What Is the Optimal Time on a Low-Calorie Diet Prior to Laparoscopic Anti-reflux Surgery? A Prospective Case-Controlled Study.
Humans
Body Composition
Caloric Restriction
/ methods
Laparoscopy
Liver
/ diagnostic imaging
Weight Loss
Prospective Studies
Case-Control Studies
Time Factors
Organ Size
Fatty Liver
/ diagnostic imaging
Ultrasonography
Magnetic Resonance Imaging
Young Adult
Adult
Middle Aged
Aged
Preoperative Period
Digestive System Surgical Procedures
/ methods
Bedside ultrasonography
Body composition analysis
Laparoscopic anti-reflux surgery
Liver volume
Low-calorie diet (LCD)
Magnetic resonance imaging (MRI)
Very low-calorie diet (VLCD)
Journal
Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract
ISSN: 1873-4626
Titre abrégé: J Gastrointest Surg
Pays: United States
ID NLM: 9706084
Informations de publication
Date de publication:
11 2022
11 2022
Historique:
received:
10
04
2022
accepted:
29
07
2022
pubmed:
26
8
2022
medline:
11
11
2022
entrez:
25
8
2022
Statut:
ppublish
Résumé
A very low-calorie diet (VLCD) or low-calorie diet (LCD) is often used prior to laparoscopic surgery to optimize access to the hiatus. Much debate exists in the literature regarding the required duration for a VLCD or LCD, and how to evaluate the presence of a fatty liver. The aim of our study was to determine the optimal amount of time on an LCD to achieve maximal liver volume reduction, and to assess the accuracy of the InBody 230® vs. bedside ultrasonography vs. magnetic resonance imaging (MRI) in the measurement of liver volume. Seventeen consecutive patients undergoing laparoscopic anti-reflux surgery were recruited into the study. Each patient underwent body composition analysis with the InBody® 230, liver ultrasound, and liver MRI. Patients then began an LCD with a weekly ultrasound assessment until the day before surgery when they underwent repeat body composition analysis, liver ultrasound, and MRI. The mean age was 54 years (range 21, 74). Maximal liver volume loss was noted within 3 weeks for 88% of participants, with 47% achieving their maximal liver volume reduction after the first week of an LCD. The mean reduction in liver volume was 16%, 18.6%, and 19% for MRI, ultrasound, and body composition analysis, respectively. Close to 90% of patients require 3 weeks or less on an LCD to achieve maximal liver volume loss prior to laparoscopic anti-reflux surgery. Body composition analysis and bedside ultrasonography were both as accurate as the gold standard MRI in the assessment of liver volume.
Identifiants
pubmed: 36008652
doi: 10.1007/s11605-022-05438-2
pii: 10.1007/s11605-022-05438-2
pmc: PMC9643211
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
2249-2254Informations de copyright
© 2022. The Author(s).
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