Acceleration of Gastric Emptying and Improvement of GERD Outcome After Laparoscopic Sleeve Gastrectomy in Non-diabetic O
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ORIGINAL CONTRIBUTIONS
Acceleration of Gastric Emptying and Improvement of GERD Outcome After Laparoscopic Sleeve Gastrectomy in Non-diabetic Obese Patients Mohamed Abdalla Salman 1 & Hani Maurice Sabri Mikhail 1 & Ahmed Abdelsalam 1 & Ahmed Abdallah 1 & Hossam E. Elshafey 2 & Tarek Elsayed Abouelregal 3 & Mahmoud Gouda Omar 3 & Hesham Elkassar 3 & Reham Abdelghany Ahmed 3 & Mohamed Atallah 4 & Hossam El-Din Shaaban 4 & Zeinab Abdellatif 5 & Shaimaa Elkholy 3 & Ahmed Abdallah Salman 3
# Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Purpose Obesity has become a pandemic nowadays. Bariatric surgery is increasingly performed to manage obesity. Currently, laparoscopic sleeve gastrectomy (LSG) is a widely accepted procedure given its feasibility and efficacy. Previous studies revealed conflicting results regarding the change of gastric emptying following sleeve gastrectomy. The primary aim of the present study is to assess gastric motor function by gastric emptying scintigraphy in a cohort of non-diabetic patients undergoing laparoscopic sleeve gastrectomy (LSG) for treatment of severe obesity. Methods This prospective observational study included 100 obese, non-diabetic patients attending the surgery clinic at Cairo University Hospitals and Al Azhar University Hospitals. LSG was performed following a standardized protocol, with no complications observed. All patients had gastric emptying scintigraphy done through a standard semisolid meal (250 kcal), marked with 0.5 mCiTc 99, pre-operatively and 3 months after LSG. Results The mean age was 38.71 years (9.2) and males comprised 57% of the cohort. The body mass index, low-density lipoproteins, and glycated hemoglobin declined significantly at 3-month postsurgery. The scintigraphy study revealed a significantly reduced percent retention at equivalent time points 3 months after LSG. In addition, the percent of patients suffering from GERD decreased significantly after LSG. Conclusion Gastric emptying becomes faster after LSG in morbidly obese non-diabetic patients. GERD symptoms improve after surgery.
* Mohamed Abdalla Salman [email protected] Hani Maurice Sabri Mikhail [email protected] Ahmed Abdelsalam [email protected] Ahmed Abdallah [email protected] Hossam E. Elshafey [email protected] Tarek Elsayed Abouelregal [email protected] Mahmoud Gouda Omar [email protected]
Hesham Elkassar [email protected] Reham Abdelghany Ahmed [email protected] Mohamed Atallah [email protected] Hossam El-Din Shaaban [email protected] Zeinab Abdellatif [email protected] Shaimaa Elkholy [email protected] Ahmed Abdallah Salman [email protected] Extended author information available on the last page of the article
OBES SURG
Keywords LSG . Morbid obesity . Gastric emptying scintigraphy
Background Laparoscopic sleeve gastrectomy (LSG) is the most frequently performed bariatric operation worldwide. It has surpassed the “gold standard” Roux-en-Y gastric bypass (RYGB) in man
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