Year 2020, Volume 4 , Issue 11, Pages 982 - 985 2020-11-01

Laparoskopik sleeve gastrektomi: Mide boşalması ve kilo kaybı arasındaki ilişki
Laparoscopic sleeve gastrectomy: Correlation of gastric emptying and weight loss

Crıstına SANCHO MOYA [1] , Marcos Bruna ESTEBAN [2] , Raúl Sanchez JURADO [3] , María Del Puig Cózar SANTİAGO [4] , Juana Forner GİNER [5]


Amaç: Laparoskopik Sleeve Gastrektomi (LSG), obezite tedavisinde kesin çözüm olarak popüler bir teknik haline gelmiştir. LSG, mide motilitesi ve mide boşalmasında değişiklikle ilişkilendirilmiştir. Bu çalışmanın amacı, LSG sonrası mide boşalmasındaki (MB) değişiklikleri ve ameliyat sonrası kilo kaybı ile ilişkisini analiz etmektir. Yöntemler: LSG ameliyatı geçiren 52 ardışık hastada mide boşalması, ameliyat öncesi ve ameliyattan sonraki 1 ve 18. aylarda, TC99m sülfür kolloid etiketli katı gıda alımından sonra, mide boşalma sintigrafisi ile değerlendirildi. Görüntüler 0, 30, 60, 120, 180 ve 240. dakikalarda bir gama kamera kullanılarak elde edildi. İkinci ve 4. saatlerde mide boşalmasının (T½) yarısı ve retansiyon yüzdesini bulmak için hesaplamalar yapıldı. Bulgular: Ameliyat öncesi, ve postoperative 1 ve 18. Aylarda T1/2 sırasıyla 101.1 (44) dakika, 88.6 (51.5) dakika ve 80.7 (53) dakika idi (P <0.05). Ameliyat öncesi ve ameliyat sonrası 1. ve 18. aylarda 2. saatteki retansiyon yüzdesi sırasıyla % 33.4 (17.4), % 26.1 (18.5) ve % 28.6 (15.2) (P <0.05), aynı değerler 4. saatte sırasıyla % 5.8 (18.3), % 4.5 (16.2) ve % 2.8 (12.6) idi (P> 0.05). Mide rezervuar hacmi operasyondan sonraki 1. ve 18. aylarda 239.5 (88.7) ml'den 280.8 (100.8) ml'ye (P <0.05) yükseldi. GE ile postoperatif ilk ayda kilo verme verileri arasında ters bir korelasyon saptandı, ancak bu korelasyon postoperatif 18. ayda izlenmedi. Sonuç: Serimize göre pilorun 4 cm distalinden transeksiyonla yapılan LSG mide boşalmasını etkilemekte ancak kilo kaybı ile anlamlı bir korelasyon göstermemektedir.
Aim: Laparoscopic Sleeve Gastrectomy (LSG) has become a popular technique as a definitive procedure in obesity treatment. It has been linked to an alteration in gastric motility and gastric emptying. The purpose of the study is to analyze the changes in gastric emptying (GE) after LSG produces and its correlation with weight loss after surgery. Methods: The preoperative and postoperative GE was estimated by gastric emptying scintigraphy at 1 month and 18 months in 52 successive patients who underwent LSG surgery. The gastric emptying scintigraphy was conducted after the ingestion of TC99m sulfur colloid labeled solid food. Images were obtained using a gamma camera at 0, 30, 60, 120, 180 and 240 minutes. Calculations were made to find out the half time gastric emptying (T½) and the retention percentage at 2 and 4 hours. Results: The T½ preoperatively, at 1 month and at 18 months were 101.1 (44) minutes, 88.6 (51.5) minutes and 80.7 (53) minutes, respectively (P<0.05). Before the operation, and at the 1st and 18th months postoperatively, the percentage of retention at 2 hours were 33.4% (17.4), 26.1% (18.5), and 28.6% (15.2), respectively (P<0.05), and that at 4 hours were 5.8% (18.3), 4.5% (16.2), and 2.8% (12.6), respectively (P>0.05). The volume of the gastric reservoir increased from 239.5 (88.7) ml to 280.8 (100.8) ml (P<0.05) at 1 and 18 months after the operation. There was an inverse correlation between GE and the weight loss data at the first postoperative month, which did not remain at the 18th postoperative month. Conclusion: According to our series, LSG with an initial transection at 4 cm from the pylorus affects gastric emptying but is not significantly correlated with weight loss.
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Primary Language en
Subjects Surgery
Journal Section Research article
Authors

Orcid: 0000-0003-0205-9316
Author: Crıstına SANCHO MOYA (Primary Author)
Institution: HOSPITAL ARNAU DE VILANOVA
Country: Spain


Orcid: 0000-0002-6907-6666
Author: Marcos Bruna ESTEBAN
Institution: Department of General Surgery, Hospital La Fe, Valencia, Spain
Country: Spain


