Abstract
Introduction Laparoscopic sleeve gastrectomy (LSG) can achieve excellent weight loss, yet sleeve dilatation with concomitant weight regain proves to be a relevant issue. Hence, additional restriction might improve results after LSG. Methods In a retrospective matched-pair analysis, 42 patients who underwent banded LSG (BLSG) using a MiniMizerA (R) ring between January 2012 and October 2014 were analysed regarding weight loss, complications and comorbidity. Median follow-up was 3 years. Forty-two patients who had undergone conventional LSG were selected as matched pairs. Results Mean preoperative BMI was 54.93 +/- 7.42 kg/m(2) for BLSG and 53.46 +/- 6.69 kg/m(2) for LSG (Mann-Whitney P = 0.540). Total weight loss (%TWL) was significantly greater in the BLSG group 3 years after surgery (BLSG 38.22% +/- 7.26;n = 26 vs. LSG 32.69 +/- 9.47;n = 26;P = 0.0154). Ring placement had no relevant impact on new-onset reflux (Fisher's exact test P = 1.0) but a tendency towards reflux improvement when reflux pre-existed (odds ratio 1.96). The major side effect of ring implantation was regurgitation with over 44% of patients presenting with regurgitation > 1 per week (Fisher ' s exact test P = 0.0019, odds ratio 18.07). Conclusion BLSG is a safe procedure showing similar comorbidity to conventional LSG. However, BLSG leads to a higher rate of postoperative regurgitation. Weight loss is significantly improved 3 years after surgery. Hence, additional ring implantation might be an option for increased restriction in LSG surgery.
| Dokumententyp: | Zeitschriftenartikel |
|---|---|
| Fakultät: | Medizin |
| Themengebiete: | 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit |
| ISSN: | 0960-8923 |
| Sprache: | Englisch |
| Dokumenten ID: | 52667 |
| Datum der Veröffentlichung auf Open Access LMU: | 14. Jun. 2018, 09:50 |
| Letzte Änderungen: | 04. Nov. 2020, 13:31 |
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