1 May 2019Article
How does the extent of antral resection affect the residual gastric volume and excessive weight loss?
Sinan Ömeroğlu 1Emre Bozkurt 2Cemal Kaya 3Uygar Demir 3Özgür Bostancı 3Pınar Yazıcı 3Mehmet Mihmanlı 3
Affiliations
Article Info
1 University of Health Science, Kartal Koşuyolu High Speciality Educational and Research Hospital, Department of Gastrointestinal Surgery Istanbul, Turkey
2 Kelkit State Hospital, General Surgery, Gümüşhane, Turkey
3 University of Health Science, Hamidiye Etfal Training and Research Center, Department of General Surgery, Istanbul, Turkey
Ann. Ital. Chir., 2019, 90(3), 208-212;
Published: 1 May 2019
Copyright © 2019 Annali Italiani di Chirurgia
This work is licensed under a Creative Commons Attribution 4.0 International License.
Abstract
AIM: To identify the effect of the extent of antral resection on the residual gastric volume (RdGV) and excess weight loss (EWL) among patients who underwent laparoscopic sleeve gastrectomy(LSG) due to the obesity. MATERIAL AND METHODS: The demographical data, operative details, postoperative morbidity, mortality and the percentages of EWL in the postoperative 3, 6 and 12 months of the patients who underwent LSG between January 2014 and August 2015 were analyzed. These patients were divided into three groups regarding the antral resection margin (ARM): Group 1(n=80): ARM≤3cm; Group2 (n=35): 3 RESULTS: A total of 145 patients were included in the study. Demographic features were similar between three groups. The mean RcGV was significantly higher in Group 1, whereas RdGV was significantly higher in Group 3. The patients in Group 1 had significantly higher EWL% than Group 3 at 12 monthspostoperatively. The mean number of stapler used for gastric resection was significantly higher in Group1. No significant complications such as hemorrhage, staple line leakage, abscess, etc.that required any interventional management were observed in all groups. CONCLUSIONS: Enlargement of the antral resection margin (>6cm from pylorus) resulted in reduced operating cost and decelerated reach to optimal EWL% with similar postoperative outcomes.
Keywords
- Antral resection margin
- Excess weight loss
- Laparoscopic sleeve gastrectomy
- Residual gastric volume
- Surgical technique