Anatomical Quality Criteria for Sleeve Gastrectomy.

Abstract:

BACKGROUND:Sleeve gastrectomy (SG) is the most common bariatric procedure performed worldwide. However, without a standardised surgical technique, heterogeneous outcomes and complications such as gastro-oesophageal reflux disease (GERD) have been reported. The aim of this study was to identify reproducible anatomical criteria for SG to obtain safe and effective results. METHODS:A prospective photographic study that captured every phase of each procedure was completed. The photographic documentation was carefully examined in order to identify anatomical criteria that would help make our technique reproducible. Postsurgical results were reported in terms of complications and mortality, while functional and morphological results were evaluated using 3-month upper gastrointestinal (UGI) series and 12-month computed tomography (CT) scan, respectively. BMI, percentage excess weight loss (%EWL), comorbidities, and GERD symptoms at 12 months were analysed. RESULTS:One hundred thirty-four consecutive laparoscopic SG were photographed, and four reproducible anatomical criteria were identified: (1) to preserve the gastric antral posterior ligament (GAPL); (2) to dissect the gastro-pancreatic ligament (GPL); (3) to expose the right edge of the left diaphragmatic crus; and (4) to ensure staple-line linearity. No leaks occurred, and only one patient needed relaparoscopy for staple-line hematoma. Mortality and 30-day readmission rates were null. Gastric tube morphologies on the 12-month CT scans were homogeneous. At 12 months, median BMI was 30.8 kg/m2 [IQR 20-47.2] and mean %EWL was 69.0 ± 24.5%; comorbidities resolved in 65.8-88.1% of patients, and GERD symptoms resolved in 44.4%. CONCLUSION:The four anatomical criteria for SG that we propose are safe, effective, and reproducible and have acceptable postsurgical outcomes.

journal_name

Obes Surg

journal_title

Obesity surgery

authors

Frosio F,Suhool A,Ferraz JM,Gayet B,Boutron MC,Pourcher G

doi

10.1007/s11695-020-05156-1

subject

Has Abstract

pub_date

2021-01-26 00:00:00

eissn

0960-8923

issn

1708-0428

pii

10.1007/s11695-020-05156-1

pub_type

杂志文章
  • Effects of a Pre-surgery Supervised Exercise Training 1 Year After Bariatric Surgery: a Randomized Controlled Study.

    abstract:BACKGROUND:We have previously reported on the benefits of Pre-Surgical Exercise Training (PreSET) on physical fitness and social interactions in subjects awaiting bariatric surgery (BS). However, data are needed to know whether these benefits are maintained post-BS. OBJECTIVES:The purpose of this paper was to evaluate...

    journal_title:Obesity surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s11695-017-2943-8

    authors: Baillot A,Vallée CA,Mampuya WM,Dionne IJ,Comeau E,Méziat-Burdin A,Langlois MF

    更新日期:2018-04-01 00:00:00

  • Diagnostic medical radiation dose in patients after laparoscopic bariatric surgery.

    abstract:BACKGROUND:The purpose of this study was to estimate the cumulative radiation dose from computed tomography (CT) scans and upper gastrointestinal fluoroscopic exams in the post-bariatric-surgery population and correlate these values with current concepts of potential radiation-induced cancer risk. METHODS:A retrospect...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-009-9966-8

    authors: Oei TN,Shyn PB,Govindarajulu U,Flint R

    更新日期:2010-05-01 00:00:00

  • A revolutionary design change to improve stapler safety.

    abstract:BACKGROUND:Postoperative staple line leaks and bleeding are the most common reasons for complications in surgical procedures that involve organ resection, such as sleeve gastrectomy. Increasing the safety of these operations requires improving the instruments (endostaplers or endocutters) used for stapling and sectioni...

    journal_title:Obesity surgery

    pub_type: 信件

    doi:10.1007/s11695-012-0792-z

    authors: Arteaga-González IJ

    更新日期:2013-01-01 00:00:00

  • A model for predicting the resolution of type 2 diabetes in severely obese subjects following Roux-en Y gastric bypass surgery.

