Expected Values of Esophageal Transit and Gastric Emptying Scintigraphy Post-uncomplicated Sleeve Gastrectomy

Johari, Yazmin; Yue, Helen; Laurie, Cheryl; Hebbard, Geoffrey; Beech, Paul; Yap, Kenneth; Brown, Wendy A.; Burton, Paul R.

doi:10.1007/s11695-021-05487-7

Cited by 8 publications

(3 citation statements)

References 24 publications

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“…Yet, the AR group had more incidence of GERD symptoms than AP although not statistically significant. In a study on LSG with antral preservation (6 cm from pylorus using 42 F bougie), Bernstine et al found no difference before and after LSG in gastric emptying [26] in contrary to the results obtained by Johari et al [27]. Melissas et al reported accelerated gastric emptying after LSG with T 1/2 decreasing from 94.3 to 47.6 min in 11 patients after 6 months [6].…”

Section: Discussionmentioning

confidence: 89%

Antrum Preservation Versus Antrum Resection in Laparoscopic Sleeve Gastrectomy With Effects on Gastric Emptying, Body Mass Index, and Type II Diabetes Remission in Diabetic Patients With Body Mass Index 30–40 kg/m2: a Randomized Controlled Study

Eskandaros

2022

OBES SURG

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Background Laparoscopic sleeve gastrectomy (LSG) is a widely performed procedure nowadays. There is a controversy on whether antrum resection (AR) or antrum preservation (AP) should be done and if this has an effect on BMI, gastric emptying, and associated medical conditions such as diabetes mellitus (DM). Study Design This randomized controlled trial included 56 patients in the AP group and 53 patients in the AR group with BMI 30–40 kg/m2. Weight, BMI, fasting and postprandial blood glucose (FBS and PPBS), HbA1C, oral hypoglycemic drug use, and % gastric emptying by gastric scintigraphy at 30, 60, 90, and 120 min were recorded preoperatively and postoperatively at 3, 6, and 12 months. Postoperative % of total weight loss (TWL) and symptoms of de novo GERD were observed at 3, 6, and 12 months. Results The AR group had significantly lower BMI and HbA1C and higher %TWL than the AP group. There was a significant difference between the two groups regarding % of gastric emptying with the AP group showing higher values at 30, 60, 90, and 120 min. There were no significant differences regarding FBS, PPBS, and oral hypoglycemic use. The AR group had more incidence of GERD symptoms postoperatively yet with no significant difference. Conclusion LSG with antrum resection (2 cm from the pylorus) had significantly less postoperative BMI, higher %TWL, better control of type II DM, and more retention of gastric contents in patients with BMI 30–40 kg/m2 in comparison with LSG with antral preservation with non-significant increase in incidence of GERD symptoms. Graphical abstract

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Section: Discussionmentioning

confidence: 89%

Antrum Preservation Versus Antrum Resection in Laparoscopic Sleeve Gastrectomy With Effects on Gastric Emptying, Body Mass Index, and Type II Diabetes Remission in Diabetic Patients With Body Mass Index 30–40 kg/m2: a Randomized Controlled Study

Eskandaros

2022

OBES SURG

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“…Accordingly, current evidence suggests that the mechanisms of GERD, Barrett's esophagus, and esophageal dysmotility after LSG are far more complex than it is for native anatomy individuals. [22][23][24][25] This study aims to review the current literature on the pathophysiology of de novo GERD and esophageal dysmotility after LSG, considering anatomical aspects and the physiology of weight loss after surgery. Ultimately, we put forth a pathophysiological classification of GERD after LSG to refine the understanding of the disease, the standardization of diagnosis, and to guide clinical workup and treatment.…”

Section: Introductionmentioning

confidence: 99%

“…Accordingly, current evidence suggests that the mechanisms of GERD, Barrett’s esophagus, and esophageal dysmotility after LSG are far more complex than it is for native anatomy individuals. 22 -25…”

Section: Introductionmentioning

confidence: 99%

Physiological Archetypes of de novo Gastroesophageal Reflux Disease After Laparoscopic Sleeve Gastrectomy

Ottoboni Brunaldi,

Ghanem,

Abu Dayyeh

2023

Foregut: The Journal of the American Foregut Society

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Laparoscopic Sleeve Gastrectomy (LSG) is the most common bariatric surgery in the world. While clinically effective, recent studies have shown increasingly higher rates of gastroesophageal reflux disease (GERD) and esophageal motility disorders. We reviewed all the literature and unraveled the underlying mechanism of post-LSG GERD. Finally, we propose a new classification to help us understand the disease and guide work-up, treatment, and future refinements in the surgical technique.

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Comment on: Expected Values of Esophageal Transit and Gastric Emptying Scintigraphy Post-Uncomplicated Sleeve Gastrectomy

et al. 2021

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Expected Values of Esophageal Transit and Gastric Emptying Scintigraphy Post-uncomplicated Sleeve Gastrectomy

Cited by 8 publications

References 24 publications

Antrum Preservation Versus Antrum Resection in Laparoscopic Sleeve Gastrectomy With Effects on Gastric Emptying, Body Mass Index, and Type II Diabetes Remission in Diabetic Patients With Body Mass Index 30–40 kg/m2: a Randomized Controlled Study

Antrum Preservation Versus Antrum Resection in Laparoscopic Sleeve Gastrectomy With Effects on Gastric Emptying, Body Mass Index, and Type II Diabetes Remission in Diabetic Patients With Body Mass Index 30–40 kg/m2: a Randomized Controlled Study

Physiological Archetypes of de novo Gastroesophageal Reflux Disease After Laparoscopic Sleeve Gastrectomy

Comment on: Expected Values of Esophageal Transit and Gastric Emptying Scintigraphy Post-Uncomplicated Sleeve Gastrectomy

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