Shekh Zkria Atia, Roqaia Abdulkafi Hasan
Department of General Surgery, Syrian Private University, Damascus, Syria.
Department of General Surgery, Damascus University, Damascus, Syria.
J Surg Case Rep. 2020 Jun 19;2020(6):rjaa183. doi: 10.1093/jscr/rjaa183. eCollection 2020 Jun.
Sleeve gastrectomy (SG) is an effective method for weight loss; it is done by laparoscopy or open approach; it is a restrictive procedure and involves removing part of the stomach by cutting over bougie, which ensures that stenosis doesn't occur. Bougie may cause esophageal perforation. There are studies that show the size of bougie used and weight loss are related. We show a case of open SG without using bougie at all. It is an effective and safe method and results in ~30% of weight loss 3 months after the operation without complications; thus, we conclude that SG can be done without bougie.
袖状胃切除术（SG）是一种有效的减肥方法；可通过腹腔镜或开放手术进行；这是一种限制性手术，通过在探条上切割来切除部分胃，以确保不会发生狭窄。探条可能导致食管穿孔。有研究表明，所用探条的尺寸与体重减轻有关。我们展示了一例完全不使用探条的开放袖状胃切除术病例。这是一种有效且安全的方法，术后3个月体重减轻约30%且无并发症；因此，我们得出结论，袖状胃切除术可不使用探条进行。
