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Does Sleeve Shape Make a Difference in Outcomes?

Adel Alhaj Saleh1,2, Michal R Janik3,4, Rami R Mustafa3

  • 1Department of Surgery/ Bariatric Division, University Hospitals, Cleveland Medical Center, Case Western Reserve University School of Medicine, 11100 Euclid Avenue, Cleveland, OH, 44121, USA. adel_medicine@yahoo.com.

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|January 10, 2018
PubMed
Summary
This summary is machine-generated.

The type of calibrating device used in sleeve gastrectomy (SG) did not impact sleeve shape. However, a lower pouch sleeve shape showed a trend toward reduced acid reflux and improved weight loss after SG.

Keywords:
RefluxShapeSleeve gastrectomyWeight loss

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Area of Science:

  • Bariatric Surgery
  • Gastrointestinal Surgery
  • Minimally Invasive Procedures

Background:

  • Sleeve gastrectomy (SG) is a prevalent bariatric procedure for weight loss.
  • Concerns regarding SG outcomes include weight loss efficacy and post-operative acid reflux.
  • The influence of calibrating devices on sleeve shape and subsequent outcomes is debated.

Purpose of the Study:

  • To investigate the relationship between calibrating devices used during SG and sleeve shape.
  • To determine if sleeve shape influences weight loss and acid reflux outcomes post-SG.

Main Methods:

  • Retrospective review of 210 patients undergoing SG with postoperative upper gastrointestinal (UGI) studies.
  • Data collected: demographics, calibrating devices, 1-year weight loss, and de novo acid reflux.
  • Sleeve shape classified (tubular, dumbbell, upper pouch, lower pouch) by radiologists blinded to outcomes.

Main Results:

  • 199 patients met inclusion criteria; 82% were female, with a mean BMI of 47.
  • Calibration devices: endoscopic guidance (7.6%), large-bore orogastric tube (41.4%), fenestrated suction tube (50.5%).
  • No correlation found between calibrating device type and sleeve shape; lower pouch shape trended towards less reflux and more weight loss.

Conclusions:

  • No clear association exists between calibrating device type and sleeve shape uniformity in SG.
  • A lower pouch sleeve shape may be associated with improved weight loss and reduced acid reflux, irrespective of the calibration method used.