The Magnitude of Antral Resection in Laparoscopic Sleeve Gastrectomy and its Relationship to Excess Weight Loss

Obeidat, Firas; Shanti, Hiba; Mismar, Ayman; Albsoul, Nader; Al–Qudah, Mahmoud A.

doi:10.1007/s11695-015-1642-6

Cited by 53 publications

(29 citation statements)

References 34 publications

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“…Another retrospective study by Obeidat et al reported similar results although the group with antral resection was operated after the group of antral preservation (better experience and technique) (EL:3) [24]. This can be attributed to the higher intragastric pressure obtained after antral resection.…”

Section: Distance From the Pylorusmentioning

confidence: 85%

Leaks after laparoscopic sleeve gastrectomy: overview of pathogenesis and risk factors

Iossa

Abdelgawad

Watkins

et al. 2016

Langenbecks Arch Surg

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This review reports factors promoting leak and gives technical recommendations to avoid leak after LSG based on the available evidence and expert consensus which encompasses: (1) use a bougie size ≥40 Fr, EL:1, (2) begin the gastric transection 5-6 cm from the pylorus, EL:2-3, (3) use appropriate cartridge colors from antrum to fundus, EL:1, (4) reinforce the staple line with buttress material, EL:1, (5) follow a proper staple line, (6) remove the crotch staples, EL:4, (7) maintain proper traction on the stomach before firing, (8) stay away from the angle of His at least 1 cm, EL:1, (9) check the bleeding from the staple line, (10) perform an intraoperative methylene blue test, EL:4.

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Section: Distance From the Pylorusmentioning

confidence: 85%

Leaks after laparoscopic sleeve gastrectomy: overview of pathogenesis and risk factors

Iossa

Abdelgawad

Watkins

et al. 2016

Langenbecks Arch Surg

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“…В более поздние сроки, по данным отдельных авторов, частота рецидива ожирения может достигать 50 %. Напротив, другие исследования предоставляют более оптимистичные показатели -30 % [17,23].…”

Section: продольна я резекция же лудк аunclassified

“…Напротив, при расстоянии менее 4 см от пилоруса избыточная масса тела снижается на 75,5 %. Удаление всего антрального отдела желудка позволяет добиться редукции 81,5 ± 22,9 % избыточной массы тела с минимальной частотой рецидива ожирения (до 5 %) [17,21].…”

Section: продольна я резекция же лудк аunclassified

Revision procedures in bariatric surgery

et al. 2019

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Searching the optimal options for reoperations in overweight patients has the same lengthy and difficult history as all bariatric surgery. The key issues of this aspect of obesity surgery are inefficiency (inadequate weight reduction or it regain) and the unavoidable complications of conservative methods and the negative effects of primary surgery. Weight regain after bariatric surgery is a multicomponent problem. The main reason for the unsatisfactory results of surgical (and conservative) treatment of obesity in some patients is the nature of obesity – the lifelong chronic recurrent disease. A certain role in the return of excess weight is played by the imperfection of the currently existing surgical procedures for the correction of overweight, as well as the wrong choice of options for surgical interventions and technical errors in their implementation. Increase the number of worldwide operations for obesity and its associated diseases translates the problem of revision bariatric surgery from the category of narrow questions in this field of medicine into a serious problem. The article describes modern approaches to the surgical treatment of re-gaining weight after bariatric operations. It considered options for audit procedures, depending on the previously performed surgery. Original techniques of repeated operations for effective correction of the relapse of overweight are described in article.

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“…Laparoscopic sleeve gastrectomy (LSG) has still been the most frequently undergone bariatric procedure in TURKEY. The success of weight loss surgery is defined by the rate of excess weight loss (EWL) (1,2). Parameters which affect the excess weight loss percent is the subject of research (3)(4)(5).…”

Section: Inroduction Inroductionmentioning

confidence: 99%

Can Gastric Specimen Measurements Defines the Laparoscopic Sleeve Gastrectomy Outcome?

Günal¹,

Uprak²,

Ergenç³

et al. 2018

SGO

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Background: It is a matter of search that resected gastric specimen measurements (RGSM) has an effect on weight loss following LSG. The aim of this study was to investigate the influence of RGSM on weight loss at 3-6-12 months after LSG. Methods: 64 Patients who underwent LSG between 2014-2018 at Marmara University Hospital were enrolled. The LSG procedure and RGSMs were performed using standardized techniques. Patients were followed-up every 3 months in the first year. Correlations between the percentages of excess weight losses (EWL) at 3rd, 6th, 12th months and RGSMs were evaluated. Results: No major complication was seen. Mean body mass index (BMI) at 1 year after LSG was significantly lower than the baseline BMI 50.4±8.4 kg/m 2 versus 31±6.1 kg/m 2 ; P=0.001). Mean % EWLs-3rd,-6th,-12th months were 39%, 59%, 75%, respectively. Resected gastric volume (RGV) was 803.28±37.2 mL. Expansibility on resection line (LRL-e) was 17.2±1.3 %. There was no correlation between RGV and % EWL at 3-6-12 mo. However, the % EWL-12 mo. was correlated with LRL-e (r=0,514, p=0,014). Conclusion: There is a positive correlation between 12th mo EWL% and LRL-e of resected specimen. This may bea harbinger of good weight loss during the theatre.

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The Magnitude of Antral Resection in Laparoscopic Sleeve Gastrectomy and its Relationship to Excess Weight Loss

Abstract: Radical antral resection in association with LSG safely potentiates the restrictive effect achieved and may result in greater and better maintained weight loss.

Cited by 53 publications

References 34 publications

Leaks after laparoscopic sleeve gastrectomy: overview of pathogenesis and risk factors

Leaks after laparoscopic sleeve gastrectomy: overview of pathogenesis and risk factors

Revision procedures in bariatric surgery

Can Gastric Specimen Measurements Defines the Laparoscopic Sleeve Gastrectomy Outcome?

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