    abstract:BACKGROUND:Severely obese type 2 diabetics who undergo Roux-en Y gastric bypass surgery have significant improvements in glycaemic control. Little work has been undertaken to establish the independent predictors of such resolution or to develop a predictive model. The aim of this study was to develop a mathematical mod...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-011-0370-9

    authors: Hayes MT,Hunt LA,Foo J,Tychinskaya Y,Stubbs RS

    更新日期:2011-07-01 00:00:00

  • Impact on obesity-related illnesses and quality of life following intragastric balloon.

    abstract:BACKGROUND:The impact of intragastric balloon (IGB) on obesity-related illnesses and quality of life (QOL) has not been previously investigated. METHOD:One hundred and nineteen consecutive obese patients (86 females; mean age 37.8; mean body weight (BW) 103.7 +/- 24.1 kg; mean BMI 38.4 +/- 8.0 kg/m(2)) who underwent I...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-008-9766-6

    authors: Mui WL,Ng EK,Tsung BY,Lam CH,Yung MY

    更新日期:2010-08-01 00:00:00

  • Efficacy of Endoscopic Interventions for the Management of Obesity: a Meta-analysis to Compare Endoscopic Sleeve Gastroplasty, AspireAssist, and Primary Obesity Surgery Endolumenal.

    abstract:BACKGROUND AND AIMS:Novel endoscopic procedures (endoscopic sleeve gastroplasty (ESG), AspireAssist (AA), and primary obesity surgery endolumenal (POSE)) have been developed for treatment of obesity. We aimed to conduct a systematic review and meta-analysis to evaluate and compare the efficacy of these three endoscopic...

    journal_title:Obesity surgery

    pub_type: 杂志文章,meta分析

    doi:10.1007/s11695-019-03865-w

    authors: Khan Z,Khan MA,Hajifathalian K,Shah S,Abdul M,Saumoy M,Aronne L,Lee W,Sharaiha RZ

    更新日期:2019-07-01 00:00:00

  • Impact of Laparoscopic Banded Gastric Bypass on Weight Loss Surgery Outcomes: 5 Years' Experience.

    abstract:OBJECTIVE:Evaluate 5-year outcomes of banded gastric bypass (BRYGB) as a primary and conversion bariatric procedure. METHODS:Retrospective review of BRYGB between January 2011and March 2013. Outcomes included percentage of total weight loss (%TWL), weight loss maintenance, and band-related complications. RESULTS:One ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-04229-0

    authors: Galal AM,Boerma EJ,Fransen S,Meesters B,Olde-Damink S,Abdelmageed MK,Sabry AA,Elsuity AHM,Greve JW

    更新日期:2020-02-01 00:00:00

  • Comparison of Weight Loss in Sleeve Gastrectomy Patients With and Without Antrectomy: a Prospective Randomized Study.

    abstract:BACKGROUND:Laparoscopic sleeve gastrectomy (LSG) restricts gastric volume to achieve weight loss. We aimed to compare the efficacy of LSG with and without antrectomy for achieving weight loss. METHODS:The prospective randomized study comprised 127 obese patients that underwent either LSG with antrectomy (2 cm to pylor...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-04177-9

    authors: Omarov T,Samadov E,Coskun AK,Unlu A

    更新日期:2020-02-01 00:00:00

  • What Is the Role of the New Index Relative Fat Mass (RFM) in the Assessment of Nonalcoholic Fatty Liver Disease (NAFLD)?

    abstract:INTRODUCTION:Nonalcoholic fatty liver disease (NAFLD) is the liver manifestation of adiposopathy. Recently, a new score was developed to estimate body fat percentage (relative fat mass, RFM). We aimed to evaluate the value of RFM in predicting the presence and severity of NAFLD, compared with other anthropometric measu...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-04213-8

    authors: Machado MV,Policarpo S,Coutinho J,Carvalhana S,Leitão J,Carvalho A,Silva AP,Velasco F,Medeiros I,Alves AC,Bourbon M,Cortez-Pinto H

    更新日期:2020-02-01 00:00:00

  • Subcostal Transversus Abdominis Plane Block for Laparoscopic Sleeve Gastrectomy, Is It Worth the Time?

