Can Omentopexy Reduce the Incidence of Gastroesophageal Reflux Disease After Laparoscopic Sleeve Gastrectomy

Nosrati, Saeid Shams; Pazouki, Abdolreza; Sabzikarian, Mohammad; Pakaneh, Mohammadali; Kabir, Ali; Kermansaravi, Mohammad

doi:10.1007/s11695-020-04923-4

Cited by 19 publications

(21 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…16 Females represented the main portion of the recruited patients, 72.3%, and the mean age of patients in this study was 38.7 years old, these figures were similar to that reported by other studies with similar purpose. 4,17,18 The mean BMI in this study was 45.91 kg/m 2 , similar to what was reported in similar studies. 15,18 The type-two diabetes mellitus is highly connected to increased body weight, as for every one-kilogram increase in the body weight, the risk of developing type-2 DM increases by 4.5%.…”

Section: Discussionsupporting

confidence: 88%

Laparoscopic Sleeve Gastrectomy with Interrupted Sutures Omentopexy, Does a Simple Addition Change the Outcome?

Elghandour

Osman

Khalifa

et al. 2021

Ain Shams Journal of Surgery

View full text Add to dashboard Cite

Background: Obesity is a major risk for mortality and morbidity. After failure of conservative management, the only way out is a bariatric procedure. The Laparoscopic Sleeve Gastrectomy (LSG) is the most frequently performed bariatric procedure worldwide. It is easier and has a shorter learning curve than other bariatric procedures. In this study we addressed a modified technique for omental reattachment to the staple line during LSG and its value in decreasing early postoperative complications. Patients and methods:This was a concurrent cohort study, which involved 119 patients who underwent LSG for a valid indication in adDemerdash Hospital, Ain-Shams University. Patients were randomly allocated into 2 Groups, Group A (n=60), underwent a LSG followed by a modified omentopexy, while Group B (n=59), underwent LSG with no omentopexy.Results: Males represented 27.7% of patients, the mean age was 38.7 years old. The mean BMI was 48.22 kg/ m2. The sleep apnea was reported in 30.25% of patients, followed by hypertension in 24.3%, DM in 15.9%, and GERD in 5.8% of the patients. The mean intra-operative blood loss was 11.5±3.7 cc, the operative time was significantly longer in the MOP group, p<0.001. Leakage was detected in a single case and gastric sleeve twist was observed in 2 cases in Group B, while postoperative GERD was presented in 8.33% of Group A and 16.94% in Group B. Vomiting was reported in 16.8% of the patients at first day postoperative this number declined to 5.8% at both 1-week and 1-month follow-up visits. The median of number of attacks of vomiting per day in the first day postoperative was 0 with range of 0-5. There was significant decrease in vomiting in the MOP in the 1-week and 1-month follow-up visits. Conclusion:The modified omentopexy (MOP) is a simple addition to the LSG, with the added value of reducing some postoperative complications and symptoms, mainly the postoperative nausea and vomiting attacks.

show abstract

Section: Discussionsupporting

confidence: 88%

Laparoscopic Sleeve Gastrectomy with Interrupted Sutures Omentopexy, Does a Simple Addition Change the Outcome?

Elghandour

Osman

Khalifa

et al. 2021

Ain Shams Journal of Surgery

View full text Add to dashboard Cite

show abstract

“…3 Length of stay analysis changes in the lower esophageal sphincter (LES) tone [8]. On the other hand, Nasrati et al, in a retrospective cohort study in a group of 201 patients, show that omentopexy does not have a significant effect on reducing the incidence of de novo GERD after LSG after 1-year observation [31]. Also Cheguevara et al, in a prospective randomized controlled trial in a group of 60 LSGs divided into two groups, show that omentopexy did not significantly decrease postoperative food intolerance or GI symptoms in morbidly obese patients undergoing LSG.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Sleeve Gastrectomy with Omentopexy: Is It Really a Promising Method?—A Systematic Review with Meta-analysis

