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Starting Antrectomy in Less than 2 cm from Pylorus at Laparoscopic Sleeve Gastrectomy
1Department of General Surgery, Antalya Training and Research Hospital, Antalya, Turkey.
Objective:
To evaluate the effect of antrectomy in which resection was started from 2 cm or closer to the pylorus on % excess weight loss (EWL), nausea, vomiting, and complication rates.
Study Design:
Comparative study.
Place And Duration Of Study:
Antalya Training and Research Hospital, from April 2018 to December 2018.
Methodology:
Patients in whom laparoscopic sleeve gastrectomy (LSG)were done starting at a level of 2 cm or closer to pylorus were included in the study. Patients were divided into one of the two groups based on the distance between the pylorus and the resection margin: group 1 having resection ≤10 mm and group 2 at 11-20 mm. Above mentioned parameters were compared in both groups.
Results:
Ninety-two patients were included. Postoperative nausea and vomiting rates were similar in both groups. At the end of the first year, % EWL was 82.9% and 73.5% in groups 1 and 2 (p=0.003).
Conclusion:
Starting antrectomy at a distance of 2 cm or less from the pylorus is safe and effective. Starting antrectomy at a distance of 1 cm or less from the pylorus in LSG provides effective weight loss without increasing complications.
Key Words:
Bariatric surgery, Antrectomy, Laparoscopic sleeve gastrectomy, Complications.