Orcid: 0000-0002-1612-7300
Author: Raúl Sanchez JURADO
Institution: Department of Nuclear Medicine, Consorcio Hospital General Universitario de Valencia, Spain
Country: Turkey


Orcid: 0000-0002-8979-0832
Author: María Del Puig Cózar SANTİAGO
Institution: Department of Nuclear Medicine, Consorcio Hospital General Universitario de Valencia, Spain
Country: Spain


Orcid: 0000-0001-7345-7149
Author: Juana Forner GİNER
Institution: Department of Radiology, Consorcio Hospital General Universitario de Valencia, Spain
Country: Spain


Dates

Publication Date : November 1, 2020

Bibtex @research article { josam823768, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2020}, volume = {4}, pages = {982 - 985}, doi = {10.28982/josam.823768}, title = {Laparoscopic sleeve gastrectomy: Correlation of gastric emptying and weight loss}, key = {cite}, author = {Sancho Moya, Crıstına and Esteban, Marcos Bruna and Jurado, Raúl Sanchez and Santi̇ago, María Del Puig Cózar and Gi̇ner, Juana Forner} }
APA Sancho Moya, C , Esteban, M , Jurado, R , Santi̇ago, M , Gi̇ner, J . (2020). Laparoscopic sleeve gastrectomy: Correlation of gastric emptying and weight loss . Journal of Surgery and Medicine , 4 (11) , 982-985 . DOI: 10.28982/josam.823768
MLA Sancho Moya, C , Esteban, M , Jurado, R , Santi̇ago, M , Gi̇ner, J . "Laparoscopic sleeve gastrectomy: Correlation of gastric emptying and weight loss" . Journal of Surgery and Medicine 4 (2020 ): 982-985 <http://jsurgmed.com/en/pub/issue/57748/823768>
Chicago Sancho Moya, C , Esteban, M , Jurado, R , Santi̇ago, M , Gi̇ner, J . "Laparoscopic sleeve gastrectomy: Correlation of gastric emptying and weight loss". Journal of Surgery and Medicine 4 (2020 ): 982-985
RIS TY - JOUR T1 - Laparoscopic sleeve gastrectomy: Correlation of gastric emptying and weight loss AU - Crıstına Sancho Moya , Marcos Bruna Esteban , Raúl Sanchez Jurado , María Del Puig Cózar Santi̇ago , Juana Forner Gi̇ner Y1 - 2020 PY - 2020 N1 - doi: 10.28982/josam.823768 DO - 10.28982/josam.823768 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 982 EP - 985 VL - 4 IS - 11 SN - -2602-2079 M3 - doi: 10.28982/josam.823768 UR - https://doi.org/10.28982/josam.823768 Y2 - 2020 ER -
EndNote %0 Journal of Surgery and Medicine Laparoscopic sleeve gastrectomy: Correlation of gastric emptying and weight loss %A Crıstına Sancho Moya , Marcos Bruna Esteban , Raúl Sanchez Jurado , María Del Puig Cózar Santi̇ago , Juana Forner Gi̇ner %T Laparoscopic sleeve gastrectomy: Correlation of gastric emptying and weight loss %D 2020 %J Journal of Surgery and Medicine %P -2602-2079 %V 4 %N 11 %R doi: 10.28982/josam.823768 %U 10.28982/josam.823768
ISNAD Sancho Moya, Crıstına , Esteban, Marcos Bruna , Jurado, Raúl Sanchez , Santi̇ago, María Del Puig Cózar , Gi̇ner, Juana Forner . "Laparoscopic sleeve gastrectomy: Correlation of gastric emptying and weight loss". Journal of Surgery and Medicine 4 / 11 (November 2020): 982-985 . https://doi.org/10.28982/josam.823768
AMA Sancho Moya C , Esteban M , Jurado R , Santi̇ago M , Gi̇ner J . Laparoscopic sleeve gastrectomy: Correlation of gastric emptying and weight loss. J Surg Med. 2020; 4(11): 982-985.
Vancouver Sancho Moya C , Esteban M , Jurado R , Santi̇ago M , Gi̇ner J . Laparoscopic sleeve gastrectomy: Correlation of gastric emptying and weight loss. Journal of Surgery and Medicine. 2020; 4(11): 982-985.
IEEE C. Sancho Moya , M. Esteban , R. Jurado , M. Santi̇ago and J. Gi̇ner , "Laparoscopic sleeve gastrectomy: Correlation of gastric emptying and weight loss", Journal of Surgery and Medicine, vol. 4, no. 11, pp. 982-985, Nov. 2020, doi:10.28982/josam.823768

Authors of the Article
Marcos Bruna ESTEBAN [2]
Raúl Sanchez JURADO [3]
María Del Puig Cózar SANTİAGO [4]
Juana Forner GİNER [5]