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Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment

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Cruroplasty added to laparoscopic sleeve gastrectomy; does it decrease postoperative incidence of de-novo acid

Masoud Sayadi Shahraki¹, Mohsen Mahmoudieh Dehkordi¹, Mahmoud Heydari¹

¹Department of General Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

Annals of Medicine and Surgery (2012)

|June 11, 2021

Summary

Concurrent cruroplasty during laparoscopic sleeve gastrectomy (LSG) does not effectively reduce de-novo acid reflux. This additive technique is not recommended for preventing postoperative acid reflux in LSG patients.

Keywords:

Cruroplasty GERD Gastrectomy Reflux Sleeve

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Area of Science:

Bariatric Surgery
Gastroenterology
Surgical Innovation

Background:

Laparoscopic sleeve gastrectomy (LSG) is a prevalent bariatric procedure globally.
De-novo acid reflux is a common complication following LSG.
Existing anti-reflux techniques added to LSG have shown limited success.

Purpose of the Study:

To evaluate the efficacy of concurrent cruroplasty during LSG in reducing postoperative de-novo acid reflux.
To compare the incidence of acid reflux in patients undergoing LSG alone versus LSG with concurrent cruroplasty.

Main Methods:

A participant-blinded randomized controlled trial involving 80 patients undergoing LSG.
Participants were allocated to either LSG alone or LSG with concurrent cruroplasty.
Gastroesophageal reflux disease-health related quality of life (GERD-HRQL) questionnaire used to assess acid reflux pre- and post-surgery.

Main Results:

No significant difference in postoperative de-novo acid reflux incidence between the LSG alone and LSG + cruroplasty groups (p=0.1).
GERD-HRQL scores were not significantly different between the groups post-surgery (p>0.05).
Operative time was shorter for LSG alone, with no difference in hospital stay.

Conclusions:

Concurrent cruroplasty during LSG is not effective in diminishing postoperative de-novo gastroesophageal acid reflux.
This additive surgical technique is not recommended for preventing acid reflux in the absence of other specific indications.