    abstract:BACKGROUND:Obesity is a complex and multifactorial disease whose incidence has increased, making it a serious public health issue. Laparoscopic sleeve gastrectomy (LSG) is one of the most common surgical procedures that is chosen for bariatric surgery. Decreasing postoperative pain in these patients which will increase...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-03984-4

    authors: Coşkun M,Yardimci S,Arslantaş MK,Altun GT,Uprak TK,Kara YB,Cingi A

    更新日期:2019-10-01 00:00:00

  • Pregnancy after Lap-Band surgery: management of the band to achieve healthy weight outcomes.

    abstract:BACKGROUND:Severely obese women have higher obstetric risks and poorer neonatal outcomes. Weight loss reduces obstetric risk. The introduction of a laparoscopically-placed adjustable gastric band, a safe and effective method of weight loss, has given us the ability and responsibility to adjust the band in relation to p...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089201321454123

    authors: Dixon JB,Dixon ME,O'Brien PE

    更新日期:2001-02-01 00:00:00

  • Health-related quality of life in patients with class II and class III obesity.

    abstract:BACKGROUND:Severe obesity may substantially impact quality of life. We estimated the health-related quality of life (HRQoL) in patients with class II and class III obesity, and explored the impact of patient characteristics and co-morbidities on quality of life. METHODS:110 patients with BMI > or = 35 kg/m2 presenting...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/0960892054621323

    authors: Sendi P,Brunotte R,Potoczna N,Branson R,Horber FF

    更新日期:2005-08-01 00:00:00

  • DRG, costs and reimbursement following Roux-en-Y gastric bypass: an economic appraisal.

    abstract:BACKGROUND:There is disagreement regarding hospital and physician reimbursement fees when DRG codes are used. We have found that physicians and hospitals are rewarded differently depending on the type of insurance coverage - per diem HMO (Health Maintenance Organization) vs public. METHODS:133 patients were retrospect...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089203322190790

    authors: Angus LD,Cottam DR,Gorecki PJ,Mourello R,Ortega RE,Adamski J

    更新日期:2003-08-01 00:00:00

  • Stomach Volume Assessment Using Three-dimensional Computed Tomography Gastrography for Bariatric Treatment.

    abstract:BACKGROUND:Most bariatric treatments employ gastric volume reduction. However, there has been no appropriate tool that could assess the anatomical factors of the stomach, and few studies have investigated proper stomach measurement for bariatric treatment. Thus, this study aimed to objectively estimate the individual s...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-04189-5

    authors: Kim SH,Keum B,Choi HS,Kim ES,Seo YS,Jeen YT,Lee HS,Chun HJ,Um SH,Kim CD

    更新日期:2020-02-01 00:00:00

  • Laparoscopic Roux-en-Y gastric bypass: transoral or transgastric anvil placement?

    abstract:BACKGROUND:Laparoscopic techniques have been used to perform the Roux-en-Y gastric bypass (RYGBP). The gastrojejunostomy may be constructed using an end-to-end anastomosis (EEA) stapler. Most reports describe passing the EEA anvil transorally using an esophagogastroscope and a pull-wire technique. METHOD:We describe p...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089200321629139

    authors: Scott DJ,Provost DA,Jones DB

    更新日期:2000-08-01 00:00:00

  • Revisional vs. primary Roux-en-Y gastric bypass--a case-matched analysis: less weight loss in revisions.

    abstract::With the increase in bariatric procedures performed, revisional surgery is now required more frequently. Roux-en-Y gastric bypass (RYGB) is considered to be the gold standard revision procedure. However, data comparing revisional vs. primary RYGB is scarce, and no study has compared non-resectional primary and revisio...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-010-0214-z

    authors: Zingg U,McQuinn A,DiValentino D,Kinsey-Trotman S,Game P,Watson D

    更新日期:2010-12-01 00:00:00

  • Sugar Detection Threshold After Laparoscopic Sleeve Gastrectomy in Adolescents.

    abstract:INTRODUCTION:Obesity in young people is one of the most serious public health problems worldwide. Moreover, the mechanisms preventing obese adolescents from losing and maintaining weight loss have been elusive. Laparoscopic sleeve gastrectomy (LSG) is successful at achieving long-term weight loss in patients across all...

