Sleeve Gastrectomy: Correlation of Long-Term Results with Remnant Morphology and Eating Disorders

Obesity Surgery
Daniele TassinariMarco Anselmino

Abstract

Remnant dimension is considered one of the crucial elements determining the success of sleeve gastrectomy (SG), and dilation of the gastric fundus is often believed to be the main cause of failure. The main outcome of this study is to find correlations between remnant morphology in the immediate post-operative stage, its dilation in years, and the long-term results. The second purpose aims to correlate preoperative eating disorders, taste alteration, hunger perception, and early satiety with post-SG results. Remnant morphology was evaluated, in the immediate post-operative stage and over the years (≥2 years), through X-ray of the oesophagus-stomach-duodenum calculating the surface in anteroposterior (AP) and right anterior oblique projection (RAO). Presurgery diagnosis of eating disorders and their evaluation through "Eating Disorder Inventory-3" (EDI3) during follow-up were performed. Change in taste perception, sense of appetite, and early satiety were evaluated. Patients were divided into two groups: "failed SGs (EWL<50%) and "efficient SGs" (EWL >50%). There were a total of 50 patients (37 F, 13 M), with mean age 52 years, preoperative weight 131 ± 21.8 kg, and BMI 47.4 ± 6.8 kg/m2. Post-operative remnant mean dimensions ov...Continue Reading

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Citations

Jul 27, 2018·Obesity Surgery·Daniel M FelsenreichFelix B Langer
Feb 18, 2020·Obesity Surgery·Clara PañellaJosé M Ramón
Dec 5, 2019·Diabetes Therapy : Research, Treatment and Education of Diabetes and Related Disorders·Dan LuoYanjun Liu

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