Evidence map›Paper›PMID 41023532›Full record

ArticleObesity surgery2025

Prevalence, Risk Factors, and Management of Postoperative Constipation After Laparoscopic Sleeve Gastrectomy in Patients with Severe Obesity: a Retrospective Multicentric Study.

Ayman El Nakeeb, Mohamed Abdallah Abd Elhady, Ahmed Fadaly Hussein, Ahmed Beah, Hassan Aldossary, Ahmed Zaid, Aly E Rashad, Kareem Alnakeeb, Mohamed Attia, Mohamed Balata

Abstract readMulticenter Study
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In one paragraph

Article in Obesity surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Ayman El NakeebGastrointestinal Surgical Center, Mansoura University, Mansoura, Egypt. elnakeebayman@yahoo.com.
Mohamed Abdallah Abd ElhadyMansoura University Hospital, Mansoura, Egypt.
Ahmed Fadaly HusseinMansoura University Hospital, Mansoura, Egypt.
Ahmed BeahMansoura University Hospital, Mansoura, Egypt.
Hassan AldossaryWadi Al Dawasir Armed Forces Hospital, Wadi Al Dawasir, Saudi Arabia.
Ahmed ZaidWadi Al Dawasir Armed Forces Hospital, Wadi Al Dawasir, Saudi Arabia.
Aly E RashadWadi Al Dawasir Armed Forces Hospital, Wadi Al Dawasir, Saudi Arabia.
Kareem AlnakeebMansoura University Hospital, Mansoura, Egypt.
Mohamed AttiaGastrointestinal Surgical Center, Mansoura University, Mansoura, Egypt.
Mohamed BalataMansoura University Hospital, Mansoura, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic sleeve gastrectomy (LSG) modifies the anatomy, function, and motility of the gastrointestinal tract. Constipation is a prevalent postoperative issue among bariatric surgery patients. This study evaluates the prevalence, predictors, and management of postoperative constipation after LSG. PATIENTS AND

methodsThis multicenter study involved patients with severe obesity who underwent LSG from April 2022 to February 2025. Patients were categorized into two groups: the first group included patients who developed postoperative constipation, while the second group comprised patients with normal bowel movements. The diagnosis of functional constipation was determined according to the Rome IV criteria. The Wexner Constipation Score (WCS) was used to assess postoperative constipation.

resultsThe study included 797 patients (60.6% women and 39.4% men) with a mean age of 34.87 years. Postoperative constipation developed in 153 patients (19.2%). The mean WCS was 3.19 ± 3.16. Mild constipation was present in 104 out of 153 patients. Independent risk factors identified for postoperative constipation were female sex, hypothyroidism, preoperative constipation, and gastropexy. However, postoperative fluid consumption of more than 3 L, smoking, and antral preservation were recognized as independent protective factors against postoperative constipation. Postoperative de novo anal fissures secondary to constipation developed in 26/153 patients. Most patients were managed medically. Postoperative grade 2 hemorrhoids developed in 20 patients.

conclusionPost-LSG constipation developed in 153 patients (19.2%). Antral preservation, smoking, and liberal fluid intake were protective factors for minimizing the development of postoperative constipation after LSG. Conservative management remained the primary line of treatment for postoperative constipation.

Indexed as

Bariatric SurgeryConstipationGastrectomyLaparoscopyObesity, MorbidPostoperative ComplicationsAdultFemaleHumansMaleMiddle AgedPrevalenceRetrospective StudiesRisk FactorsAnal fissuresConstipationHemorrhoidsLaparoscopic sleeve gastrectomyRome IV criteriaSevere obesityWexner Constipation Score

Identifiers

PMID41023532

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