Top

Published in:

01-01-2019 | Original Scientific Report

Assessment of the Correlation Between Preoperative and Immediate Postoperative Gastric Volume and Weight Loss After Sleeve Gastrectomy Using Computed Tomography Volumetry

Authors: Hosam Elbanna, Sameh Emile, Galal El-Sayed El-Hawary, Noha Abdelsalam, Hossam Abdelhafiz Zaytoun, Haitham Elkaffas, Ahmed Ghanem

Published in: World Journal of Surgery | Issue 1/2019

Abstract

Background

Laparoscopic sleeve gastrectomy (LSG) has achieved excellent results in treatment of morbid obesity. The present study aimed to evaluate the impact of the preoperative gastric volume, volume of the remaining gastric pouch, and volume of the resected stomach on weight loss after LSG.

Methods

Patients with morbid obesity who underwent LSG were investigated by CT volumetry before and 1 week after LSG to measure the volume of the stomach before and after the procedure, and the volume of the resected stomach was also calculated. The percentage of excess weight loss (EWL) and decrease in body mass index (BMI) at 6 months postoperatively were measured and correlated with preoperative and postoperative gastric volumes.

Results

Forty-seven patients (44 females) were included to the study. A significant decrease in the gastric volume and BMI after LSG was noted. Preoperative gastric volume was positively correlated with preoperative BMI (r = 0.723, p < 0.00001) but not correlated with %EWL at 6 months. The volume of the remaining gastric pouch was positively correlated with BMI at 6 months postoperatively (r = 0.597, p < 0.00001) and negatively correlated with %EWL (r = −0.7495, p < 0.00001). The correlation between the size of resected stomach and %EWL was statistically insignificant, yet the mean percentage of the resected stomach was directly correlated to %EWL.

Conclusion

The preoperative volume of the stomach was positively correlated with baseline BMI, but not correlated with %EWL. The size of the remaining gastric pouch and the percentage of the resected stomach had significant impact on %EWL after LSG.

Flegal KM, Carroll MD, Kit BK, Ogden CL (2012) Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999–2010. JAMA 307(5):491–497CrossRefPubMed

Maggard MA, Shugarman LR, Suttorp M, Maglione M, Sugerman HJ, Livingston EH et al (2005) Meta-analysis: surgical treatment of obesity. Ann Intern Med 142(7):547–559CrossRefPubMed

Emile SH, Elfeki H, Elalfy K, Abdallah E (2017) Laparoscopic sleeve gastrectomy then and now: an updated systematic review of the progress and short-term outcomes over the last 5 years. Surg Laparosc Endosc Percutan Tech. https://doi.org/10.1097/SLE.0000000000000418 CrossRefPubMed

Elbanna H, Ghnnam W, Negm A, Youssef T, Emile S, El Metwally T, Elalfy K (2016) Impact of preoperative body mass index on the final outcome after laparoscopic sleeve gastrectomy for morbid obesity. Ulus Cerrahi Derg 32(4):238–243. https://doi.org/10.5152/UCD.2016.3275 CrossRefPubMedPubMedCentral

Golomb I, Ben David M, Glass A et al (2015) Long-term metabolic effects of laparoscopic sleeve gastrectomy. JAMA Surg 150(11):1051–1057CrossRefPubMed

Braghetto I, Korn O, Valladares H et al (2007) Laparoscopic sleeve gastrectomy: surgical technique, indications and clinical results. Obes Surg 17(11):1442–1450CrossRefPubMed

Nocca D, Krawczykowsky D, Bomans B et al (2008) A prospective multicenter study of 163 sleeve gastrectomies: results at 1 and 2 years. Obes Surg 18(5):560–565CrossRefPubMed

Himpens J, Dobbeleir J, Peeters G (2010) Long-term results of laparoscopic sleeve gastrectomy for obesity. Ann Surg 252(2):319–324CrossRefPubMed

Weiner RA, Weiner S, Pomhoff I et al (2007) Laparoscopic sleeve gastrectomy—influence of sleeve size and resected gastric volume. Obes Surg 17(10):1297–1305CrossRefPubMed

10.

Hanssen A, Plotnikov S, Acosta G, Nuñez JT, Haddad J, Rodriguez C et al (2017) 3D volumetry and its correlation between postoperative gastric volume and excess weight loss after sleeve gastrectomy. Obes Surg. https://doi.org/10.1007/s11695-017-2927-8 CrossRef

11.

Peterli R, Wölnerhanssen BK, Vetter D, Nett P, Gass M, Borbély Y et al (2017) Laparoscopic sleeve gastrectomy versus Roux-Y-gastric bypass for morbid obesity-3-year outcomes of the prospective randomized Swiss Multicenter Bypass or Sleeve Study (SM-BOSS). Ann Surg 265(3):466–473. https://doi.org/10.1097/SLA.0000000000001929 CrossRefPubMed

12.

