The Omentopexy Role in The Prevention of Post-Operative Gastric Sleeve Surgery Complications

Labib, Mohamed Fathy

doi:10.21608/ejhm.2020.127971

Cited by 7 publications

(5 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…No gastric twist instances were identified during the duration of the follow-up duration. The hospital stay was insignificantly different between the two groups (p = 0.238) [13] .…”

Section: Discussionmentioning

confidence: 82%

“…Nosrati et al [12] indicated that DM was insignificantly different among both groups. Labib [13] demonstrated that GERD was the most prevalent comorbidity, group A: occurring in 6.98 and 8.14 % of cases, respectively, while diabetes occurred in 5.81 and 6.98 % of cases in both groups. Additional concurrent medical conditions that were present were hypertension, obstructive sleep apnea, and dyslipidemia.…”

Section: Discussionmentioning

confidence: 96%

See 1 more Smart Citation

Omentopexy versus Non-Omentopexy after Sleeve ‎Gastrectomy: A Randomized Controlled Trial ‎

2024

The Egyptian Journal of Hospital Medicine

View full text Add to dashboard Cite

Background: Laparoscopic sleeve gastrectomy has been a common method performed exclusively for morbidly obese cases as an achieving weight loss means. Objective: We aimed to compare outcome of omentopexy versus non-omentopexy in reducing of bleeding after sleeve gastrectomy. Patients and Methods: This prospective randomized controlled trial was conducted on 64 morbid obese patients aged from 30 to 55 years old, both sexes, with body mass index (BMI) above 40 and were fit for general anesthesia and accepting participation in the research. Participants were randomly allocated into two equal groups; group A were morbid obese participants underwent omentopexy after sleeve gastrectomy and group B were morbid obese participants underwent non-omentopexy after sleeve gastrectomy. Results: Sex was significantly different between both groups with more prevalence of females in group A. The operative time was significantly prolonged in group A in contrast to group B. Regarding the postoperative weight, and BMI change, the cases body weight in both group A and B was significantly reduced during follow up (P<0.001). When comparing between both groups, the weight, and BMI at 1, 3, 6 and 12 months was significantly decreased in group A in contrast to group B (P<0.05). Conclusions:The results detected that although the procedure in group A was more time-consuming, it may have yielded superior long-term control overweight and BMI while maintaining comparable safety profiles.

show abstract

“…No gastric twist instances were identified during the duration of the follow-up duration. The hospital stay was insignificantly different between the two groups (p = 0.238) [13] .…”

Section: Discussionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 96%

Omentopexy versus Non-Omentopexy after Sleeve ‎Gastrectomy: A Randomized Controlled Trial ‎

2024

The Egyptian Journal of Hospital Medicine

View full text Add to dashboard Cite

show abstract

“…After that, one reference and two guidelines were removed by reading the full text. Finally, 13 studies were included in our final analysis by conducting qualitative synthesis on retained articles 9,10,15–25 . The integrated selecting procedure is shown in the flowchart (Figure 1).…”

Section: Resultsmentioning

confidence: 99%

“…Finally, 13 studies were included in our final analysis by conducting qualitative synthesis on retained articles. 9,10,[15][16][17][18][19][20][21][22][23][24][25] The integrated selecting procedure is shown in the flowchart (Figure 1).…”

Section: Study Selectionmentioning

confidence: 99%

Effect of omentopexy/gastropexy on gastrointestinal symptoms after laparoscopic sleeve gastrectomy: A meta‐analysis of randomized controlled trials and systematic review

