Early effects of bougie size on sleeve gastrectomy outcome

Sleeve Gastrectomy and Roux-en-Y Gastric Bypass Lead to Comparable Changes in Body Composition after Adjustment for Initial Body Mass Index

“…All SG patients in this study were operated with a 42-Fr bougie, which is perhaps bigger than other surgeons would use. Based on the recent published data comparing outcomes after SG using different bougies, the size seems to have no influence on %EWL [16,17]. Parikh et al concluded in his metaanalysis that no difference regarding %EWL between bougie <40 Fr and bougie ≥40 Fr up to 36 months after SG could be detected [18].…”

Long-term Weight and Metabolic Effects of Laparoscopic Sleeve Gastrectomy Calibrated with a 50-Fr Bougie

“…In Fig. 2 Evolution of excess weight loss at 1, 2, and 5 years after surgery (mean values are represented by the squares, standard deviation by the arrows) contrast, diverse authors have hypothesized that the use of smaller diameter bougies is associated with higher weight loss rates [5,11]. Moreover, several authors defend that the use of larger bougies might decrease the leak rate.…”

“…In contrast, Abd Ellatif et al [17] showed that smaller bougie size led to greater EWL. Most recently, Hawasli et al [5] found that smaller bougies meant more tendencies toward increased nausea, more emergency department visits, and readmissions, but long-term weight loss was not affected.…”

“…However, there is little longterm evidence available of long-term results of LSG, because it was originally described as a first-stage bariatric procedure followed by Roux-Y gastric bypass or duodenal switch in high-risk patients, and it has been just recently used as a primary weight loss surgery procedure. Some authors have hypothesized that smaller bougies are associated with long-term lower weight regain [5].…”

Does Contouring of the Sleeve Help Prevent de novo GERD after Laparoscopic Sleeve Gastrectomy? A Nonrandomized Study

“…Small bougies tend to cause stricture, and conversely large bougies theoretically will produce sleeve dilatation and weight regain [17]. Group A was operated with various size of bougie while group B was operated only with 36 Fr.…”