    journal_title:Obesity surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s11695-017-2999-5

    authors: Abdeen GN,Miras AD,Alqhatani AR,le Roux CW

    更新日期:2018-05-01 00:00:00

  • 30-Day Outcomes of Revisional Bariatric Stapling Procedures: First Report Based on MBSAQIP Data Registry.

    abstract:INTRODUCTION:The number of bariatric revisional cases has nearly doubled since 2011, and now comprises 13.6% of the total number of cases. The objective of this study is to evaluate the outcomes and safety of the two most common stapling revisional procedures, namely, sleeve and gastric bypass in comparison to primary ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-3140-0

    authors: El Chaar M,Stoltzfus J,Melitics M,Claros L,Zeido A

    更新日期:2018-08-01 00:00:00

  • Influence of the actual diameter of the gastric pouch outlet in weight loss after silicon ring Roux-en-Y gastric bypass: an endoscopic study.

    abstract::Some sort of restriction of the pouch emptying is supported by many surgeons to allow a sustained weight loss through the use of a ring placed circumferentially around the gastric pouch. Most previous studies focused on the length of the ring, not the actual diameter of the gastric pouch outlet. This study aims to eva...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-010-0189-9

    authors: Mali J Jr,Fernandes FA,Valezi AC,Matsuo T,Menezes Mde A

    更新日期:2010-09-01 00:00:00

  • Establishing a Reproducible Murine Animal Model of Single Anastomosis Duodenoileal Bypass with Sleeve Gastrectomy (SADl-S).

    abstract::Single-anastomosis duodenoileal bypass with sleeve gastrectomy (SADI-S) is a simplified biliopancreatic diversion. The objective of this study was to develop a reproducible animal model for SADI-S. We used three techniques for duodenal exclusion and duodenoileal anastomosis: (a) surgical clip and side-to-side anastomo...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-3254-4

    authors: Laura M,Mylene L,Christophe B,Boris H,Christophe M,Konstantinos A

    更新日期:2018-07-01 00:00:00

  • Why Does the Gastric Bypass Control Type 2 Diabetes Mellitus?

    abstract::The remarkable control of diabetes by the gastric bypass remains to be explained. Although it may be totally due to the weight loss Induced by the operation, it is likely that the detour of the hormonally active foregut plays a role as well. This keynote address explores the pathophysiology of non-insulin-dependent di...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1381/096089292765559891

    authors: Pories WJ

    更新日期:1992-11-01 00:00:00

  • Is There a Better Design for a Bariatric Procedure? The Case for a Single Anastomosis Duodenal Switch.

    abstract::The majority of bariatric surgical stapling procedure concepts were developed prior to the understanding of obesity as an energy storage disease. Conventional treatments did not consider the impact of macronutrients on hormones and glucose variability. Current recommendations suggest diets low in glycemic load, with m...

    journal_title:Obesity surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s11695-018-3535-y

    authors: Roslin M,Tugertimur B,Zarabi S,Cottam D

    更新日期:2018-12-01 00:00:00

  • Laparoscopic Heller Myotomy and Dor Fundoplication for the Treatment of Esophageal Achalasia After Sleeve Gastrectomy-a Video Vignette.

    abstract:PURPOSE:Esophageal dysmotility and disorders of the lower esophageal sphincter are well documented in morbidly obese patients. Esophageal achalasia has been reported in up to 1% of obese patients but the development of such esophageal motility disorder after laparoscopic sleeve gastrectomy (LSG) is extremely rare. The ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-020-05114-x

    authors: Aiolfi A,Foschi D,Zappa MA,Dell'Era A,Bareggi E,Rausa E,Micheletto G,Bona D

    更新日期:2020-11-24 00:00:00

  • Incidence of cancer following bariatric surgery: systematic review and meta-analysis.

    abstract::Obesity is linked to the development of cancer. Previous studies have suggested that there is a relationship between bariatric surgery and reduced cancer risk. Data sources were from Medline, Embase, and Cochrane Library. From 951 references, 13 studies met the inclusion criteria (54,257 participants). In controlled s...

