Intrathoracic Migration of Gastric Sleeve Affects Weight Loss as well as GERD–an Analysis of Remnant Gastric Morphology for 100 Patients at One Year After Laparoscopic Sleeve Gastrectomy
DC Field | Value | Language |
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dc.contributor.author | Choi, Seung Joon | - |
dc.contributor.author | Kim, Seong Min | - |
dc.date.accessioned | 2021-06-09T02:40:24Z | - |
dc.date.available | 2021-06-09T02:40:24Z | - |
dc.date.created | 2021-03-29 | - |
dc.date.issued | 2021-07 | - |
dc.identifier.issn | 0960-8923 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/81222 | - |
dc.description.abstract | Purpose: Laparoscopic sleeve gastrectomy (SG) is now frequently performed as a definitive bariatric procedure. The aim of the study was to evaluate the detailed morphology of remnant stomachs after SG with respect to volume and sleeve migration. Materials and Methods: We performed a review of prospectively collected data on patients that completed a 12-month postop examination, which included CT volumetry of the sleeve, and a questionnaire that addressed postop food tolerance. CT volumetry study included total sleeve volume (TSV), tube volume (TV), antral volume (AV), tube/antral volume ratio (TAVR), and the presence of intrathoracic sleeve migration (ITSM). Results: One hundred patients were included in this study. Mean %TWL (total weight loss) at 12 months postop was 31.1% (14.3~55.5), and mean TSV, TV, AV, and TAVR were 188.3 ± 67.3 ml, 81.3 ± 38.5 ml. 107.0 ± 45.1 ml, and 0.846 ± 0.514 respectively. TSV was not correlated significantly with %TWL at 12 months postop (r=−0.140, p=0.164). Thirty patients (30/100, 30%) showed ITSM. Patients with ITSM had a significantly lower mean GER score (5.9 ± 2.3 vs. 7.5±1.9, p=0.001), and a higher proportion showed suboptimal weight loss (43.3% vs. 15.7%, p=0.003). Conclusions: Mean TSV was not found to be significantly correlated with %TWL at 12 months postop. The presence of ITSM indicated more frequent GER symptoms and a higher probability of suboptimal weight loss. Graphical abstract: [Figure not available: see fulltext.] © 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | Springer | - |
dc.relation.isPartOf | Obesity Surgery | - |
dc.title | Intrathoracic Migration of Gastric Sleeve Affects Weight Loss as well as GERD–an Analysis of Remnant Gastric Morphology for 100 Patients at One Year After Laparoscopic Sleeve Gastrectomy | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 1 | - |
dc.identifier.wosid | 000631853400002 | - |
dc.identifier.doi | 10.1007/s11695-021-05354-5 | - |
dc.identifier.bibliographicCitation | Obesity Surgery, v.31, no.7, pp.2878 - 2886 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.scopusid | 2-s2.0-85102866013 | - |
dc.citation.endPage | 2886 | - |
dc.citation.startPage | 2878 | - |
dc.citation.title | Obesity Surgery | - |
dc.citation.volume | 31 | - |
dc.citation.number | 7 | - |
dc.contributor.affiliatedAuthor | Choi, Seung Joon | - |
dc.contributor.affiliatedAuthor | Kim, Seong Min | - |
dc.type.docType | Article in Press | - |
dc.subject.keywordAuthor | Gastroesophageal reflux | - |
dc.subject.keywordAuthor | Laparoscopy | - |
dc.subject.keywordAuthor | Sleeve gastrectomy | - |
dc.subject.keywordAuthor | volumetry | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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