Laparoscopic Sleeve Gastrectomy—Radiological Assessment of Fundus Size and Sleeve Voiding

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• 作者：Fabio Pomerri (1) (3)
  Mirto Foletto (2)
  Giorgia Allegro (3)
  Paolo Bernante (2)
  Luca Prevedello (2)
  Pier Carlo Muzzio (1) (3)
  
• 关键词：Sleeve gastrectomy ; Gastric volume ; Sleeve voiding ; Weight loss ; Obesity ; Radiology
• 刊名：Obesity Surgery
• 出版年：2011
• 出版时间：July 2011
• 年：2011
• 卷：21
• 期：7
• 页码：858-863
• 全文大小：187KB
• 参考文献：1. Deitel M. The European Charter on counteracting obesity. Obes Surg. 2007;17:143-. CrossRef
  2. Regan JP, Inabnet WB, Gagner M. Early experience with two-stage laparoscopic Roux-en-Y gastric bypass as an alternative in the super-super obese patient. Obes Surg. 2003;13:861-. CrossRef
  3. Almogy G, Crookes PF, Anthone G. Longitudinal gastrectomy as a treatment for the high-risk superobese patient. Obes Surg. 2004;14:492-. CrossRef
  4. Fazylov R, Savel RH, Horovitz JH, et al. Association of super-super-obesity and male gender with elevated mortality in patients undergoing the duodenal switch procedure. Obes Surg. 2005;15:618-3. CrossRef
  5. Milone L, Strong V, Gagner M. Laparoscopic sleeve gastrectomy is superior to endoscopic intragastric balloon as a first stage procedure for super-obese patients (BMI-gt;?or =50). Obes Surg. 2005;15:612-. CrossRef
  6. Mognol P, Chosidow D, Marmuse JP. Laparoscopic sleeve gastrectomy as an initial bariatric operation for high-risk patients: initial results in 10 patients. Obes Surg. 2005;15:1030-. CrossRef
  7. Baltasar A, Serra C, Pérez N, et al. Laparoscopic sleeve gastrectomy: a multi-purpose bariatric operation. Obes Surg. 2005;15:1124-. CrossRef
  8. Felberbauer FX, Langer F, Shakeri Manesch S. Laparoscopic sleeve gastrectomy as an isolated bariatric procedure: intermediate term results from a large series in three Austrian centers. Obes Surg. 2008;18:814-. CrossRef
  9. Till H, Blüher S, Hirsch W, et al. Efficacy of laparoscopic sleeve gastrectomy (LSG) as a stand-alone technique for children with morbid obesity. Obes Surg. 2008;18:1047-. CrossRef
  10. Kueper MA, Kramer KM, Kirschniak A, et al. Laparoscopic sleeve gastrectomy: standardized technique of a potential stand-alone bariatric procedure in morbidly obese patients. World J Surg. 2008;32:1462-. CrossRef
  11. Braghetto I, Korn O, Valladares H, et al. Laparoscopic sleeve gastrectomy: surgical technique, indications and clinical results. Obes Surg. 2007;17:1442-0. CrossRef
  12. Melissas J, Koukouraki S, Askoxylakis J, et al. Sleeve gastrectomy—a restrictive procedure? Obes Surg. 2007;17:57-2. CrossRef
  13. Langer FB, Reza Hoda MA, Bohdjalian A, et al. Sleeve gastrectomy and gastric banding: effects on plasma ghrelin levels. Obes Surg. 2005;15:1024-. CrossRef
  14. Kotidis EV, Koliakos G, Papavramidis TS, et al. The effect of biliopancreatic diversion with pylorus-preserving sleeve gastrectomy and duodenal switch on fasting serum ghrelin, leptin and adiponectin levels: is there a hormonal contribution to the weight-reducing effect of this procedure? Obes Surg. 2006;16:554-. CrossRef
  15. Givon-Madhala O, Spector R, Wasserberg N, et al. Technical aspects of laparoscopic sleeve gastrectomy in 25 morbidly obese patients. Obes Surg. 2007;17:722-. CrossRef
  16. Weiner RA, Weiner S, Pomhoff I, et al. Laparoscopic sleeve gastrectomy—influence of sleeve size and resected gastric volume. Obes Surg. 2007;17:1297-05. CrossRef
  17. Yehoshua RT, Eidelman LA, Stein M, et al. Laparoscopic sleeve gastrectomy—volume and pressure assessment. Obes Surg. 2008;18:1083-. CrossRef
  18. Kotidis E, Koliakos G, Baltzopoulos V, et al. Serum ghrelin, leptin and adiponectin levels before and after weight loss: comparison of three methods of treatment—a prospective study. Obes Surg. 2006;16:1425-2. CrossRef
  19. Karamanakos SN, Vagenas K, Kalfarentzos F, et al. Weight loss, appetite suppression, and changes in fasting and postprandial ghrelin and peptide-YY levels after Roux-en-Y gastric bypass and sleeve gastrectomy: a prospective, double blind study. Ann Surg. 2008;247:401-. CrossRef
  20. Deitel M, Gawdat K, Melissas J. Reporting weight loss 2007. Editorial Obes Surg. 2007;17:565-. CrossRef
  21. Bernante P, Foletto M, Busetto L, et al. Feasibility of laparoscopic sleeve gastrectomy as a revision procedure for prior laparoscopic gastric banding. Obes Surg. 2006;16:1327-0. CrossRef
  22. Sabbagh C, Verhaeghe P, Dhahri A, et al. Two-year results on morbidity, weight loss and quality of life of sleeve gastrectomy as first procedure, sleeve gastrectomy after failure of gastric banding and gastric banding. Obes Surg. 2010;20:679-4.
  23. Sammour T, Hill AG, Singh P, et al. Laparoscopic sleeve gastrectomy as a single-stage bariatric procedure. Obes Surg. 2010;20:271-.
  24. Bohdjalian A, Langer FB, Shakeri-Leidenmühler S, et al. Sleeve gastrectomy as sole and definitive bariatric procedure: 5-year results for weight loss and ghrelin. Obes Surg. 2010;20:535-0.
  25. Braghetto I, Davanzo C, Korn O, et al. Scintigraphic evaluation of gastric emptying in obese patients submitted to sleeve gastrectomy compared to normal subjects. Obes Surg. 2009;19:1515-1. CrossRef
  26. Goitein D, Goitein O, Feigin A, et al. Sleeve gastrectomy: radiologic patterns after surgery. Surg Endosc. 2009;23:1559-3. CrossRef
  
