Dilatation of Sleeve Gastrectomy: Myth or Reality?

Overview

Journal Obes Surg

Date 2016 Jun 24

PMID 27334645

Citations 15

Authors

Emmanuel Disse

Arnaud Pasquer

Elise Pelascini

Pierre-Jean Valette

Cecile Betry

Martine Laville

Christian Gouillat

Maud Robert

Affiliations

Soon will be listed here.

Abstract

Objectives: The success of longitudinal sleeve gastrectomy (LSG) is perceived as being potentially limited by dilatation of the remaining gastric tube during the follow-up. The aim of this prospective study was to determine the incidence and the characteristics of sleeve dilatation during the first post-operative year.

Materials And Methods: Gastric volumetry using 3D gastric computed tomography with gas expansion was performed in 54 successive subjects who underwent an LSG for morbid obesity at 3 and 12 months following surgery. Total gastric volume, volume of the gastric tube and the antrum, and diameter of the gastric tube were assessed after multiplanar reconstructions. An increase of at least 25 % of the total gastric volume was considered as sleeve dilatation. Percentage of excess BMI loss (%EBMIL) and daily caloric intakes were recorded during the first 18 months.

Results: Sixty-one percent of the subjects experienced sleeve dilatation 1 year after surgery. The gastric tube was mainly involved in the sleeve dilatation process (+91 %). Sleeve dilatation occurred especially in subjects with smaller total gastric volume at baseline (189 vs 236 ml, p = 0.02). Daily caloric intake was similar between the groups at each point of the follow-up. No difference concerning %EBMIL was observed between the groups during the 18 months of follow-up.

Conclusions: Sleeve dilatation occurred in more than 50 % of the patients. Dilatation was not necessarily linked to an increase of daily caloric intake and insufficient weight loss during the first 18 months following surgery. Small LSG at baseline is at higher risk of dilatation.

Citing Articles

Outcome of Revisional Bariatric Surgery After Failed Sleeve Gastrectomy: a German Multicenter Study.

Thaher O, Daza J, Croner R, Stroh C Obes Surg. 2023; 33(11):3362-3372.

PMID: 37770775 DOI: 10.1007/s11695-023-06834-6.

Two-Year Results of the Banded Versus Non-banded Re-sleeve Gastrectomy as a Secondary Weight Loss Procedure After the Failure of Primary Sleeve Gastrectomy: a Randomized Controlled Trial.

Hany M, Ibrahim M, Zidan A, Agayaby A, Aboelsoud M, Gaballah M Obes Surg. 2023; 33(7):2049-2063.

PMID: 37156932 PMC: 10166688. DOI: 10.1007/s11695-023-06598-z.

Definition, Mechanisms and Predictors of Weight Loss Failure After Bariatric Surgery.

Kim E J Metab Bariatr Surg. 2023; 11(2):39-48.

PMID: 36926678 PMC: 10011675. DOI: 10.17476/jmbs.2022.11.2.39.

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.

Sleeve gastrectomy morphology and long-term weight-loss and gastroesophageal reflux disease outcomes.

Alvarez R, Youssef J, Zadeh J, Sarode A, Barger R, Abbas M Surg Endosc. 2023; 37(7):5652-5664.

PMID: 36645483 DOI: 10.1007/s00464-022-09555-6.

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