Midterm Clinical Outcomes of Antrum Resection Margin at Laparoscopic Sleeve Gastrectomy for Morbid Obesity
Küçük Resim Yok
Tarih
2017
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
SPRINGER
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Background Laparoscopic sleeve gastrectomy (LSG) is one of the most frequently performed procedures in obesity surgery. The benefits of minimally invasive surgery include rapid recovery. We evaluated the clinical outcomes of different resection margin lengths from the pylorus in LSG. Methods This retrospective study included 152 patients who underwent LSG from January 2011 to October 2014. The antrum was resected 2 cm from the pylorus in 84 patients (group A) and 6 cm from the pylorus in 68 patients (group B). The patients ' demographics, staple line distance, complications, sex, age, body mass index loss, length of hospital stay, and comorbidities were retrospectively reviewed. Results The patients comprised 104 women (68.4 %) and 48 men (32.6 %) with a mean age of 41.2 years (range, 28-53 years). The percent total and excess weight loss were statistically significant in both groups at 6 and 12 months postoperatively. Weight loss was significantly greater in group A than that in B at 6 and 12 months, but the difference at 24 months was not statistically significant. The results of pH monitoring showed significantly lower scores in group A than those in B at 6 and 12 months, but no difference at 24 months. Conclusion LSG is an effective procedure with good short-term outcomes. Both procedures described herein are equally effective with respect to the patient ' s return to daily activities. Increasing the distance from the resection line to the pylorus is associated with better weight loss but slightly increased symptoms of gastroesophageal reflux disease without a significant difference in complications.
Açıklama
Anahtar Kelimeler
Obesity, Sleeve, Antrum Gastrectomy., Margin
Kaynak
OBESITY SURGERY
WoS Q Değeri
Q1
Scopus Q Değeri
Q1
Cilt
27
Sayı
4