• 作者单位：Fabio Pomerri (1) (3)
  Mirto Foletto (2)
  Giorgia Allegro (3)
  Paolo Bernante (2)
  Luca Prevedello (2)
  Pier Carlo Muzzio (1) (3)
  
  1. Radiology Unit, Veneto Institute of Oncology IOV–IRCCS, via Gattamelata 64, 35128, Padua, Italy
  3. Department of Medical-Diagnostic Sciences and Special Therapies, University of Padua, via Giustiniani 2, 35128, Padua, Italy
  2. 2nd Institute of Clinical Surgery, University of Padua, via Giustiniani 2, 35128, Padua, Italy
  

文摘

Background Laparoscopic sleeve gastrectomy (LSG) is now considered an effective bariatric procedure (American Society for Metabolic and Bariatric Surgery statement). We attempted to assess the size of the gastric fundus remaining after LSG and gastric voiding rate (fast/slow) by radiological upper gastrointestinal series (UGS) with a water-soluble contrast medium (CM). The findings were compared with weight loss data. Methods Seventy-four obese patients underwent LSG. Radiological UGS were used to measure the remaining fundus size in 28 of 74 patients 24-2?h after the procedure, with the aid of Matlab software and a library image processing toolbox (MathWorks?). Sleeve voiding was measured in 57 of 74 patients, based on the patients-radiological reports. Results The mean volume of the remaining fundus was 17.56?ml (range 1.00-7.03?ml). The mean percent excess BMI loss (%EBL) was 39.5%, 53.7%, and 60.8%, respectively, 3, 6, and 12?months after LSG. Sleeve voiding was fast in 49 of 57 patients (85.96%) and slow in eight (14.03%). Conclusions No correlation was found between the estimated volume of the remaining gastric fundus and weight loss (%EBL) after LSG. Patients showing a rapid gastroduodenal transit of the CM achieved a better weight loss than patients with a slow voiding rate.