Laparoscopic Sleeve Gastrectomy: 2 cm versus 6 cm Distance from the Pylorus
Background:The objective of this prospective randomized study was to study the effect of the residual gastric antrum size on the outcome of laparoscopic sleeve gastrectomy and to evaluate the effect of antral resection on weight reduction and complications after LSG. Patients and Methods: Sixty pat...
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| Format: | Article |
| Language: | English |
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South Valley University, Faculty of Medicine
2021-01-01
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| Series: | SVU - International Journal of Medical Sciences |
| Subjects: | |
| Online Access: | https://svuijm.journals.ekb.eg/article_112020.html |
| _version_ | 1818744715576606720 |
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| author | Ahmad A. Maklad* Asmaa G. Rizk Mohamed Y. Ahmed Mohammed K. Elamaary |
| author_facet | Ahmad A. Maklad* Asmaa G. Rizk Mohamed Y. Ahmed Mohammed K. Elamaary |
| author_sort | Ahmad A. Maklad* |
| collection | DOAJ |
| description | Background:The objective of this prospective randomized study was to study the effect of the residual gastric antrum size on the outcome of laparoscopic sleeve gastrectomy and to evaluate the effect of antral resection on weight reduction and complications after LSG.
Patients and Methods: Sixty patients underwent LSG as a primary bariatric procedure from November 2016 to March 2019 were randomized into two groups depending on the distance from the pylorus at which gastric division begins. In group (A), the distance was 2 cm from the pylorus, whereas the distance was 6 cm in group (B). The follow-up period was at least 6 months. Baseline and 3 and 6 month outcomes were analyzed including assessments of the percent excess weight lost (% EWL), reduction in BMI, morbidity, mortality, reoperations, quality of life, and co-morbidities.
Result(s): Sixty patients included in this study, whose mean pre-operative age was (32.48± 7.92) years, three (5%) patients were males and 57(95%) patients were females with a mean pre-operative BMI was (53.45 ± 8.00) Kg/m2. In group A, the mean % EWL was (33.1 ± 7.15) and (51.37 ± 8.57) at 3 and 6 months respectively. In group B the mean % EWL was (29.29 ± 6.1) and (46.44 ± 9.85) at 3 and 6 months respectively. Patients with the first staple line started 2 cm from the pylorus had better weight loss than those started 6 cm from the pylorus after 3 and 6 months, but this difference statistically insignificant.
Conclusion(s): LSG with 2 cm or 6 cm first staple firing from the pylorus produces significant weight loss after surgery. The 2 procedures are equally effective regarding %EWL, morbidity, quality of life, and improvement of co-morbiditieswith insignificant superiorities of 6 cm group. |
| first_indexed | 2024-12-18T02:48:43Z |
| format | Article |
| id | doaj.art-7564ad9735124b8da731cf3bb6c786eb |
| institution | Directory Open Access Journal |
| issn | 2735-427X 2636-3402 |
| language | English |
| last_indexed | 2024-12-18T02:48:43Z |
| publishDate | 2021-01-01 |
| publisher | South Valley University, Faculty of Medicine |
| record_format | Article |
| series | SVU - International Journal of Medical Sciences |
| spelling | doaj.art-7564ad9735124b8da731cf3bb6c786eb2022-12-21T21:23:30ZengSouth Valley University, Faculty of MedicineSVU - International Journal of Medical Sciences2735-427X2636-34022021-01-01413040https://dx.doi.org/10.21608/svuijm.2021.112020 Laparoscopic Sleeve Gastrectomy: 2 cm versus 6 cm Distance from the PylorusAhmad A. Maklad*0Asmaa G. Rizk1Mohamed Y. Ahmed2 Mohammed K. Elamaary3Qeft Teaching Hospital, The general organization for teaching hospitals and institutesDepartment of General Surgery, Qena faculty of medicine, South Valley University, Qena, EgyptDepartment of General Surgery, Qena faculty of medicine, South Valley University, Qena, EgyptDepartment of General Surgery, Qena faculty of medicine, South Valley University, Qena, EgyptBackground:The objective of this prospective randomized study was to study the effect of the residual gastric antrum size on the outcome of laparoscopic sleeve gastrectomy and to evaluate the effect of antral resection on weight reduction and complications after LSG. Patients and Methods: Sixty patients underwent LSG as a primary bariatric procedure from November 2016 to March 2019 were randomized into two groups depending on the distance from the pylorus at which gastric division begins. In group (A), the distance was 2 cm from the pylorus, whereas the distance was 6 cm in group (B). The follow-up period was at least 6 months. Baseline and 3 and 6 month outcomes were analyzed including assessments of the percent excess weight lost (% EWL), reduction in BMI, morbidity, mortality, reoperations, quality of life, and co-morbidities. Result(s): Sixty patients included in this study, whose mean pre-operative age was (32.48± 7.92) years, three (5%) patients were males and 57(95%) patients were females with a mean pre-operative BMI was (53.45 ± 8.00) Kg/m2. In group A, the mean % EWL was (33.1 ± 7.15) and (51.37 ± 8.57) at 3 and 6 months respectively. In group B the mean % EWL was (29.29 ± 6.1) and (46.44 ± 9.85) at 3 and 6 months respectively. Patients with the first staple line started 2 cm from the pylorus had better weight loss than those started 6 cm from the pylorus after 3 and 6 months, but this difference statistically insignificant. Conclusion(s): LSG with 2 cm or 6 cm first staple firing from the pylorus produces significant weight loss after surgery. The 2 procedures are equally effective regarding %EWL, morbidity, quality of life, and improvement of co-morbiditieswith insignificant superiorities of 6 cm group.https://svuijm.journals.ekb.eg/article_112020.htmllaparoscopic sleeve gastrectomy; obesityexcess weight lossresidual gastric antrum |
| spellingShingle | Ahmad A. Maklad* Asmaa G. Rizk Mohamed Y. Ahmed Mohammed K. Elamaary Laparoscopic Sleeve Gastrectomy: 2 cm versus 6 cm Distance from the Pylorus SVU - International Journal of Medical Sciences laparoscopic sleeve gastrectomy; obesity excess weight loss residual gastric antrum |
| title | Laparoscopic Sleeve Gastrectomy: 2 cm versus 6 cm Distance from the Pylorus |
| title_full | Laparoscopic Sleeve Gastrectomy: 2 cm versus 6 cm Distance from the Pylorus |
| title_fullStr | Laparoscopic Sleeve Gastrectomy: 2 cm versus 6 cm Distance from the Pylorus |
| title_full_unstemmed | Laparoscopic Sleeve Gastrectomy: 2 cm versus 6 cm Distance from the Pylorus |
| title_short | Laparoscopic Sleeve Gastrectomy: 2 cm versus 6 cm Distance from the Pylorus |
| title_sort | laparoscopic sleeve gastrectomy 2 cm versus 6 cm distance from the pylorus |
| topic | laparoscopic sleeve gastrectomy; obesity excess weight loss residual gastric antrum |
| url | https://svuijm.journals.ekb.eg/article_112020.html |
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