Volume of Resected Stomach as a Predictor of Excess Weight Loss After Sleeve Gastrectomy

Obeidat, Firas; Shanti, Hiba; Mismar, Ayman; Elmuhtaseb, M. S.; Al–Qudah, Mahmoud A.

doi:10.1007/s11695-014-1330-y

Cited by 31 publications

(27 citation statements)

References 23 publications

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“…Causey MW et al [ 12 ] reported similar results about the leak pressure generated by the saline solution injection, suggesting the accuracy of this method of measurement with no significant prevalence in the location of the leak. Similar results were obtained by other authors [ 4 , 12 , 13 ].…”

Section: Discussionsupporting

confidence: 93%

“…Significant differences in the results of LSG for RGV>1200 ml were showed in the literature [ 4 , 5 , 13 ]. Other authors have also shown that very high or low RGV cut-off do not determine significant differences between the samples [ 13 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…Recently, some authors adopted age, body mass index (BMI), C-peptide level and duration of DM2 as predicting factors for the glycemic control after LSG [ 3 ], but currently there are some Authors [ [4] , [5] , [6] ] in literature reports that compare the resected gastric volume (RGV) with DM2 control with different results.…”

Section: Introductionmentioning

confidence: 99%

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High Resected Gastric Volume and poorly controlled DM2 in laparoscopic sleeve gastrectomy

Sista

Abruzzese

Guadagni

et al. 2018

Annals of Medicine and Surgery

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BackgroundOur aim is to evaluate the effects of High Resected Gastric Volume(HRGV) on poorly Type 2 Diabetes Mellitus(DM2) after Laparoscopic Sleeve Gastrectomy(LSG).Methods256 patients were divided into two groups according to the RGV: < 1500 mL(Group A: 131 pts) and > 1500 mL(Group B: 147 pts). % excess body mass index loss (%EBMIL), Fasting Blood Glucose (FBG), HbA1c, C peptide were assessed before surgery and at the 3rd day, 6th,12th,24th,36th month after LSG.ResultsA significant difference in %EBMIL between the two groups at 24 and 36 months was found. RGV was not significantly associated with DM2 in the multivariate logistic regression. FBG levels showed no differences between the two groups. A significant decrease of Hb1Ac at 6 and 12 months was found in group B. The C-peptide level showed a significant reduction at 6 and 12 months in group B.ConclusionThe HRGV may play a role in the regulation of the glucose metabolism in the first year after LSG without influence in poorly DM2 control. Further studies are needed to confirm these findings.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

High Resected Gastric Volume and poorly controlled DM2 in laparoscopic sleeve gastrectomy

Sista

Abruzzese

Guadagni

et al. 2018

Annals of Medicine and Surgery

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“…In order to measure RGV, we manually injected saline solution in a 16-Fr Foley catheter inserted in the gastric antrum, until the leakage of the staple line, as found in Litterature. 14,15 We had no difference between…”

Section: Discussionmentioning

confidence: 84%

Does gastric resection volume influence sleeve gastrectomy results? a prospective study

et al. 2016

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“…There has been significant interest in the association of the volume of the resected specimen with weight loss. Studies in the past have shown divergent results, with strength of correlation between volume of resected specimen and excess weight loss varying from large 8‐10 to no correlation 11,12 . Current understanding is that the residual gastric volume (RGV) might be a more reliable variable to study, as the volume of the resected stomach might vary significantly with the preoperative stomach volume.…”

Section: Introductionmentioning

confidence: 99%

Correlation of weight loss with residual gastric volume on computerized tomography in patients undergoing sleeve gastrectomy: A systematic review

et al. 2020

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Summary Laparoscopic Sleeve gastrectomy (LSG) is the most commonly performed bariatric surgical procedure worldwide. There is wide variation however in post‐operative weight loss on long term follow‐up, and residual gastric volume (RGV) is believed to be an important variable. Multiple studies have correlated RGV as assessed by Computerized Tomography volumetry with excess weight loss (EWL%) following LSG, but definite consensus is lacking. This article systematically reviews the published studies in English literature to ascertain whether any correlation exists between the RGV and EWL% following LSG. Ten studies were included in this review, and significant differences were noted in the technique of RGV assessment, and timing of RGV and EWL% assessment. Five studies found a statistically significant correlation between the RGV and EWL%. One study found a correlation which did not reach statistical significance. Two additional studies reported that the resected volume rather than RGV correlated with the EWL%. Meta‐analysis of studies reporting correlation between RGV and EWL% showed that up to 26.3% (95% CI: 5.1%‐56.1%) of variability in EWL% can be explained by variations in RGV. A lower RGV is likely to result in a better post‐operative weight loss following LSG. There is need for standardization of technique and timing of RGV assessment.

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Volume of Resected Stomach as a Predictor of Excess Weight Loss After Sleeve Gastrectomy

Abstract: The VRS can be used as an indicator of excess weight loss 1 year after LSG.

Cited by 31 publications

References 23 publications

High Resected Gastric Volume and poorly controlled DM2 in laparoscopic sleeve gastrectomy

High Resected Gastric Volume and poorly controlled DM2 in laparoscopic sleeve gastrectomy

Does gastric resection volume influence sleeve gastrectomy results? a prospective study

Correlation of weight loss with residual gastric volume on computerized tomography in patients undergoing sleeve gastrectomy: A systematic review

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