•  
  •  
 

Document Type

Original Article

Abstract

Background: Initially, the Laparoscopic Sleeve Gastrectomy (LSG) was considered a viable independent bariatric surgery, rather than solely serving as the initial phase of a two-stage laparoscopic Roux-en-Y gastric bypass. In 1988, Hess was the first surgeon to execute a sleeve gastrectomy (SG), which was at the time a component of another malabsorptive treatment known as the biliopancreatic diversion with duodenal switch. The encouraging results of SG in terms of weight reduction and resolution of comorbidities as a first stage, paired with a low rate of complications, has encouraged the global emergence and monumentally rapid dissemination of SG as a standalone operation. These results may be found in the previous sentence.

Method: This study aimed to evaluate additional surgical procedure by using omentopexy as augmentation to the suture line of laparoscopic sleeve gastrostomy. This is combined prospective and retrospective Cohort study included 100 morbid obese patients with BMI >40 operated for LSG. All patients were subjected to routine laboratory investigations, ECG, chest X-ray, and radiological studies (plain X-ray or CT volumetery). Patients were divided into two equal groups: Group 1: underwent LSG procedures with omental fixation with full thickness stitches. Group 2: underwent LSG procedures without omental fixation.

Result: Sleeve gastrectomy and omentopexy are safe procedures. The omentopexy has role in reducing complications such as the probability of torsion , volvulus, and obstruction of gastric tube it also improve post-operative nausea and vomiting with notable decrease in the rate of leak and hemorrhage. The omentopexy has no any additional cost on the patient with no significant increase on time of surgery. Preoperative and post-operative data showed reduction in mean BMI in both groups.

Conclusion: Further clinical studies are needed with multicenter cooperation to validate our findings. Large sample size studies are required.

Omentopexy is a crucial component of laparoscopic sleeve gastrectomy and should be regarded as a standard procedure. Additional studies are needed for study the effect of age, sex, and comorbidities on the results.

Keywords

Suture Line; Laparoscopic; Sleeve Gastrectomy.

Subject Area

General Surgery

Download

Share

COinS