ArticleObesity surgery2019
Effect of Resection Distance from Pylorus on Weight Loss Outcomes in Laparoscopic Sleeve Gastrectomy.
Article in Obesity surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Promising effects of 33 to 36 Fr. bougie calibration for laparoscopic sleeve gastrectomy: a systematic review and network meta-analysis.Scientific reports · 2021Pooled it
- Trial
- Does antrum size matter in sleeve gastrectomy? A prospective randomized study.Surgical endoscopy · 2021Trial
- Patient-reported outcomes after antrum resection versus antrum preservation in laparoscopic sleeve gastrectomy patients: A retrospective cohort study.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2026Article
- Comparison of Mid- and Long-term Outcomes of Antrum-Resecting Versus Antrum-Preserving Laparoscopic Sleeve Gastrectomy.Obesity surgery · 2025Article
- Sleeve gastrectomy with antral resection provides more effective weight loss in patients with super obesity.Langenbeck's archives of surgery · 2025Article
- Raising Concerns About Perioperative Outcomes Using Single-Fire Stapler During Sleeve Gastrectomies.Obesity surgery · 2025Article
- Does Antrum Size Matter in Sleeve Gastrectomy? Volume II-A Retrospective Multicentric Study with Long-Term Follow-Up.Journal of clinical medicine · 2024Article
- The Art of Sleeve Gastrectomy.Journal of clinical medicine · 2024Review
- Long-Term Outcomes of Sleeve Gastrectomy: Weight Recurrence and Surgical Non-responders.Obesity surgery · 2023Article
- The effect of antral resection start point on post sleeve gastrectomy gastroesophageal reflux symptoms and weight loss outcomes.Surgical endoscopy · 2023Article
- Differences in Technical Aspects of Primary Sleeve Gastrectomy Prior to Redo Bariatric Surgery-A Multicenter Cohort Study (PROSS Study).Medicina (Kaunas, Lithuania) · 2023Article
- Predictors of Weight Regain and Insufficient Weight Loss According to Different Definitions After Sleeve Gastrectomy: a Retrospective Analytical Study.Obesity surgery · 2022Article
- Use of sleeve gastrectomy in adolescents and young adults with severe obesity.Current opinion in pediatrics · 2020Review
- The role of extended antral resection on weight loss and metabolic response after sleeve gastrectomy: A retrospective cohort study.Pakistan journal of medical sciencesArticle
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite the established efficacy and safety of laparoscopic sleeve gastrectomy (LSG), controversy still exists on optimal operative technique, the resection distance from pylorus (DP) being among the most controversial issues. This study aimed to examine the effect of resection distance from pylorus on % excess weight loss (EWL) during postoperative period, in patients who underwent LSG for morbid obesity.
methodsA total of 390 patients who underwent laparoscopic sleeve gastrectomy for morbid obesity were included in this retrospective study. Patients were allocated into one of the two groups based on the distance between antrum resection margin and pylorus: group A, ≤ 3 cm and group B, > 3 cm. Follow-up data for %EWS and nausea/vomiting as well as demographical and perioperative data were retrospectively reviewed and logistic regression analysis was done.
resultsFollow-up data up to 12 months were available for all patients, whereas 199 patients had follow-up data at 24 months. Shorter distance from pylorus was associated with higher %EWL throughout the treatment period (p < 0.001), evident from the first postoperative month (p = 0.013 for the first month, p < 0.001 for all other time points). The benefit extended up to 24 months in ≤ 3 cm group. However, nausea/vomiting was more frequent in the ≤ 3 cm group only at 1-month visit (15% vs. 4%, p < 0.001). In multivariate evaluations, while %EWL variable was taken as a dependent variable, time variable with DP × time interaction was statistically significant in the model.
conclusionsOur findings indicate that a short distance between resection margin and pylorus is associated with better and sustained %EWL in LSG. However, these patients seem to be more prone to nausea and vomiting in the early postoperative period. Further prospective large studies would help to define an optimal resection distance.
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