Impact of sleeve gastrectomy volumes on weight loss results: a prospective study
| Autor: | Elise Pelascini, Christian Gouillat, Pierre-Jean Valette, Emmanuel Disse, Arnaud Pasquer, Maud Robert |
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| Přispěvatelé: | Cardiovasculaire, métabolisme, diabétologie et nutrition (CarMeN), Institut National de la Recherche Agronomique (INRA)-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Hospices Civils de Lyon (HCL), Hospices Civils de Lyon (HCL), Hospices Civils de Lyon (HCL)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National des Sciences Appliquées de Lyon (INSA Lyon), Université de Lyon-Institut National des Sciences Appliquées (INSA)-Université de Lyon-Institut National des Sciences Appliquées (INSA)-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Institut National de la Recherche Agronomique (INRA) |
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Male
Weight loss medicine.medical_treatment [SDV]Life Sciences [q-bio] Bariatric Surgery Computed tomography Gastric computed tomography Endoscopy Gastrointestinal Gastrectomy/*methods 0302 clinical medicine Volumetry Prospective Studies Sleeve gastrectomy Prospective cohort study Antrum Tomography 2. Zero hunger education.field_of_study medicine.diagnostic_test Stomach Obesity/pathology/*surgery Organ Size Weight Loss/*physiology University hospital X-Ray Computed Gastroesophageal Reflux 030211 gastroenterology & hepatology Female medicine.symptom Adult medicine.medical_specialty Gastrointestinal Population 030209 endocrinology & metabolism Gastroesophageal Reflux/etiology 03 medical and health sciences Gastrectomy medicine Humans Obesity education business.industry Reflux Endoscopy Surgery Bariatric Surgery/*methods Stomach/*pathology Tomography X-Ray Computed business |
| Zdroj: | Surgery for Obesity and Related Diseases Surgery for Obesity and Related Diseases, Elsevier, 2016, 12 (7), pp.1286-1291. ⟨10.1016/j.soard.2016.01.021⟩ |
| ISSN: | 1550-7289 |
| DOI: | 10.1016/j.soard.2016.01.021⟩ |
| Popis: | International audience; BACKGROUND: Causes of weight loss failure after sleeve gastrectomy (SG) are still controversial. The impact of the size of the sleeve continues to be debated. OBJECTIVE: The aim of our study was to determine the impact of sleeve volumes assessed at 3 months using gastric computed tomography (CT) on weight loss at 18 months. SETTING: University Hospital, France. METHODS: Sixty-seven obese patients eligible for SG were prospectively evaluated. Sleeve volumes were assessed postsurgery using 3-dimensional gastric CT with gas at 3 months and weight loss outcomes recorded up to 18 months. The population was divided into 2 groups: the first tertile (n = 22) with the smallest gastric volume was defined as the "small sleeve" group (SSG) and the rest of the population (n = 45) was defined as the "without small sleeve" group (WSSG). RESULTS: No patients were lost to follow-up. In the SSG, overall gastric volume was 133+/-7 mL versus 264+/-11 mL for the WSSG (P\textless.0001). Percentage excess body mass index loss (%EBMIL) during the first postoperative 18 months was significantly greater in the SSG compared with the WSSG (P = .04). Although the volume of the gastric tube was not correlated with weight loss (r =-.04, P = .78), there was a negative linear correlation between the volume of the antrum and the %EBMIL at 18 months (r =-.39, P = .005). A narrow gastric tube was also associated with a high digestive intolerance and reflux. CONCLUSION: Our data suggest that performing the sleeve with a not-too-small bougie size and a radical antrectomy could improve weight loss and digestive tolerance. |
| Databáze: | OpenAIRE |
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