Laparoscopic Sleeve Gastrectomy: Investigation of Fundus Wall Thickness and Staple Height—an Observational Cohort Study

Laparoscopic Sleeve Gastrectomy: Investigation of Fundus Wall Thickness and Staple Height—an... Background Staple line leakage is a well-known complication was measured by light microscopy at a predetermined location after laparoscopic sleeve gastrectomy (LSG). Gastric wall by a blinded pathologist. Furthermore, fundus wall thickness thickness and the staple height may be determining factors was compared with demographic data, clinical outcome, and for the occurrence of insufficiencies. To investigate this prob- the rate of insufficiencies. lem, an observational cohort study was carried out. Results One hundred forty-one patients, 38 male and 103 fe- male undergoing LSG, between January 2014 and July 2015 Investigation concentrated on the gastroesophageal junction close to the angle of His, since this area is at highest risk for were included in the study. Male gender was associated with thicker gastric fundus wall. Overall leak rate was 2.1% aleakage. (3/141). Median wall thickness of the 3 patients with detected leaks in the study group was thinner compared to the non-leak * Clara Boeker group (2810 vs. 3249 μm, respectively). clara.boeker@krh.eu Discussion/Conclusion Only male gender correlated with higher wall thickness of the fundus. The fact that all three Julian Mall patients who developed a leak were female, and the fundus julian.mall@krh.eu of female patients as well as those of the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Obesity Surgery Springer Journals

Laparoscopic Sleeve Gastrectomy: Investigation of Fundus Wall Thickness and Staple Height—an Observational Cohort Study

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Publisher
Springer US
Copyright
Copyright © 2017 by Springer Science+Business Media New York
Subject
Medicine & Public Health; Surgery
ISSN
0960-8923
eISSN
1708-0428
D.O.I.
10.1007/s11695-017-2755-x
Publisher site
See Article on Publisher Site

Abstract

Background Staple line leakage is a well-known complication was measured by light microscopy at a predetermined location after laparoscopic sleeve gastrectomy (LSG). Gastric wall by a blinded pathologist. Furthermore, fundus wall thickness thickness and the staple height may be determining factors was compared with demographic data, clinical outcome, and for the occurrence of insufficiencies. To investigate this prob- the rate of insufficiencies. lem, an observational cohort study was carried out. Results One hundred forty-one patients, 38 male and 103 fe- male undergoing LSG, between January 2014 and July 2015 Investigation concentrated on the gastroesophageal junction close to the angle of His, since this area is at highest risk for were included in the study. Male gender was associated with thicker gastric fundus wall. Overall leak rate was 2.1% aleakage. (3/141). Median wall thickness of the 3 patients with detected leaks in the study group was thinner compared to the non-leak * Clara Boeker group (2810 vs. 3249 μm, respectively). clara.boeker@krh.eu Discussion/Conclusion Only male gender correlated with higher wall thickness of the fundus. The fact that all three Julian Mall patients who developed a leak were female, and the fundus julian.mall@krh.eu of female patients as well as those of the

Journal

Obesity SurgerySpringer Journals

Published: Jun 16, 2017

References

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