Early Weight Recidivism Following Laparoscopic Sleeve Gastrectomy: A Prospective Observational Study

Fahmy, M. H.; Sarhan, Mohamed D.; Osman, Ayman M. A.; Badran, Ahmed; Ayad, Amr; Serour, Dalia K.; Balamoun, Hany; Salim, Mohamed E.

doi:10.1007/s11695-016-2165-5

Cited by 22 publications

(8 citation statements)

References 35 publications

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“…The more bariatric surgeries performed, the higher the number of subjects who will not attain their targeted weight regardless of the treatment used [12]. Weight regain (WR) after bariatric surgery has the ability to impair health outcomes by resurfacing obesity-related comorbidities, reducing the quality of life, and increasing healthcare costs [13].…”

Section: Discussionmentioning

confidence: 99%

Volumetric Pouch Study After Laparoscopic Sleeve Gastrectomy

et al. 2022

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Laparoscopic sleeve gastrectomy (LSG) is considerably utilized as a bariatric method for treating morbid obesity through the reduction of stomach volume. The present study attempted to assess the volumetric changes of the gastric reservoir 1 year after LSG using multi-slice spiral computed tomography (MSCT) as well as to verify their association with weight loss. The current study is a prospective study of 40 consecutive morbid obese patients managed with laparoscopic sleeve gastrectomy. All patients were referred to abdominal MSCT besides volumetric measurement of the gastric pouch 1 month and 12 months postoperatively after the LSG. There were statistically substantial differences throughout the whole period of follow-up (p value ≤ 0.05) regarding the ratio of excess weight loss, weight loss, and decreased BMI, in addition to the ratio of excess body mass index loss (% EBMIL) after LSG. Substantial elevation of the overall volume of the gastric reservoir (82.9 SD11 and 171.6 SD23.6 ml at 1 and 12 months, respectively) was observed. However, the current findings did not demonstrate any significant association (r = 0.131, p = 0.491) between excess weight loss percentage and the increase in gastric reservoir volume 1 year postoperatively. Sleeve dilatation is a common finding following sleeve gastrectomy (SG) even after conducting a narrow gastric pouch, yet dilatation was not correlated with insufficient weight loss after 1 year postoperatively. Trial registration number: NCT04880902.

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Section: Discussionmentioning

confidence: 99%

Volumetric Pouch Study After Laparoscopic Sleeve Gastrectomy

et al. 2022

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“…Weight regain occurred in 61 (87.1%) patients of our series, however, the average of the regained kilograms was only 8 kg, after an average postoperative period of 2 years. Fahmy et al [ 19 ] studied this mechanism and concluded that the gained kilograms are positively correlated with the distance between the pylorus and the start of the staple line. We applied the same technique to all patients and we started with the staple line approximately 4 cm from the pylorus.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic sleeve gastrectomy as a primary bariatric procedure: postoperative outcomes

Mocian

Coroș

2021

Medicine and Pharmacy Reports

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Background and aims. Laparoscopic sleeve gastrectomy is at present the most popular bariatric procedure due to its significant effect on weight loss, resolution of comorbidities and improvement in the quality of life. However, there are not many studies showing its medium and long term efficacy and safety in Eastern Europe. We aim to report the outcomes of laparoscopic sleeve gastrectomy as a primary bariatric procedure from a single surgical department. Methods. This is a retrospective analysis of obese patients who underwent laparoscopic sleeve gastrectomy between 2009 - 2016 in our department. Outcomes were analyzed in terms of weight loss, comorbidity resolution and quality of life changes. Results. A number of 70 patients were included in the study, with a mean age of 47.6 ± 9.8 years. Mean initial Body Mass Index was 47.4 ± 6.4 kg/m2. The mean percentage of excess weight loss during follow-up was 78.2% at 12 months, 80.2%, 76.7%, 74.7%, 72.8%, 73.3%, 74.1%, 67.2%, 64.07%, 69.7% at 24, 36, 48, 60, 72, 84, 96, 108 and 120 months, respectively. Weight regain occurred in 61 (87.1%) patients during the postoperative period. The mean weight regained was 8.1 ± 4.8 kg at 24 months postoperatively. Regarding the quality of life, 83% of patients declared an increase in self-esteem. Resolution of diabetes, arterial hypertension, and obstructive sleep apnea syndrome occurred in 80%, 42.5% and 70.1% of patients respectively. Conclusions. Laparoscopic sleeve gastrectomy is an effective procedure, with good outcomes in the medium and long term, although a tendency for weight regain was noted after 2 years. Resolution of comorbidities is comparable with that reported in the literature, namely an improvement of the quality of life.

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“…As an early indicator of weight recidivism, resected gastric specimen measurements may be a helpful tool. Fahmy MHA et al proposed gastric computerized tomography volumetry (GCTV) for residual gastric volume measurement for the early detection of weight recidivism (4,15). However, they could only recognize weight recidivism as early as one and half -2 years.…”

Section: Discussion Discussionmentioning

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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Early Weight Recidivism Following Laparoscopic Sleeve Gastrectomy: A Prospective Observational Study

Cited by 22 publications

References 35 publications

Volumetric Pouch Study After Laparoscopic Sleeve Gastrectomy

Volumetric Pouch Study After Laparoscopic Sleeve Gastrectomy

Laparoscopic sleeve gastrectomy as a primary bariatric procedure: postoperative outcomes

Can Gastric Specimen Measurements Defines the Laparoscopic Sleeve Gastrectomy Outcome?

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