s11695-020-04687-x

Cited by 45 publications

(22 citation statements)

References 20 publications

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“…Same authors reported a higher prevalence of GERD symptoms after LSG [24], needing in some cases the conversion to RYGB [25,26]. Moreover, a worrying onset of Barrett's esophagus was reported following LSG [27,28]. In our study, we found a significantly higher rate of reflux at 12-month follow-up in both groups.…”

Section: Discussionsupporting

confidence: 61%

Does antrum size matter in sleeve gastrectomy? A prospective randomized study

Pizza¹,

D’Antonio²,

Lucido

et al. 2020

Surg Endosc

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Background Laparoscopic sleeve gastrectomy (LSG) is a safe and effective bariatric procedure in terms of excess weight loss. Nevertheless, controversies still exist on several technical and operative aspects of LSG. The aim of this study is to evaluate variations in anthropometric features in subjects with a LSG gastric resection starting from 2 cm or 6 cm from the pylorus. Secondary aim was the evaluation of differences in morbidity, food tolerance, and GERD incidence studied with upper endoscopy (UE) and GERD Health-Related Quality-of-Life score. Methods Patients were prospectively randomized into 2 groups: Group A (at 2 cm proximally to the pylorus) and Group B (at 6 cm proximally to the pylorus). All patients were followed-up at 3, 6, 12, and 24 months. UE was performed in all patients at 12 or 24 months. Results One hundred and fifty met the inclusion criteria and were enrolled in the study. The anthropometric features (BMI,

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Section: Discussionsupporting

confidence: 61%

Does antrum size matter in sleeve gastrectomy? A prospective randomized study

Pizza¹,

D’Antonio²,

Lucido

et al. 2020

Surg Endosc

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“…Owing to exciting anthropometric results, SG has currently become the commonest procedure in utilization of bariatric surgery. However, because SG has potential risk of promoting gastroesophageal reflux disease and Barrett's esophagus, some procedures designed to prevent postoperative reflux have also gained a widespread usage [ 19 , 20 ]. The experience performing SG using the new Micro-hand SII is presented for the first time, but the risk of reflux after MIISG needs to be confirmed by a further large sample study.…”

Section: Discussionmentioning

confidence: 99%

Robot-assisted sleeve gastrectomy in patients with obesity with a novel Chinese domestic MicroHand SII surgical system

Kong

et al. 2021

BMC Surg

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Background A new device has been added to the Chinese MicroHand surgical robot family, developed based on the successful application of control algorithms. As a benefit of using these specialized control algorithms, the motion mapping relation can be accommodated into the system without the help of a built-in image system, resulting in a novel Chinese domestic surgical robot with two arms called MicroHand SII, which is different from the former MicroHand S and da Vinci systems. In this study, we investigate the performance of a novel MicroHand SII robotic platform in patients with obesity. Methods From March 2018 to April 2019, a total of 7 patients whose BMI ranged from 29.9 to 49.8 kg/m2 were operated on with the robot-assisted technique using the MicroHand SII surgical system. Data regarding demography, surgical procedure and the 3-month outcome postoperation were collected. Results There were 2 female and 5 male patients with a median age (range) of 35 (20–51) years. The median operative time was 160 (149–195) minutes. None were converted to open surgery. All anthropometry indices improved significantly (p < 0.05) at 3 months postoperatively. There were no cases of surgical site infection, gastrointestinal/abdominal bleeding, or conversion to an open operation. Conclusions The initial experience showed that the Chinese domestic robot surgical system MicroHand SII could be feasibly and safely applied in sleeve gastrectomy in patients with obesity. Because of the unique design of this system such as a two-hand robot, an array of master–slave motion strategies, and a roll joint at the end of the instruments that allows 7 degrees of freedom, this robotic platform has presented its own obvious advantages.

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“…The continuous pressure exerted by the band to the distended prolapsed stomach reduces the blood support to the gastric wall, causing a degenerative necrosis and perforation [ 16 ]. This life threatening situation requires partial gastric resection (comparable to sleeve gastrectomy) or total/subtotal gastrectomy [ 17 , 18 ].…”

Section: Discussionmentioning

confidence: 99%