Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Sep-Oct;36(6):1228-1233.
doi: 10.12669/pjms.36.6.2321.

The role of extended antral resection on weight loss and metabolic response after sleeve gastrectomy: A retrospective cohort study

Adem Yuksel  1 , Murat Coskun  2 , Kerem Karaman  3
Affiliations

The role of extended antral resection on weight loss and metabolic response after sleeve gastrectomy: A retrospective cohort study

Adem Yuksel et al. Pak J Med Sci. 2020 Sep-Oct.

Abstract

Objective: The impact of extended antral resection (AR) after laparoscopic sleeve gastrectomy (LSG) on clinical results is still not clearly elucidated with conflicting results. Our study aimed to determine whether AR is superior to antral preservation (AP) regarding clinical results.

Methods: Patients were divided into two groups according to the distance of gastric division as AR group (2cm from pylorus) and AP group (6cm from pylorus). Postoperative excess weight loss percentile (%EWL) and total body weight loss percentiles (%TBWL) at the end of first, 6th and 12 months were compared. Secondly, metabolic parameters and complications were compared.

Results: The first 68 patients underwent AP, and the following 43 patients underwent AR. Although statistically not significant, AR achieve more %EWL and %TBWL at the end of the first year, (P>0.05). On the other hand, metabolic parameters were similar at the end of the first year, (P>0.05). Resolution of comorbidities were statistically not different, (P>0.05). Staple line leak occurred in two patients of the AR group (4.7%) and two patients of the AP group (2.9%), (P>0.05).

Conclusion: Both AR and AP seem to be equally effective in resolution of metabolic response. Although statistically not significant- AR provided more %EWL and %TBWL at the end of 12 months.

Keywords: Antral resection; Excess weight loss; Laparoscopic sleeve gastrectomy; Metabolic response; Total body weight loss.

PubMed Disclaimer

Conflict of interest statement

Conflict of interest: The authors declare that they have no conflict of interest. None of the authors received financial support or had any institutional or other relationships that might lead to bias.

Similar articles

See all similar articles

Cited by

References

    1. Shi X, Karmali S, Sharma AM, Birch DW. A review of laparoscopic sleeve gastrectomy for morbid obesity. Obes Surg. 2010;20(8):1171–1177. doi:10.1007/s11695-010-0145-8. - PubMed
    1. Peterli R, Wölnerhanssen BK, Vetter D, Nett P, Gass M, Borbély Y, et al. 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. 2017;265(3):466. doi:10.1097/SLA.0000000000001929. - PMC - PubMed
    1. Angrisani L, Santonicola A, Iovino P, Vitiello A, Higa K, Himpens J, et al. IFSO Worldwide Survey 2016:Primary, endoluminal, and revisional procedures. Obes Surg. 2018;28(12):3783–3794. doi:10.1007/s11695-018-3450-2. - PubMed
    1. Zellmer JD, Mathiason MA, Kallies KJ, Kothari SN. Is laparoscopic sleeve gastrectomy a lower risk bariatric procedure compared with laparoscopic Roux-en-Y gastric bypass?A meta-analysis. Am J Surg. 2014;208(6):903–910. doi:10.1016/j.amjsurg.2014.08.002. - PubMed
    1. Zhang Y, Ju W, Sun X, Cao Z, Xinsheng X, Daquan L, et al. Laparoscopic sleeve gastrectomy versus laparoscopic Roux-en-Y gastric bypass for morbid obesity and related comorbidities:a meta-analysis of 21 studies. Obes Surg. 2015;25(1):19–26. doi:10.1007/s11695-014-1385-9. - PubMed

LinkOut - more resources