Modified Sleeve Gastrectomy Combined with Laparoscopic Rossetti Fundoplication and Vascularization Assessment with Indocyanine Green

Olmi, Stefano; David, Giulia; Cesana, Giovanni; Ciccarese, Francesca; Giorgi, Riccardo; Carli, Stefano De; Uccelli, Matteo

doi:10.1007/s11695-019-03970-w

Cited by 14 publications

(17 citation statements)

References 9 publications

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“…Standard SG and SG + RF techniques were largely described in previous manuscripts [15,22,23]. In both interventions, four trocars were used: 10 mm left sub-costal (optic view), 5 mm epigastric (liver retraction), 5 mm right hypochondrium (left hand), and 15 mm mesogastrium (right hand).…”

Section: Surgical Techniquementioning

confidence: 99%

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Effect of laparoscopic sleeve gastrectomy vs laparoscopic sleeve + Rossetti fundoplication on weight loss and de novo GERD in patients affected by morbid obesity: a randomized clinical study

et al. 2022

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Purpose To compare sleeve gastrectomy (SG) to SG associated with Rossetti fundoplication (SG + RF) in terms of de novo gastro-esophageal reflux disease (GERD) after surgery, weight loss, and postoperative complications. Materials and methods Patients affected by morbid obesity, without symptoms of GERD, who were never in therapy with proton pump inhibitors (PPIs), were randomized into two groups. One group underwent SG and the other SG + RF. The study was stopped on February 2020 due to the COVID pandemic. Results A total of 278 patients of the programmed number of 404 patients were enrolled (68.8%). De novo esophagitis was considered in those patients who had both pre-and postoperative gastroscopy (97/278, 34.9%). Two hundred fifty-one patients (90.3%) had completed clinical follow-up at 12 months. SG + RF resulted in an adequate weight loss, similar to classic SG at 12-month follow-up (%TWL = 35. 4 ± 7.2%) with a significantly better outcome in terms of GERD development. One year after surgery, PPIs were necessary in 4.3% SG + RF patients compared to 17.1% SG patients (p = 0.001). Esophagitis was present in 2.0% of SG + RF patients versus 23.4% SG patients (p = 0.002). The main complication after SG + RF was wrap perforation (4.3%), which improved with the surgeon's learning curve. Conclusion SG + RF seemed to be an effective alternative to classic SG in preventing de novo GERD. More studies are needed to establish that an adequate learning curve decreases the higher percentage of short-term complications in the SG + RF group.

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Section: Surgical Techniquementioning

confidence: 99%

“…Sleeve associated with fundoplication has been described by other authors with some variations, mostly regarding the type of fundoplication [ 16 – 21 ]. In previous manuscripts, we described the feasibility and the efficacy of SG + RF [ 22 , 23 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of laparoscopic sleeve gastrectomy vs laparoscopic sleeve + Rossetti fundoplication on weight loss and de novo GERD in patients affected by morbid obesity: a randomized clinical study

et al. 2022

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“…Of the remaining 23 studies: Seven were excluded for repetitive information, consensus conference, or different types of letters to editors [19][20][21][22][23][24][25], six for their design of case reports [26][27][28][29][30][31], and three for video reports or technical descriptions [32][33][34]. Consequently, in the final analysis of complications, seven primary retrospective studies meeting the inclusion criteria were included.…”

Section: Search Resultsmentioning

confidence: 99%

Is It Safe to Combine a Fundoplication to Sleeve Gastrectomy? Review of Literature

et al. 2021

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Background and Objectives: The rising numbers of laparoscopic sleeve gastrectomy (LSG) procedures now being performed worldwide will likely be followed by an increasing number of patients experiencing gastro-esophageal reflux disease (GERD). The purpose of the current review was to analyze in terms of safety different techniques of fundoplication used to treat GERD associated with LSG. Methods: An online search was performed in PubMed/MEDLINE in December 2020 to identify articles reporting LSG and fundoplication. The following term combination was used: (sleeve, fundoplication), (sleeve, Nissen), (sleeve, Rossetti), (sleeve, Toupet) and (sleeve, Dor). The extracted information included details of the methods (e.g., retrospective case series), demographic characteristics (e.g., age, gender), clinical characteristics, number of patients, rate of conversion, and postoperative outcomes. Results: A total of 154 studies were identified and after an assessment of title according to our exclusion criteria, 116 articles were removed. Of the 38 studies analyzed for full content review, a total of seven primary studies (487 patients) were identified with all inclusion criteria. Analyzing the different types of fundoplication used, we have identified: 236 cases of Nissen-Sleeve, 220 cases with modified Rossetti fundoplication, 31 cases of Dor fundoplication, and no case of Toupet fundoplication. The overall postoperative complication rate was 9.4%, with the most common reported complication being gastric perforation, 15 cases—3.1%. The second most common complication was bleeding identified in nine cases (1.8%) followed by gastric stenosis in six cases (1.2%). The mortality was nil. Conclusions: Different types of fundoplication associated with LSG appear to be a safe surgical technique with an acceptable early postoperative complication rate. Any type of fundoplication associated with LSG to decrease GERD should be evaluated cautiously while prospective clinical randomized trials are needed.

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“…Our search found no comparative studies. One of the studies was a case report [9]; the remaining four included studies [10][11][12][13] from prospectively maintained databases analyzed retrospectively (Table 1). A total of 240 patients were included in the studies.…”

Section: Resultsmentioning

confidence: 99%

“…Nor can any conclusion be drawn regarding the most appropriate dose and administration regimen of ICG, owing to a lack of information in some of the studies and the heterogeneity of application seen in the remainder. [9] 1 38 43 RYGB None reported Frattini et al (2015) [10] 15 42 45 Sleeve None reported Di Furia et al (2019) [11] 43 46.04 40.73 Sleeve 1 leak Ortega et al (2018) [12] 86 --Sleeve None reported Hagen et al (2019) [13] 95 43.9 ± 11.1 43.5 ± 6.4 R-RYGB None reported…”

Section: Contributorsmentioning

confidence: 99%

The use of indocyanine green in bariatric surgery: A systematic review

Carrano

Lorenzo

2020

Journal of Gastric Surgery

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Fluorescence-guided surgery is a recently developed technique in minimally invasive surgery in which a fluorescent dye is used to complement the surgeon’s judgment in making real-time intraoperative assessment of organ vascularization and proper tissue perfusion. This technique has been adopted in several different surgical subspecialties with positive results, particularly in hepatobiliary and colorectal surgery. More recently, it has also been applied in bariatric surgery, with the aim of reducing the incidence of leaks. This paper reviews the relevant literature on the topic.

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Modified Sleeve Gastrectomy Combined with Laparoscopic Rossetti Fundoplication and Vascularization Assessment with Indocyanine Green

Cited by 14 publications

References 9 publications

Effect of laparoscopic sleeve gastrectomy vs laparoscopic sleeve + Rossetti fundoplication on weight loss and de novo GERD in patients affected by morbid obesity: a randomized clinical study

Effect of laparoscopic sleeve gastrectomy vs laparoscopic sleeve + Rossetti fundoplication on weight loss and de novo GERD in patients affected by morbid obesity: a randomized clinical study

Is It Safe to Combine a Fundoplication to Sleeve Gastrectomy? Review of Literature

The use of indocyanine green in bariatric surgery: A systematic review

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