Mechanisms of Esophageal and Gastric Transit Following Sleeve Gastrectomy

Autor: Pradipta Kiswandono, Anagi Wickremasinghe, Cheryl Laurie, Geoffrey S. Hebbard, Paul Beech, Geraldine J. Ooi, Paul Burton, Yazmin Johari, Wendy A. Brown, Kenneth Yap, Helen Yue
Rok vydání: 2020
Předmět:
Zdroj: Obesity Surgery. 31:725-737
ISSN: 1708-0428
0960-8923
Popis: Sleeve gastrectomy (SG) patients have substantially altered anatomy. The mechanism of rapid gastric emptying and the role of esophageal contractile function in esophago-gastric transit has not been defined. We aimed to determine the mechanisms of esophago-gastric transit and role of esophageal function following sleeve gastrectomy. Prospective study of twenty-six asymptomatic participants post SG underwent nuclear scintigraphy and high-resolution manometry. Fourteen had semi-solid stress barium to model the emptying process. Concurrent video fluoroscopy and manometry were performed on 7 participants. Demographic data are as follows: age 45.3 ± 15.0 years, 73.1% female, excess weight loss 62.2 ± 28.1% at 8 months. Scintigraphy showed rapid gastric emptying (24.4 ± 11.4 vs. 75.80 ± 45.19 min in control, p
Databáze: OpenAIRE