Effect of laparoscopic sleeve gastrectomy vs laparoscopic Roux-en-Y gastric bypass on weight loss in Egyptian patients with morbid obesity

Baheeg, Mohamad; El-Gohary, Saed Abdel-Monem; El-Din, Mohamed Tag; Hegab, Ahmed; Shehata, Mohamed; Osman, Esam M.; Eid, Mohmmed; Abdurakhmanov, Yunus; Lamlom, Mohamed; Ali, H. M.; Elhawary, Ahmed; Mahmoud, Momen; Basiony, Mostafa; Mohammmed, Yasien; Hasan, Abdulkarim

doi:10.1016/j.amsu.2021.103235

Cited by 4 publications

(3 citation statements)

References 36 publications

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“…As living standards improve, so does the proportion of obese people, 1 and because the complications associated with obesity significantly impact their lives, making weight loss a popular topic among obese individuals. Laparoscopic sleeve gastrectomy (LSG) is a new option for obese patients due to its significant weight loss and improved comorbidity, 2 however, the incidence of postoperative pulmonary complications (PPCs) is as high as 18% among obese patients. 3 The occurrence of PPCs prolongs hospital stays and increases mortality, 4 , 5 and without effective measures, this healthcare burden will increase as the number of obese patients undergoing surgery increases.…”

Section: Introductionmentioning

confidence: 99%

Driving Pressure-Guided Ventilation in Obese Patients Undergoing Laparoscopic Sleeve Gastrectomy: A Randomized Controlled Trial

Yang,

Zhang,

et al. 2023

DMSO

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Purpose This study aims to compare the conventional lung protective ventilation strategy (LPVS) with driving pressure-guided ventilation in obese patients undergoing laparoscopic sleeve gastrectomy (LSG). Methods Forty-five patients undergoing elective LSG under general anesthesia were randomly assigned to the conventional LPVS group (group L) or the driving pressure-guided ventilation group (group D) using random numbers generated by Excel. The primary outcome was the driving pressure of both groups 90 min after pneumoperitoneum. Results After 30 min of pneumoperitoneum, 90 min of pneumoperitoneum, 10 min of closing the pneumoperitoneum, and restoring the supine position, the driving pressure of group L and group D were 20.0 ± 2.9 cm H 2 O vs 16.6 ± 3.0 cm H 2 O ( P < 0.001), 20.7 ± 3.2 cm H 2 O vs 17.3 ± 2.8 cm H 2 O ( P < 0.001), and 16.3 ± 3.1 cm H 2 O vs 13.3 ± 2.5 cm H 2 O ( P = 0.001), respectively; the respiratory compliance of groups L and D were 23.4 ± 3.7 mL/cm H 2 O vs 27.6 ± 5.1 mL/cm H 2 O ( P = 0.003), 22.7 ± 3.8 mL/cm H 2 O vs 26.4 ± 3.5 mL/cm H 2 O ( P = 0.005), and 29.6 ± 6.8 mL/cm H 2 O vs 34.7 ± 5.3 mL/cm H 2 O ( P = 0.007), respectively. The intraoperative PEEP in groups L and group D was 5 (5–5) cm H 2 O vs 10 (9–11) cm H 2 O ( P < 0.001). Conclusion An individualized peep-based driving pressure-guided ventilation strategy can reduce intraoperative driving pressure and increase respiratory compliance in obese patients undergoing LSG.

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Section: Introductionmentioning

confidence: 99%

Driving Pressure-Guided Ventilation in Obese Patients Undergoing Laparoscopic Sleeve Gastrectomy: A Randomized Controlled Trial

Yang,

Zhang,

et al. 2023

DMSO

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“…The prevalence of overweight and obesity is increasing worldwide and this has raised serious public health concerns. Epidemiologic studies have identified high body mass index (BMI) as a risk factor for a wide range of chronic diseases, including cardiovascular disease [ 1 , 2 ], musculoskeletal disorders [ 3 , 4 ], diabetes mellitus, chronic kidney disease [ 1 , 5 ], infertility [ 6 ], asthma [ 7 , 8 ], sleep apnea, and many cancers such as esophageal, colon, endometrial and gall bladder [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

The correlation of 25-hydroxyvitamin D with BMI and lipid profile: A retrospective cohort study of Syrian patients

Almatni

Alsultan

Anan

et al. 2022

Annals of Medicine &Amp; Surgery

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“…Due to the prevalence of post-operative complications and the possibility of fatality [7], [8], some bariatric surgeons routinely use the reinforcement of SL. However, some authors found that SL reinforcement (SLR) is an unnecessary procedure and has no role in preventing these complications [8].…”

Section: Introductionmentioning

confidence: 99%

Role of Staple Line Reinforcement by Oversewing in Preventing Leakage and Bleeding after Sleeve Gastrectomy

Abbas¹,

Seleem²,

Khalaf

et al. 2022

Open Access Maced J Med Sci

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BACKGROUND: Staple line (SL) bleeding and leakage after laparoscopic sleeve gastrectomy (LSG) are still commonly challenging complications. Some surgeons use SL reinforcement (SLR) to decrease the rate of bleeding and leakage, by different methods such as oversewing, fibrin glue, and bovine pericardium, but their role in preventing complications is still controversial. AIM: The aim of this study is to evaluate the incidence of SL bleeding and leakage after LSG by oversewing SL using V-Loc suture material. METHODS: This is a retrospective study carried out on 200 consecutive patients with (body mass index [BMI] >40 kg/m2) or (>35 kg/m2 plus comorbid diseases associated with obesity), divided into two groups according to SLR. Study participants were divided into two equal groups, each one included 100 patients; Group A underwent LSG without SLR, and Group B underwent LSG with SLR. RESULTS: Post-operative SL bleeding was 4% in Group A and 2% in Group B (p = 0.315). Bleeding control by reoperation was 4% in Group A and 0% in Group B (p = 0.021). Just two patients had leakage in Group A (2%) and were managed with endoscopic stenting (p = 0.105). Operative time was shorter in Group A than in Group B, with a mean of 80 and 91.41 min, respectively (p < 0.001). CONCLUSION: SLR with V-Loc suture was not effective in reducing the incidence of post-operative bleeding or leakage. However, it has a positive effect on reducing the incidence of reoperation, despite the prolongation of operative time. There is a need for more studies including larger samples to investigate the effectiveness in reducing the post-operative complications of sleeve gastrectomy operation; therefore, more prospective studies on a wide population are advised to ensure the effectiveness of reinforcement of stale line in the prevention of sleeve gastrectomy complications.

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Effect of laparoscopic sleeve gastrectomy vs laparoscopic Roux-en-Y gastric bypass on weight loss in Egyptian patients with morbid obesity

Cited by 4 publications

References 36 publications

Driving Pressure-Guided Ventilation in Obese Patients Undergoing Laparoscopic Sleeve Gastrectomy: A Randomized Controlled Trial

Driving Pressure-Guided Ventilation in Obese Patients Undergoing Laparoscopic Sleeve Gastrectomy: A Randomized Controlled Trial

The correlation of 25-hydroxyvitamin D with BMI and lipid profile: A retrospective cohort study of Syrian patients

Role of Staple Line Reinforcement by Oversewing in Preventing Leakage and Bleeding after Sleeve Gastrectomy

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