Evidence map›Paper›PMID 41920458›Full record

ArticleObesity surgery2026

Gastric Volumetric Filling Capacity Before and After Sleeve Gastrectomy: a Magnetic Resonance Imaging and Biomechanical Study.

François Fournier, Catherine Masson, David Bendahan, Lauriane Pini, Maxime Guye, Thomas Troalen, Amal Abdellaoui, Pauline Duconseil, Akram Redjdal, Adrien Ugon and 2 more

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Article in Obesity surgery, 2026. 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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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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

12 authors.

François FournierLBA, Université Gustave Eiffel, Champs-sur-Marne, Marseille, F-13016, France. Francois.Fournier@univ-eiffel.fr.
Catherine MassonLBA, Université Gustave Eiffel, Champs-sur-Marne, Marseille, F-13016, France. Catherine.Masson@univ-eiffel.fr.
David BendahanCNRS, CRMBM, Aix-Marseille University, Marseille, France.
Lauriane PiniCNRS, CRMBM, Aix-Marseille University, Marseille, France.
Maxime GuyeCNRS, CRMBM, Aix-Marseille University, Marseille, France.
Thomas TroalenCNRS, CRMBM, Aix-Marseille University, Marseille, France.
Amal AbdellaouiLBA, Université Gustave Eiffel, Champs-sur-Marne, Marseille, F-13016, France.
Pauline DuconseilDepartment of Digestive Surgery, Hôpital Nord, Marseille, France.
Akram RedjdalLBA, Université Gustave Eiffel, Champs-sur-Marne, Marseille, F-13016, France.
Adrien UgonLBA, Université Gustave Eiffel, Champs-sur-Marne, Marseille, F-13016, France.
Wei WeiLBA, Université Gustave Eiffel, Champs-sur-Marne, Marseille, F-13016, France. Wei.Wei@univ-eiffel.fr.
Thierry BègeLBA, Université Gustave Eiffel, Champs-sur-Marne, Marseille, F-13016, France. Thierry.Bege@ap-hm.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe stomach exhibits substantial expansion capacity to accommodate food ingestion, yet regional deformation profiles (fundus, corpus, antrum) remain poorly characterised. Laparoscopic sleeve gastrectomy (LSG) drastically reduces anatomical gastric volume, but its impact on accommodation capacity and the underlying mechanical determinants are unknown. This study investigated the correlation between regional gastric tissue mechanics and MRI-measured volumetric changes before and after LSG.

methodsIn a prospective, single-centre study, nine patients with severe obesity (preoperative BMI 42.2 ± 4.1 kg/m²) underwent MRI-based gastric volumetry empty/full (ad libitum, up to 500mL) before and 1–2 months after LSG. Resected fundus and corpus tissue samples were subjected to biaxial tensile testing to quantify passive mechanical properties. Correlations between regional tissue stretch capacity and volumetric expansion were analysed.

resultsAfter water ingestion, preoperative volume increased from 203 ± 68 cm³ (empty) to 604 ± 141 cm³ (full). Tissue mechanical extensibility was greater (Sign test, p = 0.02) in the fundus (2.67 ± 0.84) than corpus (2.23 ± 0.31). Fundus extensibility strongly correlated with regional volume accommodation (ρ = 0.77, p = 0.015). Post-LSG, sleeve volumes decreased to 73 ± 18 cm³ (empty) and 120 ± 44 cm³ (full), representing 64% and 80% reductions respectively. Volume loss predominantly affected the fundus. Postoperatively, no correlation was found between tissue mechanics and gastric expansion.

conclusionPre-LSG, fundic tissue compliance appears to be a primary driver of gastric accommodation capacity. LSG reduces anatomical volume by two-thirds and functional capacity by three-quarters, with early postoperative expansion in this cohort appearing independent of intrinsic tissue mechanical properties. These findings should be confirmed in larger, multicentre cohorts.

Indexed as

GastrectomyObesity, MorbidStomachAdultBiomechanical PhenomenaFemaleHumansLaparoscopyMagnetic Resonance ImagingMaleMiddle AgedOrgan SizeProspective StudiesBiaxial tensile testingGastric accommodationGastric biomechanicsMagnetic resonance imagingSleeve gastrectomyTissue mechanics

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.