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Changes in bowel habits after laparoscopic sleeve gastrectomy
Petr Ostruszka1, Petr Vávra1, Lubomír Tulinský1
1Department of Surgical Studies, Faculty of Medicine, University of Ostrava, Ostrava, Czech Republic.
Laparoscopic sleeve gastrectomy (LSG) does not worsen constipation or fecal incontinence. Many patients experience improved bowel function after LSG, suggesting weight loss positively impacts constipation symptoms.
Area of Science:
- Gastroenterology
- Bariatric Surgery
- Metabolic Health
Background:
- Bariatric surgery significantly impacts weight, metabolism, and bowel habits.
- Morbid obesity is often associated with altered digestive function.
Purpose of the Study:
- To evaluate changes in bowel habits after laparoscopic sleeve gastrectomy (LSG).
- To assess the prevalence and severity of constipation and fecal incontinence post-LSG.
Main Methods:
- Prospective clinical cohort study.
- 124 morbidly obese patients undergoing LSG.
- Assessment of bowel habits 6 months after surgery.
Main Results:
- No increase in constipation or fecal incontinence prevalence/severity 6 months post-LSG.
- 45.5% of patients with preoperative constipation showed improvement.
- 37.5% of patients with preoperative incontinence experienced improvement.
Conclusions:
- LSG does not lead to increased postoperative constipation or anal incontinence.
- Weight loss following LSG may improve pre-existing constipation symptoms.
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