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Corresponding Author

Aljazzar, Ibrahim

Document Type

Original Article

Abstract

Background: Obesity is a leading cause of death, luckily it is preventable. Surgical Intervention e.g. laparoscopic sleeve gastrectomy (LSG) is a successful method of obesity management. Patients underwent LSG experience post-operative difficulty of water and fluids intake. Aim of the work: To determine water and juice tolerance following LSG with incidence calculation and comparing this with short-term outcome of LSG regarding excess weight loss and complications. Patients and methods: This Study includes 20 patients with ages ranges from 18 to 45 years and their Pre-operative BMI ranges from 38 to 65. Patients underwent LSG and were followed up for 3 months. Early and delayed (3 months later) assessment and contrast study (CS) were done. Of those patients 6 underwent upper GI endoscopy to exclude complications. Results: In early follow up showed 10 patients (50%) became water intolerant while 3 patients (15%) became juice intolerant. After 3 months 6 patients (30%) became water intolerant while 1 patient (5%) became juice intolerant. Comparing early and delayed CS, the esophageal transit results, unlike gastric transit time showed improvement coinciding with the improvement of tolerability among patients. The difference between water and juices CS results was insignificant. Conclusion: Fair water tolerance is crucial for early safe hospital discharge after LSG. But after LSG, patients' water tolerance, unlike other fluids is significantly affected. This water intolerance improves over time. More studies with larger samples and longer follow up are needed to determine the long-term outcome of fluid tolerance following LSG and its effect on patient's weight loss and quality of life.

Keywords

water; tolerance; Laparoscopic sleeve gastrectomy

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