Early Weight Recidivism Following Laparoscopic Sleeve Gastrectomy: A Prospective Observational Study

Overview

Journal Obes Surg

Date 2016 Apr 9

PMID 27056195

Citations 5

Authors

Mohamed H A Fahmy

Mohamed D Sarhan

Ayman M A Osman

Ahmad Badran

Amr Ayad

Dalia K Serour

Hany A Balamoun

Mohamed E Salim

Affiliations

Soon will be listed here.

Abstract

Background: Although weight loss following laparoscopic sleeve gastrectomy (LSG) can be substantial, weight recidivism is still a major concern. The aim of our work is to study early weight recidivism following LSG and to evaluate the role of gastric computed tomography volumetry (GCTV) in the assessment of patients experiencing early weight regain.

Methods: One-hundred and one morbidly obese patients undergoing LSG were prospectively studied. Patients were followed up for 2 years. Those who presented with weight recidivism were counseled for dietary habits and assessed for the amount of weight regain. Patients who regained weight were scheduled for GCTV.

Results: Twelve patients were excluded from the study. Weight recidivism was reported in 9/89 patients (10.1 %) [weight loss failure (n = 1), weight regain (n = 8)] and was almost always first recognized 1½-2 years after LSG. The amount of weight regain showed negative correlations with preoperative body weight and body mass index (r = -0.643, P = 0.086 and r = -0.690, P = 0.058; respectively) and positive correlations with the distance between the pylorus and the beginning of the staple line (r = 0.869, P = 0.005), as well as with the residual gastric volume (RGV) on GCTV 2 years after LSG (r = 0.786, P = 0.021).

Conclusions: In the small group of patients who regained weight, a longer distance between the pylorus and the beginning of the staple line, as well as a higher RGV on GCTV 2 years after LSG, were both associated with increased weight regain. Gastric computed tomography volumetry with RGV measurement holds promise as a useful research tool after LSG.

Citing Articles

Morphologic Study of Gastric Sleeves by CT Volumetry at One Year after Laparoscopic Sleeve Gastrectomy.

Nam K, Choi S, Kim S J Metab Bariatr Surg. 2023; 9(2):42-51.

PMID: 36688119 PMC: 9847658. DOI: 10.17476/jmbs.2020.9.2.42.

Laparoscopic sleeve gastrectomy as a primary bariatric procedure: postoperative outcomes.

Mocian F, Coros M Med Pharm Rep. 2021; 94(2):208-213.

PMID: 34013192 PMC: 8118220. DOI: 10.15386/mpr-1762.

Residual Gastric Volume Relationship and Weight Loss After Laparoscopic Sleeve Gastrectomy.

Dogan S, Onmez A, Cetin M, Ozaydin I, Pehlivan M Obes Surg. 2020; 30(5):1929-1934.

PMID: 31953743 DOI: 10.1007/s11695-020-04417-3.

No Difference in Ghrelin-Producing Cell Expression in Obese Versus Non-obese Stomach: a Prospective Histopathological Case-Control Study.

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Sleeve Gastrectomy: Correlation of Long-Term Results with Remnant Morphology and Eating Disorders.

Tassinari D, Berta R, Nannipieri M, Giusti P, Di Paolo L, Guarino D Obes Surg. 2017; 27(11):2845-2854.

PMID: 28508273 DOI: 10.1007/s11695-017-2713-7.

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