Outcomes, controversies and gastric volume after laparoscopic sleeve gastrectomy in the treatment of obesity

García-Díaz, Juan José; Ferrer-Márquez, Manuel; Moreno-Serrano, Almudena; Barreto-Rios, Rogelio; Alarcón, Raquel; Ferrer-Ayza, Manuel

doi:10.1016/j.circen.2016.08.008

Cited by 4 publications

(2 citation statements)

References 30 publications

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“…So, the RGV is important to reach a good result to reach the needed weight loss. Many factors during and after surgeries may affects the RGV such as, size of bougie used in the surgery, the site between 1st section and pylorus of the stomach, the site in between the bougie and operation suture line, or reinforcement material and substances used in the gastric section (8) .…”

Section: Laparoscopic Sleeve Gastrectomy (Lsg)mentioning

confidence: 99%

Computerized Axial Tomography Role in Detection of Complications of Laparoscopic Sleeve Gastrectomy: Review Article

Libda¹,

Goda²,

Sabry³

et al. 2023

The Egyptian Journal of Hospital Medicine

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Background: Obesity usually refers to, very fat accumulation. On the other hand, overweight refers to moderate fat accumulation. Abdominal Computerized Axial Tomography (CAT) ideally completed by using oral and intravenous contrast agents. This CT study aimed to learn about and identify the normal anatomy following laparoscopic sleeve gastrectomy (LSG), as well as to identify any issues that may have developed as a result of this procedure. Objective: Review of the computerized axial tomography role in detection of complications of laparoscopic sleeve gastrectomy. Methods: We scoured scholarly journals and databases including PubMed, Google Scholar, and Science Direct for reports on laparoscopic sleeve gastrectomy and computerized axial tomography. Between November 2005 and April 2022, however, only the latest or most comprehensive study was considered. The authors also assessed the usefulness of references drawn from similar books. As a result, non-English documents have been overlooked due to a lack of resources to translate them. It was commonly recognized that scientific research did not include things like unpublished publications, oral presentations, conference abstracts, or dissertations. Conclusion: CT is very important in the diagnosis of early complications after LSG. Splenic infarction was clearly observed with CT angiography, after dividing the short stomach vasculature, the ischemic patches were visible on inspection of the laparoscopic pictures, and it helped for differentiation and diagnosis of several early complications as hemorrhage, stricture, fistula, splenic infarction as well as other wound complications.

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Section: Laparoscopic Sleeve Gastrectomy (Lsg)mentioning

confidence: 99%

Computerized Axial Tomography Role in Detection of Complications of Laparoscopic Sleeve Gastrectomy: Review Article

Libda¹,

Goda²,

Sabry³

et al. 2023

The Egyptian Journal of Hospital Medicine

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“…Several factors associated with surgical technique have been studied, including volume of resected stomach, gastric remnant volume (GRV), and the size of a bougie used to calibrate gastric sleeve (GS) diameter [5][6][7][8]. GRV may be assessed either intraoperatively, by recording the amount of fluid used to expand the gastric remnant during methylene blue leak test, or with imaging studies: upper gastrointestinal study (UGI) or computed tomography (CT) [9][10][11][12][13][14][15][16][17][18].…”

Section: Introductionmentioning

confidence: 99%

Radiographic Measurement of Gastric Remnant Volume After Laparoscopic Sleeve Gastrectomy: Assessment of Reproducibility and Correlation with Weight Loss

