Intrathoracic Migration of Gastric Sleeve Affects Weight Loss as well as GERD-an Analysis of Remnant Gastric Morphology for 100 Patients at One Year After Laparoscopic Sleeve Gastrectomy.

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Abstrakt

Tytuł:: Intrathoracic Migration of Gastric Sleeve Affects Weight Loss as well as GERD-an Analysis of Remnant Gastric Morphology for 100 Patients at One Year After Laparoscopic Sleeve Gastrectomy.
Autorzy:: Choi SJ; Department of Radiology, Gil Medical Center, Gachon University College of Medicine, Incheon, Republic of Korea.
Kim SM; Department of Surgery, Gil Medical Center, Gachon University Gil Hospital, Gachon University College of Medicine, 1198, Guwol-dong, Namdong-Gu, 405-760, Incheon, Republic of Korea. seongmin_.
Źródło:: Obesity surgery [Obes Surg] 2021 Jul; Vol. 31 (7), pp. 2878-2886. Date of Electronic Publication: 2021 Mar 23.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Publication: 2006- : New York : Springer Science + Business Media
Original Publication: Oxford, OX, UK : Rapid Communications of Oxford, [1991-
MeSH Terms:: Gastroesophageal Reflux*/etiology
Gastroesophageal Reflux*/surgery
Laparoscopy*
Obesity, Morbid*/surgery
Gastrectomy ; Humans ; Retrospective Studies ; Treatment Outcome ; Weight Loss
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Contributed Indexing:: Keywords: Gastroesophageal reflux; Laparoscopy; Sleeve gastrectomy; volumetry
Entry Date(s):: Date Created: 20210323 Date Completed: 20210625 Latest Revision: 20220531
Update Code:: 20240104
DOI:: 10.1007/s11695-021-05354-5
PMID:: 33755899
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Purpose: Laparoscopic sleeve gastrectomy (SG) is now frequently performed as a definitive bariatric procedure. The aim of the study was to evaluate the detailed morphology of remnant stomachs after SG with respect to volume and sleeve migration.
Materials and Methods: We performed a review of prospectively collected data on patients that completed a 12-month postop examination, which included CT volumetry of the sleeve, and a questionnaire that addressed postop food tolerance. CT volumetry study included total sleeve volume (TSV), tube volume (TV), antral volume (AV), tube/antral volume ratio (TAVR), and the presence of intrathoracic sleeve migration (ITSM).
Results: One hundred patients were included in this study. Mean %TWL (total weight loss) at 12 months postop was 31.1% (14.3~55.5), and mean TSV, TV, AV, and TAVR were 188.3 ± 67.3 ml, 81.3 ± 38.5 ml. 107.0 ± 45.1 ml, and 0.846 ± 0.514 respectively. TSV was not correlated significantly with %TWL at 12 months postop (r=-0.140, p=0.164). Thirty patients (30/100, 30%) showed ITSM. Patients with ITSM had a significantly lower mean GER score (5.9 ± 2.3 vs. 7.5±1.9, p=0.001), and a higher proportion showed suboptimal weight loss (43.3% vs. 15.7%, p=0.003).
Conclusions: Mean TSV was not found to be significantly correlated with %TWL at 12 months postop. The presence of ITSM indicated more frequent GER symptoms and a higher probability of suboptimal weight loss.

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