Is Resected Stomach Volume Related to Weight Loss After Laparoscopic Sleeve Gastrectomy?

Singh, Jasbir; Tantia, Om; Chaudhuri, Tamonas; Khanna, Shashi; Patil, Prateek H.

doi:10.1007/s11695-014-1250-x

Cited by 16 publications

(21 citation statements)

References 33 publications

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“…In order to measure RGV, we manually injected saline solution in a 16-Fr Foley catheter inserted in the gastric antrum, until the leakage of the staple line, as found in Litterature. 14,15 We had no difference between…”

Section: Discussionmentioning

confidence: 84%

“…Only one study 18 compares the RGV and the prevalence of HTA during the follow up. This study shows no difference between the three groups examined.…”

Section: Sista F Et Al Int Surg J 2016 Feb;3(1):11-17mentioning

confidence: 99%

“…[26][27][28] Sing et al 18 showed a diabetes'resolution's rate of 63.8%, 79.6% and 82.9% at 6, 12 and 24 months after LGS respectively, without difference among the three groups. Our results are similar except that we recorded a significant reduction in the prevalence of DM2 at 6 months after LGS for RGV greater than 1800 mL.…”

Section: Sista F Et Al Int Surg J 2016 Feb;3(1):11-17mentioning

confidence: 99%

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Does gastric resection volume influence sleeve gastrectomy results? a prospective study

et al. 2016

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Section: Discussionmentioning

confidence: 84%

“…Only one study 18 compares the RGV and the prevalence of HTA during the follow up. This study shows no difference between the three groups examined.…”

Section: Sista F Et Al Int Surg J 2016 Feb;3(1):11-17mentioning

confidence: 99%

Section: Sista F Et Al Int Surg J 2016 Feb;3(1):11-17mentioning

confidence: 99%

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Does gastric resection volume influence sleeve gastrectomy results? a prospective study

et al. 2016

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“…Some studies tried to correlate the outcomes after SG according to resected stomach volume. 2,3 Sometimes, the stomach is extracted from the abdomen with difficulty and in several pieces. We describe a trick that allows atraumatic extraction of the resected stomach.…”

Section: Resected Stomach After Sleeve Gastrectomymentioning

confidence: 99%

“…However, the resected stomach volume is significantly greater in patients with higher preoperative body mass index. 2,3 An atraumatic extraction of the resected stomach is an essential step to have an accurate assessment of the extracted volume. We describe a useful and reproducible tip that does not require a special instrumentation.…”

Section: Resected Stomach After Sleeve Gastrectomymentioning

confidence: 99%

Resected stomach after sleeve gastrectomy

Debs

Amor

Gugenheim

et al. 2015

ANZ Journal of Surgery

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We recently completed a focus group study of 26 women and 15 men who had received privately or publicly funded laparoscopic adjustable gastric band (LAGB) placement. Some participants spoke about differing anaesthetist requirements prior to subsequent unrelated surgeries and their experiences within emergency departments (EDs) when there was a need to remove fluid from the LAGB, both of which highlighted variations in clinical practice.Participants reported that some anaesthetists required LAGB deflation prior to subsequent surgeries while others did not. Not deflating the LAGB was preferred by participants because of concerns about potential weight regain if deflation was well before surgery and if the time taken to re-inflate the band to pre-surgery levels was protracted. The concern about weight gain was great, resulting in participants seeking anaesthetists who did not require LAGB deflation. To our knowledge there is only one reported randomized controlled trial on this topic that had methodological limitations. It found no difference in complication rates in a small sample of patients (n = 68) who did or did not have the LAGB deflated prior to subsequent surgeries and that post-operative weight gain and the need for post-operative visits were significantly less for patients who did not have their band deflated. 1 Clearly, this is an area requiring additional high-quality research.A patient with LAGB may present to ED for a variety of reasons, including trauma. 2 Some participants reported that when they had attended the ED and required band deflation, the ED staff did not know how to do this. Consequently, a programme has been implemented to train local ED and surgical trainees in conducting this procedure. We considered this important information to share because discussion via the International Bariatric Club Facebook Resected stomach after sleeve gastrectomySleeve gastrectomy (SG) involves surgical resection of the greater curvature of the body and fundus of the stomach to leave only about 15% of the original gastric volume (60 to 100 cc). 1 The extracted stomach is not part of a consensus. Some studies tried to correlate the outcomes after SG according to resected stomach volume. 2,3 Sometimes, the stomach is extracted from the abdomen with difficulty and in several pieces. We describe a trick that allows atraumatic extraction of the resected stomach.The gastrectomy specimen is placed in an endobag and extracted through the 15-mm trocar site. In order to facilitate extraction, a suture or endoloop may be placed around the narrowest end of the resected specimen and cut long, so that its end comes out of the bag. It is then easier to find the stomach and extract it by gentle manual traction movements using a gauze pad. Manual traction with a gauze pad is less traumatic than the instruments and decreases the risk of traumatizing the resected stomach.This work results from a NHMRC partnership grant-funded research programme on bariatric surgery with a multisector and multidisciplinary team reflected in the ...

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The rapid effects of sleeve gastrectomy on glucose homeostasis and resolution of diabetes mellitus

Bozkurt

Kaya

Ömeroğlu

et al. 2020

Endocrino Diabet & Metabol

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Aims Type 2 diabetes caused by obesity is increasing globally. Bariatric surgical procedures are known to have positive effects on glucose homeostasis through neurohormonal action mechanisms. In the present study, we aimed to investigate the factors influencing glucose homeostasis independent of weight loss after the laparoscopic sleeve gastrectomy (LSG). Methods Patients who underwent LSG for morbid obesity in a 3‐year period were evaluated. Data on demographics, clinical characteristics (duration of diabetes, resected gastric volume, antral resection margin) and laboratory parameters (preoperative and postoperative blood glucose on fasting, preoperative HbA1c levels and first‐year HbA1c levels) were retrospectively reviewed. Effect of patients' body mass index (<50 kg/m2, ≥50 kg/m2), first‐year excess weight loss (EWL%) rates, age (≥50 years, <50 years), duration of diabetes (≥5 years, <5 years) and antral resection margin (≥3 cm, <3 cm) on postoperative blood glucose profile and diabetic resolution status were investigated. Results Total of 61 patients constituted the study group. There were 40 female and 21 male patients with an average age of 43.8 ± 10.5 years (19‐67 years). Preoperatively, mean BMI, blood glucose levels and HbA1c were 48.8 ± 8.5 kg/m2, 133.6 ± 47.4 mg/dL and 7.4 ± 1.1, respectively. The mean blood glucose level at the postoperatively 5th day was 88.0 ± 16.3 mg/dL (median: 84 mg/dL) (P < .001). Fifty‐nine out of 61 patients improved their glycaemic control. Conclusions It is noteworthy that LSG can control blood glucose levels in short term after surgery regardless of weight loss. Therefore, LSG should be preferred at earlier stages in the treatment of obesity‐related T2DM in order to prevent T2DM‐related complications.

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Is Resected Stomach Volume Related to Weight Loss After Laparoscopic Sleeve Gastrectomy?

Abstract: Mean %EBWL after LSG was not significantly different among three groups of patients divided according to resected stomach volume. Resected stomach volume was significantly greater in patients with higher preoperative body mass index.

Cited by 16 publications

References 33 publications

Does gastric resection volume influence sleeve gastrectomy results? a prospective study

Does gastric resection volume influence sleeve gastrectomy results? a prospective study

Resected stomach after sleeve gastrectomy

The rapid effects of sleeve gastrectomy on glucose homeostasis and resolution of diabetes mellitus

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