Department of General Surgery, School of Medicine.
Institute of Health Science, Marmara University, Istanbul, Turkey.
Surg Laparosc Endosc Percutan Tech. 2022 Aug 1;32(4):476-480. doi: 10.1097/SLE.0000000000001066.
Reduced excess weight loss (EWL) or regain is a worrying problem after metabolic surgery. Factors attainable from the resected specimen that can predict this outcome are investigated. We retrospectively analyzed 64 patients who had undergone laparoscopic sleeve gastrectomy. We collected demographic data, preoperative gastric emptying measurements, volume, expansion capacity, and 6-dimensional measurements of sleeve gastrectomy specimens. Correlations between EWL, body mass index levels, and gastric specimen measurements related to gastric remnant dimensions were also scrutinized. We found a significant correlation between the gastric specimen and remnant gastric volume, the resection line length in the gastric specimen, and 12th-month EWL%. Antrum expansibility was significantly increased in patients with weight regain. There was also a negative correlation between weight loss and age at postoperative first and third years. Sleeve resection line measurement and resected antrum diameter measurements can be used to predict weight loss, especially in the first year postoperatively.
减重手术后出现体重减轻不足或体重反弹是一个令人担忧的问题。本研究旨在探讨从切除标本中获得的、可预测手术结局的相关因素。我们回顾性分析了 64 例行腹腔镜袖状胃切除术的患者，收集了患者的人口统计学资料、术前胃排空测量值、胃容量、扩张能力和袖状胃切除标本的 6 维测量值。还分析了胃标本测量值与胃残端大小相关的 EWL 和 BMI 水平之间的相关性。我们发现胃标本与残胃容量、胃标本中的切除线长度和术后 12 个月 EWL%之间存在显著相关性。有体重反弹的患者的胃窦扩张性明显增加。术后第 1 年和第 3 年的体重减轻与年龄呈负相关。袖状切除线测量和切除的胃窦直径测量可用于预测术后第 1 年的体重减轻。
