The effect of bougie size on the short-term outcome of laparoscopic sleeve gastrectomy

Abo-Elela, Sameh T; Shaban, Hamdy; Hussein, Ahmed H.; Abo-Ali, Mustafa A; ELHADARY, MOHAMMED; Elgeidie, Ahmed; Sayed, Mohamed Gamal; Gomaa, Ahmed M.

doi:10.4103/ejs.ejs_200_19

Cited by 2 publications

(4 citation statements)

References 13 publications

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“…Eight studies (2168 patients; 4 treatment nodes) were found to investigate EWL with different bougie sizes after LSG in the current NMA (the network structure figure is shown in Fig. 2 A) 14 , 18 – 21 , 23 , 24 , 26 . Figure 3 A presents results of EWL percentage.…”

Section: Resultsmentioning

confidence: 99%

“…Ten studies (1160 patients; 4 treatment nodes) discussed total complications with different bougie sizes after LSG in the current NMA (the network structure figure is shown in Fig. 2 B) 12 , 13 , 15 , 17 , 19 , 21 , 22 , 24 – 26 . Figure 3 B presents total complications.…”

Section: Resultsmentioning

confidence: 99%

“…Eight studies (1026 patients; 4 treatment nodes) reported the postoperative SLL in the current NMA (the network structure figure is shown in Fig. 2 C) 15 , 17 , 19 , 21 , 22 , 24 – 26 . Figure 3 C presents the results of SLL.…”

Section: Resultsmentioning

confidence: 99%

“…Not only changes in gastric motility and related hormonal secretion but also dominant mechanisms of gastric restriction, based on the essential intraoperative bougie calibration with longitudinal gastric transection of the fundus, body, and antrum along the lesser curvature, lead to limited eating volume of about 100 mL, subsequent dietary habit modification, and eventually weight reduction 9 , 10 . Although the surgical standardization and relative contraindications for LSG have been well documented, the standard bougie size used to calibrate the gastric sleeve still remains to be established, based on the weight loss effects and related complications, such as staple line leak (SLL), gastric stenosis, or de novo reflux esophagitis 11 – 26 .…”

Section: Introductionmentioning

confidence: 99%

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Promising effects of 33 to 36 Fr. bougie calibration for laparoscopic sleeve gastrectomy: a systematic review and network meta-analysis

Chang

Chen

Jhou

et al. 2021

Sci Rep

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The standard size of bougie for laparoscopic sleeve gastrectomy (LSG) is not yet established. Therefore, a systematic review and network meta-analysis were conducted to assess the weight loss effects and associated complications of LSG for patients with morbid obesity, based on different bougie sizes. A total of 15 studies were reviewed in this systemic review and network meta-analysis (2,848 participants), including RCTs and retrospective studies in PubMed, and Embase until September 1, 2020. The effectiveness of different bougie calibration sizes was assessed based on excess weight loss (EWL), total complications, and staple line leak. Within this network meta-analysis, S-sized (≤ 32 Fr.) and M-sized (33–36 Fr.) bougies had similar effects and were associated with the highest EWL improvement among all different bougie sizes (S-sized: standardized mean difference [SMD], 10.52; 95% confidence interval [CI] − 5.59 to − 26.63, surface under the cumulative ranking curve [SUCRA], 0.78; and M-sized: SMD, 10.16; 95% CI − 3.04–23.37; SUCRA, 0.75). M-sized bougie was associated with the lowest incidence of total complications (M-sized: odds ratio, 0.43; 95% CI, 0.16–1.11; SUCRA, 0.92). Based on our network meta-analysis, using M-sized bougie (33–36 Fr.) is an optimal choice to balance the effectiveness and perioperative safety of LSG in the clinical practice.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Promising effects of 33 to 36 Fr. bougie calibration for laparoscopic sleeve gastrectomy: a systematic review and network meta-analysis

Chang

Chen

Jhou

et al. 2021

Sci Rep

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Laparoscopic Three-Port Sleeve Gastrectomy: Description of the Technique and Preliminary Results

Hassan¹,

Moussa²,

Elmahdy

2021

The Medical Journal of Cairo University

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Background: Up till now, there is no standardized technique for performing Laparoscopic sleeve gastrectomy (LSG). Aim of Study:The aim of this study was to assess the feasibility of LSG by means of three port technique and reporting short term results.Patients and Methods: This was a prospective study donefrom February to December 2019. Twenty-eight morbidly obese patients (18 females and 10 males) were included. Mean age of 31.03 ±8.89 years, mean preoperative body mass index of 44.38±5.32kg/m 2 . This study discussed the patients' demographics, operative technique, operative records, post-operative outcomes concerning excess weight loss, comorbiditiesresolution, complication rates, pain assessment and patients' scars satisfaction. Follow-up was done at 10 day, 1, 3, 6, and 12 months.Results: All procedures were completed laparoscopically. Mean operative time was 58.46 ± 18.61 minutes. The mean hospital stay was 1.25 ±0.75 day. The %EWL was 23.91%, 40.22%, 55.69%, and 69.65% at 1, 3, 6, and 12 months, respectively. Within a 6 to 12 month postoperatively, 50% of patients with hypertension (AHT) presented with significant improvement, all diabetic patients described resolution or significant improvement and 62.5% of patients with arthralgia had improved.Conclusions: Three ports LSG is feasible without need for liver retractor port insertion, safe, effective, with short hospital stay and good cosmetic results.

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The effect of bougie size on the short-term outcome of laparoscopic sleeve gastrectomy

Cited by 2 publications

References 13 publications

Promising effects of 33 to 36 Fr. bougie calibration for laparoscopic sleeve gastrectomy: a systematic review and network meta-analysis

Promising effects of 33 to 36 Fr. bougie calibration for laparoscopic sleeve gastrectomy: a systematic review and network meta-analysis

Laparoscopic Three-Port Sleeve Gastrectomy: Description of the Technique and Preliminary Results

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