Application and Significance of Gas-Liquid Combined Measurement in Laparoscopic Sleeve Gastrectomy
- PDF / 440,677 Bytes
- 4 Pages / 595.276 x 790.866 pts Page_size
- 113 Downloads / 147 Views
BRIEF COMMUNICATION
Application and Significance of Gas-Liquid Combined Measurement in Laparoscopic Sleeve Gastrectomy Pei Yifan 1 & Wang Yong 1 Received: 11 May 2020 / Revised: 24 July 2020 / Accepted: 28 July 2020 # Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Objective To explore the application of gas-liquid combined measurement method in the measurement of the resected gastric volume(RGV) during LSG and the analysis of related factors affecting the RGV. Methods The clinical data of 84 patients were analyzed retrospectively. LSG was performed in 84 patients. The preoperative and intraoperative conditions were recorded.Analyze the relevant factors of the volume, so as to evaluate the measurement method. Result The RGV measured by us was significantly correlated with body weight and BMI, and was most closely correlated with body weight (r = 0.367); it was also correlated with gender, three-dimensional, blood lipid and other indicators. Conclusion The measurement method of volume of stomach in vitro (Gas-liquid combined measurement method) during LSG operation is of high feasibility and objective authenticity. Keywords Laparoscopic sleeve gastrectomy (LSG) . The resected gastric volume (RGV) . Gas-liquid combined measurement
Introduction At present, obesity has become a global epidemic disease. After many years of clinical practice, weight reduction surgery is the only long-term and effective method of weight reduction for morbid obesity patients [1]. The revision of the international guidelines and research results in 2017 shows that LSG, as a determined and independent surgical method for the treatment of morbid obesity, has achieved good results in reducing body mass index (BMI) and percentage of excess weight loss (EWL) and improving obesity-related complications, but the related factors affecting the effect of patients after operation are still not completely clear [2]. As a limited intake operation, preoperative gastric volume, intraoperative gastric volume in vitro, and postoperative residual gastric volume may affect the weight loss effect of patients. However, there is no uniform standard for the current standard quantitative evaluation of the volume of each part of the stomach, and many methods are different, including
imaging measurement methods (upper gastrointestinal radiography [3], CT scan and 3D reconstruction [4, 5], MRI and nuclide scanning tracing [6]) or intraoperative direct measurement (Yehoshua measurement [7], saline injection [8]). Imaging method belongs to non-invasive operation, but the degree of gastric filling cannot be standardized, which is easy to cause errors; upper gastrointestinal radiography is a twodimensional image, and its measurement value is decomposed and calculated, which is easy to cause errors. In addition, it will cause some damage to patients and even lead to complications such as aspiration and anastomotic leakage. On the basis of predecessors, our center adopts gas-liquid combined measurement method to measure the resected gastric
Data Loading...
