scholarly journals Sleeve gastrectomy without bougie is safe and effective operation: case report

2020 ◽  
Vol 2020 (6) ◽  
Author(s):  
Zkria Atia Shekh ◽  
Abdulkafi Hasan Roqaia

Abstract 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.

Author(s):  
Jonathan R. Chino ◽  
Garrett JonesDO ◽  
Amit B. Karmur ◽  
Robert Stowe ◽  
Barry Sanchez

2021 ◽  
Vol 15 (9) ◽  
pp. 2984-2985
Author(s):  
Syeda Nazia Kulsum ◽  
Ali Faraz ◽  
Kauser Fathima ◽  
Kashif Shaikh ◽  
Nazia Khan ◽  
...  

Sleeve gastrectomy (SG) is a relatively recent and effective weight-loss treatment. Because the number of bariatric surgical operations is increasing, surgeons should be aware of the issues related with SG. In the absence of an identifiable etiology, oligo-asthenoteratospermia in a patient with proven fertility is unusual. Here we describe a case of severe worsening of semen parameters after SG. Key words: Key words: Sleeve gastrectomy, Bariatric surgery , Semen analysis


Author(s):  
Paritosh Gupta ◽  
Dhruv Nayan Kundra ◽  
Amanpriya Khanna ◽  
Chinmay Arora

Obesity is becoming an increasingly common disease across the world. Various restrictive and malabsorbptive surgical procedures have been developed to tackle morbid obesity. These procedures though efficient in causing weight loss and decrease in co – morbidities present with their own unique complications. Sleeve gastrectomy is one of the more recent, mainly restrictive procedure which has been gaining rapid popularity. Stricture of the gastric sleeve pouch is a rare and distressing complication of this procedure. Here we present a case of a 44-year-old woman who underwent Sleeve gastrectomy in Gulf 5 years back. She developed a stricture of the sleeve pouch for which she underwent two endoscopic dilatations which did not provide much relief. She was finally treated with a Roux – en – y gastro-jejunostomy which finally improved her symptoms.


2021 ◽  
Author(s):  
Małgorzata Deręgowska-Cylke ◽  
Piotr Palczewski ◽  
Marcin Błaż ◽  
Radosław Cylke ◽  
Paweł Ziemiański ◽  
...  

Abstract Background As a restrictive procedure, laparoscopic sleeve gastrectomy (LSG) relies primarily on the reduction of gastric volume. It has been suggested that an immediate postoperative gastric remnant volume (GRV) may influence long-term results of LSG; however, there are no consensus in this matter. The aim of this study was to assess the reproducibility of different radiographic methods of GRV calculation and evaluate their correlation with the weight loss (WL) after surgery. Methods This retrospective study evaluated 174 patients who underwent LSG in the period from 2014 to 2017. Using UGI, GRV was measured with 3 different mathematical methods by 2 radiologists. Intraobserver and interobserver calculations were made. Correlation between GRV and WL were estimated with calculations percentage of total weight loss (%TWL) and percentage of excess weight loss (%EWL) after 1, 3, 6, 12, 18, and 24 months postoperatively. Results During analysis of intraobserver similarities, the results of ICC calculation showed that reproducibility was good to excellent for all GRV calculation methods. The intraobserver reproducibility for Reader I was highest for cylinder and truncated cone formula and for Reader II for ellipsoid formula. The interobserver reproducibility was highest for ellipsoid formula. Regarding correlation between GRV and WL, significant negative correlation has been shown on the 12th month after LSG in %TWL and %EWL for every method of GRV calculation, most important for ellipsoid formula (%TWL – r(X,Y) = -0.335, p < 0.001 and %EWL – r(X,Y) = -0.373, p < 0.001). Conclusion Radiographic methods of GRV calculation are characterized by good reproducibility and correlate with the postoperative WL. Graphical Abstract


Sign in / Sign up

Export Citation Format

Share Document