Relationship between residual gastric area and weight loss after sleeve gastrectomy: A Cohort study.
EWL
Laparoscopic sleeve gastrectomy
UGI radiography
Journal
Annals of medicine and surgery (2012)
ISSN: 2049-0801
Titre abrégé: Ann Med Surg (Lond)
Pays: England
ID NLM: 101616869
Informations de publication
Date de publication:
Jan 2022
Jan 2022
Historique:
received:
01
11
2021
revised:
08
12
2021
accepted:
11
12
2021
entrez:
24
1
2022
pubmed:
25
1
2022
medline:
25
1
2022
Statut:
epublish
Résumé
The aim of this study is to evaluate the impact of the actual size and area of the remnant stomach, as measured by Upper gastrointestinal tract radiography, on weight loss after sleeve gastrectomy. From May 2017 to December 2019, 56 patients with morbid obesity were admitted to the Department of Medical and Surgical Sciences, University of Foggia and underwent laparoscopic sleeve gastrectomy. 56 patients underwent sleeve gastrectomy with a mean age of 43,5 ± 11 years of which 40 were female. The mean Excess Weight Loss (EWL) at 1 month was 24,09 ± 15,04%, at 6 months was 27,07 ± 19,55% and at 12 months was 69,9 ± 23,7%. The mean Excess Body Mass Index Loss (EBMIL) at 1 month was 23,1 ± 12,5%, at 6 months was 56,6 ± 19,7% and at 12 months was 69,7 ± 23,7%.The EWL % was correlated with the residual stomach area (RSA) at 1 month (r = -0,242 p = 0,072), at 6 months (r = -0,249 p = 0,064) and at 12 months (r = -0,451 p = 0,0005).The EBMIL % was correlated with the RSA at 1 month (r = -0,270; p = 0,043), at 6 months (r = -0,270; p = 0,043) andat 12 months (r = -0,46; p = 0,0004). A greater postoperative EWL % was correlated with a smaller RSA and this resulted in a statistically significant change at 12 months after surgery.
Sections du résumé
BACKGROUND
BACKGROUND
The aim of this study is to evaluate the impact of the actual size and area of the remnant stomach, as measured by Upper gastrointestinal tract radiography, on weight loss after sleeve gastrectomy.
MATERIALS AND METHODS
METHODS
From May 2017 to December 2019, 56 patients with morbid obesity were admitted to the Department of Medical and Surgical Sciences, University of Foggia and underwent laparoscopic sleeve gastrectomy.
RESULTS
RESULTS
56 patients underwent sleeve gastrectomy with a mean age of 43,5 ± 11 years of which 40 were female. The mean Excess Weight Loss (EWL) at 1 month was 24,09 ± 15,04%, at 6 months was 27,07 ± 19,55% and at 12 months was 69,9 ± 23,7%. The mean Excess Body Mass Index Loss (EBMIL) at 1 month was 23,1 ± 12,5%, at 6 months was 56,6 ± 19,7% and at 12 months was 69,7 ± 23,7%.The EWL % was correlated with the residual stomach area (RSA) at 1 month (r = -0,242 p = 0,072), at 6 months (r = -0,249 p = 0,064) and at 12 months (r = -0,451 p = 0,0005).The EBMIL % was correlated with the RSA at 1 month (r = -0,270; p = 0,043), at 6 months (r = -0,270; p = 0,043) andat 12 months (r = -0,46; p = 0,0004).
CONCLUSION
CONCLUSIONS
A greater postoperative EWL % was correlated with a smaller RSA and this resulted in a statistically significant change at 12 months after surgery.
Identifiants
pubmed: 35070275
doi: 10.1016/j.amsu.2021.103177
pii: S2049-0801(21)01127-4
pmc: PMC8767233
doi:
Types de publication
Journal Article
Langues
eng
Pagination
103177Informations de copyright
© 2021 The Authors.
Déclaration de conflit d'intérêts
The authors declare no competing interests.
Références
Surg Endosc. 2012 Mar;26(3):831-7
pubmed: 22179438
Surg Obes Relat Dis. 2011 Nov-Dec;7(6):749-59
pubmed: 21945699
World J Surg. 2019 Jan;43(1):199-206
pubmed: 30094637
J Med Imaging Radiat Oncol. 2012 Aug;56(4):425-31
pubmed: 22883650
Obes Surg. 2007 Nov;17(11):1442-50
pubmed: 18219770
Ann Surg. 2010 Aug;252(2):319-24
pubmed: 20622654
JAMA Surg. 2015 Nov;150(11):1051-7
pubmed: 26244446
Ann Surg. 2017 Mar;265(3):466-473
pubmed: 28170356
World J Surg. 2021 Jan;45(1):235-242
pubmed: 33037439
Obes Surg. 2014 Mar;24(3):359-63
pubmed: 24242920
Surg Obes Relat Dis. 2009 Jul-Aug;5(4):469-75
pubmed: 19632646
Obes Surg. 2018 Mar;28(3):775-780
pubmed: 28914408
Obes Surg. 2007 Oct;17(10):1297-305
pubmed: 18098398
Obes Surg. 2011 Mar;21(3):295-9
pubmed: 21165778
Surg Obes Relat Dis. 2013 Sep-Oct;9(5):816-29
pubmed: 23993246
Int J Surg. 2019 Dec;72:156-165
pubmed: 31704426
World J Surg. 1998 Sep;22(9):947-54
pubmed: 9717420
Obes Surg. 2008 May;18(5):560-5
pubmed: 18317859
Obes Surg. 1998 Jun;8(3):267-82
pubmed: 9678194
Clin Imaging. 2017 May - Jun;43:36-41
pubmed: 28187354
Surg Obes Relat Dis. 2012 Jan-Feb;8(1):8-19
pubmed: 22248433