et al. 2021

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Background As a restrictive procedure, laparoscopic sleeve gastrectomy (LSG) relies primarily on the reduction of gastric volume. It has been suggested that an immediate postoperative gastric remnant volume (GRV) may influence long-term results of LSG; however, there are no consensus in this matter. The aim of this study was to assess the reproducibility of different radiographic methods of GRV calculation and evaluate their correlation with the weight loss (WL) after surgery. Methods This retrospective study evaluated 174 patients who underwent LSG in the period from 2014 to 2017. Using UGI, GRV was measured with 3 different mathematical methods by 2 radiologists. Intraobserver and interobserver calculations were made. Correlation between GRV and WL were estimated with calculations percentage of total weight loss (%TWL) and percentage of excess weight loss (%EWL) after 1, 3, 6, 12, 18, and 24 months postoperatively. Results During analysis of intraobserver similarities, the results of ICC calculation showed that reproducibility was good to excellent for all GRV calculation methods. The intraobserver reproducibility for Reader I was highest for cylinder and truncated cone formula and for Reader II for ellipsoid formula. The interobserver reproducibility was highest for ellipsoid formula. Regarding correlation between GRV and WL, significant negative correlation has been shown on the 12th month after LSG in %TWL and %EWL for every method of GRV calculation, most important for ellipsoid formula (%TWL – r(X,Y) = -0.335, p < 0.001 and %EWL – r(X,Y) = -0.373, p < 0.001). Conclusion Radiographic methods of GRV calculation are characterized by good reproducibility and correlate with the postoperative WL. Graphical Abstract

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Gastroesophageal reflux related changes after sleeve gastrectomy and sleeve gastrectomy with fundoplication: A retrospective single center study

et al. 2022

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BackgroundThe worsening of gastroesophageal reflux disease (GERD) and “de novo” GERD after laparoscopic sleeve gastrectomy (LSG) is a major concern as it affects the patient’s quality of life; the incidence of GERD after LSG is up to 35%. Laparoscopic sleeve gastrectomy with fundoplication (LSGFD) is a new procedure which is considered to be better for patients with morbid obesity and GERD, but there is a lack of objective evidence to support this statement. This study aimed to assess the effectiveness, safety, and results of LSG and LSGFD on patients who were morbidly obese with or without GERD over an average of 34 months follow-up.MethodsFifty-six patients who were classified as obese underwent surgery from January 2018 to January 2020. Patients who were obese and did not have GERD underwent LSG and patients who were obese and did have GERD underwent LSFGD. The minimum follow-up time was 22 months and there were 11 cases lost during the follow-up period. We analyzed the short-term complications and medium-term results in terms of weight loss, incidence of de novo GERD/resolution of GERD, and remission of co-morbidities with follow-up.ResultsA total of 45 patients completed the follow-up and a questionnaire-based evaluation (GERD-Q), of whom 23 patients underwent LSG and 22 patients underwent LSGFD. We had 1 case of leak after LSGFD.No medium or long- term complications. The patient’s weight decreased from an average of 111.6 ± 11.8 Kg to 79.8 ± 12.2 Kg (P = 0.000) after LSG and from 104.3 ± 17.0 Kg to 73.7 ± 13.1 Kg (P = 0.000) after LSGFD. The GERD-Q scores increased from 6.70 ± 0.5 to 7.26 ± 1.7 (P = 0.016) after LSG and decreased from 8.86 ± 1.3 to 6.45 ± 0.8 (P = 0.0004) after LSGFD. The incidence of de novo GERD after LSG was 12 (52.2%) at the 12 month follow-up and 7 (30.4%) at the mean 34 (22–48) month follow-up. The remission of reflux symptoms, for patients who underwent LSGFD, was seen in 19 (86.4%) of 22 patients at 12 months and 20 (90.9%) of 22 patients at the mean 34 (22-48) month follow-up. The two groups did not have any significant difference in the effect of weight reduction and comorbidity resolution.ConclusionThe incidence of de novo GERD after LSG is high,LSG resulted in the same weight loss and comorbidity resolution as LSGFD, in patients who are morbidly obese and experience GERD, and LFDSG prevent the occurrence and development of GERD, combination of LSG with fundoplication (LSGFD) is a feasible and safe procedure with good postoperative results,which worthy of further clinical application.

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Outcomes, controversies and gastric volume after laparoscopic sleeve gastrectomy in the treatment of obesity

Cited by 4 publications

References 30 publications

Computerized Axial Tomography Role in Detection of Complications of Laparoscopic Sleeve Gastrectomy: Review Article

Computerized Axial Tomography Role in Detection of Complications of Laparoscopic Sleeve Gastrectomy: Review Article

Radiographic Measurement of Gastric Remnant Volume After Laparoscopic Sleeve Gastrectomy: Assessment of Reproducibility and Correlation with Weight Loss

Gastroesophageal reflux related changes after sleeve gastrectomy and sleeve gastrectomy with fundoplication: A retrospective single center study

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