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Food Tolerance After Laparoscopic Sleeve Gastrectomy with Total Antral Resection.
- Source :
-
Obesity surgery [Obes Surg] 2019 Jul; Vol. 29 (7), pp. 2263-2269. - Publication Year :
- 2019
-
Abstract
- Background: Among the controversial points in laparoscopic sleeve gastrectomy (LSG) is how much of the antrum to be resected. This study aimed to evaluate food tolerance after preservation or resection of the antrum during LSG.<br />Methods: Prospective randomized study included 50 patients scheduled for LSG. Participants were randomly allocated into one of two groups. In antral resection (AR-LSG) group (n = 25), resection started 2 cm from the pylorus. In antral sparing (AS-LSG) group (n = 25), it started 6 cm from the pylorus. Percentage of excess weight loss (%EWL) and percentage of excess BMI loss (%EBL) were evaluated after 3 and 6 months. Quality of life (QOL) was evaluated by using the Bariatric Analysis and Reporting Outcome System (BAROS). Food tolerance was assessed using the Quality of Alimentation questionnaire. Primary outcome measure was food tolerance and %EWL.<br />Results: Food tolerance was significantly better in the antral sparing group compared to the antral resection group after 3 and 6 months. The two groups were comparable in %EWL and BMI change after 3 and 6 months. Six months after surgery, the majority of patients had a very good quality of life, with no significant difference between the two groups (p = 0.877). There was no significant difference between the two groups in operative time, intraoperative blood loss, and hospital stay.<br />Conclusions: Preservation of the pyloric antrum during LSG is associated with significantly better food tolerance and comparable effect of weight loss up to 6 months postoperatively when compared with total antral resection.
- Subjects :
- Bariatric Surgery adverse effects
Bariatric Surgery methods
Bariatric Surgery statistics & numerical data
Food
Humans
Postoperative Complications
Prospective Studies
Treatment Outcome
Feeding Behavior physiology
Gastrectomy adverse effects
Gastrectomy methods
Gastrectomy statistics & numerical data
Laparoscopy adverse effects
Laparoscopy methods
Laparoscopy statistics & numerical data
Pyloric Antrum surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1708-0428
- Volume :
- 29
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Obesity surgery
- Publication Type :
- Academic Journal
- Accession number :
- 30895506
- Full Text :
- https://doi.org/10.1007/s11695-019-03840-5