    journal_title:Obesity surgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1007/s11695-014-1276-0

    authors: Casagrande DS,Rosa DD,Umpierre D,Sarmento RA,Rodrigues CG,Schaan BD

    更新日期:2014-09-01 00:00:00

  • HIV Infection Is Not a Contraindication to Laparoscopic Sleeve Gastrectomy for Morbid Obesity.

    abstract:BACKGROUND:The efficacy of antiretroviral therapy has made HIV a chronic condition. The prevalence of obesity in HIV positive patients has subsequently risen and is present in 6-34% of men and 21-30% of women (Keithley et al. J Assoc Nurses AIDS Care 20(4):260-74, 2009). Sleeve gastrectomy is a safe and effective proce...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-017-2865-5

    authors: Panko N,Dunford G,Lutfi R

    更新日期:2018-02-01 00:00:00

  • Does surgically induced weight loss improve daytime sleepiness?

    abstract::Morbid obesity is associated with excessive daytime sleepiness and reduced health-related quality of life. We prospectively evaluated the pre- and postoperative responses of bariatric surgery recipients with the Epworth Sleepiness Scale (ESS) and the Short Form-12. Participants (n = 223; 79% women) with a mean body ma...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-010-0213-0

    authors: Holty JE,Parimi N,Ballesteros M,Blackwell T,Cirangle PT,Jossart GH,Kimbrough ND,Rose JM,Stone KL,Bravata DM

    更新日期:2011-10-01 00:00:00

  • Outcomes of Sleeve Gastrectomy in Septuagenarians.

    abstract:BACKGROUND:Few previous studies have assessed the safety of bariatric surgery in septuagenarians. METHODS:A retrospective analysis of all patients 70 years or older who underwent laparoscopic sleeve gastrectomy at our institution between 2012 and 2017 was performed. This group was compared to a matched cohort of young...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-018-3418-2

    authors: Al-Kurd A,Grinbaum R,Mordechay-Heyn T,Asli S,Abubeih A,Mizrahi I,Mazeh H,Beglaibter N

    更新日期:2018-12-01 00:00:00

  • Revisional Surgery for Insufficient Loss or Regain of Weight After Roux-en-Y Gastric Bypass: Biliopancreatic Limb Length Matters.

    abstract:INTRODUCTION:Weight regain after laparoscopic Roux-en-Y gastric bypass (RYGB) occurs in up to 35% of patients. Revisional surgery may be applied. Conversion from RYGB to a long biliopancreatic limb (BPL) RYGB is a potential option for revisional surgery and short-term results are promising. METHODS:All patients who un...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-019-04348-8

    authors: Kraljević M,Köstler T,Süsstrunk J,Lazaridis II,Taheri A,Zingg U,Delko T

    更新日期:2020-03-01 00:00:00

  • Preoperative Prediction of Small Bowel Length Using CT Scan and Tridimensional Reconstructions: a New Tool in Bariatric Surgery?

    abstract:PURPOSE:During Roux-en-Y-gastric Bypass, the limb lengths are preoperatively determined regardless of individual small bowel length (SBL), which presents a great variability. Few studies highlighted anthropometric factors associated with SBL, and none attempted to predict SBL preoperatively. OBJECTIVE:The aim of this ...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-017-3021-y

    authors: Marie L,Nacache R,Scemama U,Chatta I,Gaborit B,Berdah SV,Moutardier V,Chaumoitre K,Bège T

    更新日期:2018-05-01 00:00:00

  • Gastric carcinoid tumor--incidental finding on endoscopy prior to bariatric surgery.

    abstract::A 32-year-old female patient with morbid obesity (body mass index 44.4) was submitted to upper digestive endoscopy performed routinely as a preoperative procedure in bariatric surgery. The examination identified multiple small polypoid lesions in the upper portion of the gastric body, some with small ulcerations. Anat...

    journal_title:Obesity surgery

    pub_type: 杂志文章

    doi:10.1007/s11695-007-9342-5

    authors: Moretto M,Mottin CC,Padoin AV,Júnior SP,Barrios C

    更新日期:2008-06-01 00:00:00