et al. 2021

View full text Add to dashboard Cite

Purpose Laparoscopic sleeve gastrectomy (LSG) is one of the most commonly performed bariatric procedure worldwide. Omentopexy during LSG is a novel variation of this well-established technique. There are no clear conclusions on indications for this procedure, safeness, and effects of such a method. We aimed to compare the outcomes of laparoscopic sleeve gastrectomy (LSG) with omentopexy (OP) and without omentopexy. Materials and Methods We searched the Medline, EMBASE, and Scopus databases up-to June 2020. Full-text articles and conference abstracts were included for further analysis. This review follows the PRISMA guidelines. Results Of initial 66 records, only 4 studies (N = 1396 patients) were included in the meta-analysis. Our findings showed that LSG with omentopexy had significantly lowered overall morbidity compared to LSG without omentopexy (RR = 0.38; 95% CI [0.15, 0.94]; p=0.04). Gastric leakage rate (RR = 0.17; 95% CI [0.04, 0.76]; p = 0.02) was also significantly lower in LSG with omentopexy. There were no significant differences between groups in length of hospital stay. Conclusions Our meta-analysis showed that LSG with omentopexy may be a feasible procedure for decreasing morbidity and gastric leak rate. However, despite promising results, the procedure needs to be researched more in randomized controlled studies to draw solid conclusions.

show abstract

“…After CO 2 insufflation and inserting optical trocar, two 12-mm trocars and two 5-mm trocars were inserted. The surgery started with releasing the angle of His for identifying any occult hiatal hernia, then gastrolysis was performed and VSG was done with 5 to 6 linear staplers over a 36 Fr bougie, 4 cm away of pylorus to the angle of His with a 1-cm distance 16…”

Section: Methodsmentioning

confidence: 99%

“…The surgery started with releasing the angle of His for identifying any occult hiatal hernia, then gastrolysis was performed and VSG was done with 5 to 6 linear staplers over a 36 Fr bougie, 4 cm away of pylorus to the angle of His with a 1-cm distance. 16 All specimens were analyzed by 2 pathologists for macroscopic and histopathological evaluation. Additional immunohistochemical staining was performed in suspicious cases to rule out any malignancy.…”

Section: Surgical Proceduresmentioning

confidence: 99%

Association of Hypercholesterolemia With Gastric Intestinal Metaplasia, Findings After Sleeve Gastrectomy Pathology Review

Kermansaravi

Rezvani²,

Sadr

et al. 2022

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

Self Cite

View full text Add to dashboard Cite

Background: We evaluated the relationship between comorbidities associated with obesity, body mass index (BMI), and development of intestinal metaplasia (IM) after vertical sleeve gastrectomy (VSG). Materials and Methods: All VSG specimens performed at an academic center between 2011 and 2018 were reviewed. All specimens underwent histopathologic assessment, while those with findings suspicious for IM underwent additional immunohistochemical work up. Baseline patient characteristics and demographic data were obtained from Iran National Obesity Surgery Database by retrospective review. Results: A total of 862 adult individuals underwent VSG during the study period and specimens were histopathologically examined. All patients had preoperative upper endoscopy. The most common histopathologic diagnosis was miscellaneous findings (57.8%) followed by no pathologic finding (36.7%). The minority of patients (5.5%) had IM. Although 40.5% of patients had positive Helicobacter pylori infection preoperatively, just 13.8% had still positive infection postoperatively. A significant association was found between IM and hypercholesterolemia (odds ratio: 1.95; 95% confidence interval: 1.1, 3.5). Conclusion: This study found a correlation between histopathologic changes in patients with IM and hypercholesterolemia. Prospective research studies are recommended to further examine this correlation.

show abstract

Can Omentopexy Reduce the Incidence of Gastroesophageal Reflux Disease After Laparoscopic Sleeve Gastrectomy

Cited by 19 publications

References 42 publications

Laparoscopic Sleeve Gastrectomy with Interrupted Sutures Omentopexy, Does a Simple Addition Change the Outcome?

Laparoscopic Sleeve Gastrectomy with Interrupted Sutures Omentopexy, Does a Simple Addition Change the Outcome?

Laparoscopic Sleeve Gastrectomy with Omentopexy: Is It Really a Promising Method?—A Systematic Review with Meta-analysis

Association of Hypercholesterolemia With Gastric Intestinal Metaplasia, Findings After Sleeve Gastrectomy Pathology Review

Contact Info

Product

Resources

About