Midterm Clinical Outcomes of Antrum Resection Margin at Laparoscopic Sleeve Gastrectomy for Morbid Obesity

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dc.contributor.authorYormaz, Serdar
dc.contributor.authorYılmaz, Hüseyin
dc.contributor.authorEce, İlhan
dc.contributor.authorYılmaz, Farise
dc.contributor.authorŞahin, Mustafa
dc.date.accessioned2020-03-26T19:42:05Z
dc.date.available2020-03-26T19:42:05Z
dc.date.issued2017
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractBackground 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.en_US
dc.identifier.doi10.1007/s11695-016-2384-9en_US
dc.identifier.endpage916en_US
dc.identifier.issn0960-8923en_US
dc.identifier.issn1708-0428en_US
dc.identifier.issue4en_US
dc.identifier.pmid27696100en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage910en_US
dc.identifier.urihttps://dx.doi.org/10.1007/s11695-016-2384-9
dc.identifier.urihttps://hdl.handle.net/20.500.12395/35291
dc.identifier.volume27en_US
dc.identifier.wosWOS:000398070900010en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSPRINGERen_US
dc.relation.ispartofOBESITY SURGERYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectObesityen_US
dc.subjectSleeveen_US
dc.subjectAntrum Gastrectomy.en_US
dc.subjectMarginen_US
dc.titleMidterm Clinical Outcomes of Antrum Resection Margin at Laparoscopic Sleeve Gastrectomy for Morbid Obesityen_US
dc.typeArticleen_US

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