D’Hondt M, Vanneste S, Pottel H et al (2011) Laparoscopic sleeve gastrectomy as a single-stage procedure for the treatment of morbid obesity and the resulting quality of life, resolution of comorbidities, food tolerance, and 6-year weight loss. Surg Endosc 25(8):2498–2504CrossRefPubMed

13.

Robert M, Pasquer A, Pelascini E et al (2016) Impact of sleeve gastrectomy volumes on weight loss results: a prospective study. Surg Obes Relat Dis 12(7):1286–1291CrossRefPubMed

14.

Demerdash HM, Sabry AA, Arida EA (2017) Role of serotonin hormone in weight regain after sleeve gastrectomy. Scand J Clin Lab Invest. https://doi.org/10.1080/00365513.2017.1413714 (Epub ahead of print) CrossRefPubMed

15.

Goitein D, Lederfein D, Tzioni R, Berkenstadt H, Venturero M, Rubin M (2012) Mapping of ghrelin gene expression and cell distribution in the stomach of morbidly obese patients—a possible guide for efficient sleeve gastrectomy construction. Obes Surg 22:617–622. https://doi.org/10.1007/s11695-011-0585-9 CrossRefPubMed

16.

Vidal P, Ramón JM, Busto M et al (2014) Residual gastric volume estimated with a new radiological volumetric model: relationship with weight loss after laparoscopic sleeve gastrectomy. Obes Surg 24(3):359–363CrossRefPubMed

17.

Braghetto I, Davanzo C, Korn O et al (2009) Scintigraphic evaluation of gastric emptying in obese patients submitted to sleeve gastrectomy compared to normal subjects. Obes Surg 19(11):1515–1521CrossRefPubMed

18.

Karcz WK, Kuesters S, Marjanovic G et al (2009) 3D-MSCT gastric pouch volumetry in bariatric surgery-preliminary clinical results. Obes Surg 19(4):508–516CrossRefPubMed

19.

Sherwood L (1997) Human physiology: from cells to systems. Belmont, CA: Wadsworth Pub. Co. ISBN: 0-314-09245-5. OCLC 35270048

20.

Granstrom L, Backman L (1985) Stomach distension in extremely obese and in normal subjects. Acta Chir Scand 151:367–370PubMed

21.

Kim DY, Camilleri M, Murray JA, Stephens DA, Levine JA, Burton DD (2001) Is there a role for gastric accommodation and satiety in asymptomatic obese people. Obes Res 9:655–661CrossRefPubMed

22.

Geliebter A, Hassid G, Hashim SA (2001) Test meal intake in obese binge eaters in relation to mood and gender. Int J Eat Disord 29:488–494CrossRefPubMed

23.

El-Anwar A, Shaker H (2016) Laparoscopic sleeve gastrectomy for morbid obesity: does the size of the bougie matter? Egypt J Surg 35:35–43CrossRef

24.

Rosas U, Hines H, Rogan D, Rivas H, Morton J (2015) The influence of resected gastric weight upon weight loss after sleeve gastrectomy. Am Surg 81(12):1240–1243PubMed

25.

Deguines JB, Verhaeghe P, Yzet T, Robert B, Cosse C, Regimbeau JM (2013) Is the residual gastric volume after laparoscopic sleeve gastrectomy an objective criterion for adapting the treatment strategy after failure? Surg Obes Relat Dis 9(5):660–666. https://doi.org/10.1016/j.soard.2012.11.010 CrossRefPubMed

Title: Assessment of the Correlation Between Preoperative and Immediate Postoperative Gastric Volume and Weight Loss After Sleeve Gastrectomy Using Computed Tomography Volumetry
Authors: Hosam Elbanna
Sameh Emile
Galal El-Sayed El-Hawary
Noha Abdelsalam
Hossam Abdelhafiz Zaytoun
Haitham Elkaffas
Ahmed Ghanem
Publication date: 01-01-2019
Publisher: Springer International Publishing
Published in: World Journal of Surgery / Issue 1/2019
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-018-4749-9

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Assessment of the Correlation Between Preoperative and Immediate Postoperative Gastric Volume and Weight Loss After Sleeve Gastrectomy Using Computed Tomography Volumetry

Abstract

Background

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 1/2019

Letter to the Editor: Effect of Statin Therapy on Survival After Abdominal Aortic Aneurysm Repair: A Systematic Review and Meta-analysis

Letter to the Editor: Are American Surgical Residents Prepared for Humanitarian Deployment? A Comparative Analysis of Resident and Humanitarian Case Logs

Ten Years and Counting: Sustaining Effectiveness of the Surgical Safety Checklist Through Ongoing Implementation Efforts

Hepatic Pedicle Occlusion with the Pringle Maneuver During Difficult Laparoscopic Cholecystectomy Reduces the Conversion Rate

The Predictive Value of Pulse Wave Velocity for Anastomotic Leakage After Colorectal Surgery

Time to Readmission and Mortality Among Patients Undergoing Liver and Pancreatic Surgery