Does Sleeve Shape Make a Difference in Outcomes?

Does Sleeve Shape Make a Difference in Outcomes? Introduction Sleeve gastrectomy (SG) is one of the most common procedures performed for weight loss. Many seek the Bperfect sleeve^ with the notion that the type of calibrating device affects sleeve shape, and this in turn will affect outcomes and complications. Two major concerns after SG are amount of weight loss and acid reflux. Our aim was to determine if the various calibration methods could impact sleeve shape and thereby allow for better outcomes of weight loss and reflux. Methods A retrospective chart review was performed of 210 patients who underwent SG and had postoperative upper gastro- intestinal (UGI) study from 2011 to 2015 in a single center by a single (fellowship-trained) bariatric surgeon. Data regarding demographics, calibrating devices and clinical outcomes at 1 year (weight loss and de novo acid reflux) were collected. UGIs were reviewed by two radiologists blinded to the clinical outcomes. Sleeve shape was classified according to a previously described classification as tubular, dumbbell, upper pouch, or lower pouch. The types of calibrating devices used to guide the sleeve size intraoperatively were endoscopy, large-bore orogastric tube, and fenestrated suction tube. Results One hundred ninety-nine patients met inclusion criteria (11 had no esophagram). Demographics revealed age http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Obesity Surgery Springer Journals

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Publisher
Springer Journals
Copyright
Copyright © 2018 by Springer Science+Business Media, LLC, part of Springer Nature
Subject
Medicine & Public Health; Surgery
ISSN
0960-8923
eISSN
1708-0428
D.O.I.
10.1007/s11695-017-3087-6
Publisher site
See Article on Publisher Site

Abstract

Introduction Sleeve gastrectomy (SG) is one of the most common procedures performed for weight loss. Many seek the Bperfect sleeve^ with the notion that the type of calibrating device affects sleeve shape, and this in turn will affect outcomes and complications. Two major concerns after SG are amount of weight loss and acid reflux. Our aim was to determine if the various calibration methods could impact sleeve shape and thereby allow for better outcomes of weight loss and reflux. Methods A retrospective chart review was performed of 210 patients who underwent SG and had postoperative upper gastro- intestinal (UGI) study from 2011 to 2015 in a single center by a single (fellowship-trained) bariatric surgeon. Data regarding demographics, calibrating devices and clinical outcomes at 1 year (weight loss and de novo acid reflux) were collected. UGIs were reviewed by two radiologists blinded to the clinical outcomes. Sleeve shape was classified according to a previously described classification as tubular, dumbbell, upper pouch, or lower pouch. The types of calibrating devices used to guide the sleeve size intraoperatively were endoscopy, large-bore orogastric tube, and fenestrated suction tube. Results One hundred ninety-nine patients met inclusion criteria (11 had no esophagram). Demographics revealed age

Journal

Obesity SurgerySpringer Journals

Published: Jan 8, 2018

References

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