Zhu

Yuan

et al. 2023

Asian J Endoscop Surgery

View full text Add to dashboard Cite

Introduction The increased prevalence of obesity worldwide and low incidence of postoperative complications make the laparoscopic sleeve gastrectomy (LSG) a clear public choice for obese‐related individuals. Pre‐existing studies reported contentious outcomes regarding the association with gastrointestinal symptoms after adding omentopexy (Ome) or gastropexy (Gas) to LSG. The present meta‐analysis attempted to evaluate the pros and cons of operating Ome/Gas after LSG concerning gastrointestinal symptoms. Methods The data extraction and study quality assessment were independently performed by two individuals. The PubMed, EMBASE, Scopus, and Cochrane Library databases were systematically searched up to October 1, 2022, using the keywords LSG, omentopexy, and gastropexy to identify randomized controlled trial studies. Results Of the original 157 records, 13 studies with 3515 patients were included. LSG with Ome/Gas excels the LSG group in nausea (odds ratio [OR] = 0.57; 95% CI[0.46, 0.70]; P < .00001), reflux (OR = 0.57; 95% CI [0.46, 0.70]; P < .00001), vomiting (OR = 0.41; 95% CI [0.25, 0.67]; P = .0004) on gastrointestinal symptoms and bleeding (OR = 0.36; 95% CI [0.22, 0.59]; P < .0001), leakage (OR = 0.19; 95% CI [0.09, 0.43]; P < .0001), gastric torsion (OR = 0.23; 95% CI [0.07, 0.75]; P = .01) on post‐LSG complications. Further, LSG with Ome/Gas was superior to LSG regarding the result of excess body mass index loss in 1 year after surgery (mean difference = 1.83; 95% CI [0.59, 3.07]; P = .004). However, no significant associations were shown between groups in wound infection and the resulting weight or body mass index 1 year after surgery. Of note, subgroup analysis indicated that gastroesophageal reflux disease can be alleviated by adding Ome/Gas post‐LSG in those who used small bougies from 32 to 36 Fr (OR = 0.24; 95% CI [0.17, 0.34]; P < .00001) in contrast with large bougies over 36 Fr. Conclusion Most results elucidated the impact of adding Ome/Gas after LSG in reducing the incidence of gastrointestinal symptoms. Additionally, more studies should be conducted to find the relations between other indicators in the present analysis due to the poor cases.

show abstract

“…Early postoperative nausea and vomiting (PONV) (21) found that patients in the OP/GP group had less nausea and vomiting in the rst postoperative day. Labib et al 2020 study (22) found that patients in the OP/GP group had less postoperative transient vomiting.…”

Section: Postoperative Bleeding and Leakagementioning

confidence: 96%

Omentopexy/Gastropexy (OP/GP) in Sleeve Gastrectomy Appears to Decrease the Incidence of Gastric Twist, Motility Related Complications, Leaks, and Bleeding. A Meta-Analysis of 17 Comparative Studies and a Plea for Routine OP/GP

Diab

Alfieri

Deblieux

et al. 2023

Preprint

View full text Add to dashboard Cite

Laparoscopic sleeve gastrectomy (LSG) can cause gastric twist/torsion, gastroesophageal reflux disease (GERD), and prolonged postoperative nausea and vomiting (PONV). In addition, bleeding and leaks are the most feared complications in the early postoperative period. Various staple line reinforcement (SLR) techniques have been innovated to reduce the incidence of bleeding and leaks; as oversewing (OS), omentopexy/gastropexy (OP/GP), buttressing, and gluing. OP/GP isn’t only an SLR method that is used for prevention of bleeding and leaks, but also a staple line fixation method that few surgeons use to prevent gastric twist/torsion, and motility related complications as GERD and prolonged PONV. The goal of this study is to compare postoperative outcomes between LSG with OP/GP and LSG without OP/GP or any other SLR method. Key points • OP/GP decreases, leaks, bleeding, readmissions, prolonged PONV, gastric twist/torsion, and GERD. This was consistent in all studies (no heterogeneity). • OP/GP appears to decrease length of stay and prolonged antacids use at 12 months postoperatively, but this isn’t on solid ground due to significant heterogeneity observed among studies. • The only disadvantage of OP/GP is the increase in operative time.

show abstract

The Omentopexy Role in The Prevention of Post-Operative Gastric Sleeve Surgery Complications

Cited by 7 publications

References 19 publications

Omentopexy versus Non-Omentopexy after Sleeve ‎Gastrectomy: A Randomized Controlled Trial ‎

Omentopexy versus Non-Omentopexy after Sleeve ‎Gastrectomy: A Randomized Controlled Trial ‎

Effect of omentopexy/gastropexy on gastrointestinal symptoms after laparoscopic sleeve gastrectomy: A meta‐analysis of randomized controlled trials and systematic review

Omentopexy/Gastropexy (OP/GP) in Sleeve Gastrectomy Appears to Decrease the Incidence of Gastric Twist, Motility Related Complications, Leaks, and Bleeding. A Meta-Analysis of 17 Comparative Studies and a Plea for Routine OP/GP

Contact Info

Product

Resources

About