scholarly journals “Hand-Over-Hand Grasping Technique”: A Fast and Safe Procedure for Specimen Extraction in Laparoscopic Sleeve Gastrectomy

2017 ◽  
Vol 27 (5) ◽  
pp. 1391-1391 ◽  
Author(s):  
Georges Bou Nassif ◽  
Elsa Scetbun ◽  
Cyntia Lecurieux-Lafayette ◽  
Andrea Lazzati
Keyword(s):  
Sleeve Gastrectomy ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Safe Procedure ◽  
Specimen Extraction

scholarly journals One-year outcome of laparoscopic sleeve gastrectomy in morbidly obese adolescents

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Mohamed El ghazeery ◽  
Mohamed Elsawaf ◽  
Mohamed Ashour ◽  
Mohamed Metwaly ◽  
Mohamed Hashish
Keyword(s):  
Sleeve Gastrectomy ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Fatty Infiltration ◽  
Adolescent Obesity ◽  
Morbidly Obese ◽  
Safe Procedure ◽  
Short Term ◽  
Obese Adolescents ◽  
Important Health ◽  
One Year

Abstract Background Adolescent obesity is an important health issue. Non-surgical weight management programs, even the most aggressive, have shown modest weight reduction results. Laparoscopic sleeve gastrectomy (LSG) is gaining reliability as a low surgical risk bariatric procedure with proper efficiency for this age group. The aim of this study was to present our initial experience with LSG in morbidly obese adolescents and to report short-term clinical and metabolic outcome. Results Mean age was 16.43 years, and mean preoperative weight and body mass index (BMI) were 132.68 kg and 48.90 respectively. Mean excess weight loss (EWL) was 54.11 kg 1 year after LSG, corresponding to 74 EWL% as well as mean BMI loss (BML) of 19.89. LSG improved fatty infiltration of the liver in 75% of cases and other comorbidities in 100% of patients. Conclusions LSG proved to be a safe procedure with significant short-term clinical and metabolic success for adolescent obesity.

scholarly journals The effects of age on weight loss after sleeve gastrectomy

2021 ◽  
Vol 8 ◽  
Author(s):  
Taha Anbara
Keyword(s):  
Diabetes Mellitus ◽  
Weight Loss ◽  
Sleeve Gastrectomy ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Statistical Significance ◽  
Age Groups ◽  
Primary Treatment ◽  
Morbidly Obese ◽  
Safe Procedure ◽  
The Impact

Introduction: Laparoscopic sleeve gastrectomy is a primary treatment of obesity among older adults and its satisfactory outcomes would be the main reason behind the popularity of this procedure. We aim to evaluate the impact of age on excess weight loss in adult morbidly obese subjects older than 60 years old following LSG.Methods: In this retrospective survey, 3,072 subjects were included in the study that underwent LSG in Erfan Hospital. Screening follow-up period was 12 months. The level of statistical significance was set at P < 0.05. We hired comorbid conditions to avoid bias results including hypertension, diabetes mellitus and dyslipidemia. Results: Of 3072 patients, 1879 cases were females (61.2%) and 1193 subjects were males (38.8 %). Mean %EBMIL of the group 12 months after surgery was 78.9 %. In younger than 60 years old group, mean %EBMIL 12 months postoperative 83 % and patients  over 60 years demonstrated mean %EBMIL 74.9 %. There was an obvious difference among age groups in presence of diabetes mellitus and hypertension in the older group which was more frequent. Conclusion: To sum up, laparoscopic sleeve gastrectomy is safe procedure for older groups. Albeit, %EBMIL was significantly lower in older group compared to younger subjects, but resolution in comorbidities was satisfactory.

Minimizing the Access Trauma of Laparoscopic Sleeve Gastrectomy: the Transoral Specimen Extraction Technique

2015 ◽  
Vol 26 (1) ◽  
pp. 229-233 ◽  
Author(s):  
Marco Maria Lirici ◽  
Valentina Romeo ◽  
Luigi Simonelli ◽  
Simone Tierno ◽  
Carlo Eugenio Vitelli
Keyword(s):  
Sleeve Gastrectomy ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Extraction Technique ◽  
Specimen Extraction

scholarly journals The Effect of Laparoscopic Sleeve Gastrectomy on Obstructive Sleep Apnea Syndrome

2018 ◽  
Author(s):  
Tuğrul Çakır ◽  
Hülya Eyigör ◽  
Arif Aslaner ◽  
Nurullah Bülbüller ◽  
Mehmet Tahir Oruç ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleeve Gastrectomy ◽  
Sleep Apnea ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Morbidly Obese ◽  
Safe Procedure ◽  
Obese Patients ◽  
Obstructive Sleep ◽  
Severely Obese ◽  
The Mean

Background: The repeated episode of obstructive hypopnea and apnea during sleep is defined as obstructive sleep apnea (OSA) and it is a common condition in obese patients. Studies performing bariatric surgery have demonstrated a significant improvement in OSA by weight reduction. In this prospective study we aimed to explore the efficacy and safety of Laparoscopic Sleeve Gastrectomy (LSG) on OSAS among severely obese patients. Material and Methods: A total of 32 morbidly obese patients who underwent LSG for morbid obesity were included in this study. Body weight, height, body mass index (BMI) and standard overnight polysomnography (PSG) were measured at before and after LSG at the 6th month. &nbsp;Results: 32 patients (27 female, 5 male) who have postoperative PSG's were included in this study. The mean age was 43.22&plusmn;9.87 years old. The mean preoperative and postoperative BMIs were 50.36&plusmn;8.14kg/m&sup2; and 37.27&plusmn;7.93kg/m&sup2;, respectively. The mean Epworth sleepiness scale determined as 5.84&plusmn;4.65 preoperatively and 2.19&plusmn;3.55 postoperatively. The preoperative and postoperative sleep efficiency test of the patients was determined as 83.34&plusmn;9.68 and 88.94&plusmn;6.90 respectively. AHI average at the preoperative PSG was 31.47&plusmn;26.34, while 9.35&plusmn;10:34 at postoperative 6 months and found as statistically significant. Conclusion: Our data showed that LSG is an efficient and safe procedure on severely obese patients and showed a predictive remission of clinical and sleep parameters of patients with OSA by analyzing PSG data during the first 6 months.

scholarly journals Simple, Safe, and Cost-Effective Technique for Resected Stomach Extraction in Laparoscopic Sleeve Gastrectomy

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Serhan Derici ◽  
Koray Atila ◽  
Seymen Bora ◽  
Serkan Yener
Keyword(s):  
Sleeve Gastrectomy ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Gastrointestinal Surgery ◽  
Cost Effective ◽  
Special Device ◽  
Resected Stomach ◽  
Specimen Extraction ◽  
Trocar Site ◽  
Incisional Surgical Site Infection ◽  
Surgery Department

Background. Laparoscopic sleeve gastrectomy (LSG) has become a popular operation during the recent years. This procedure requires resection of 80–90% of the stomach. Extraction of gastric specimen is known to be a challenging and costly stage of the operation. In this paper, we report results of a simple and cost-effective specimen extraction technique which was applied to 137 consecutive LSG patients.Methods. Between October 2013 and October 2015, 137 laparoscopic sleeve gastrectomy surgeries were performed at Dokuz Eylul University General Surgery Department, Upper Gastrointestinal Surgery Unit. All specimens were extracted through a 15 mm trocar site without using any special device.Results. We noticed one superficial incisional surgical site infection and treated this patient with oral antibiotics. No cases of trocar site hernia were observed.Conclusion. Different techniques have been described for specimen extraction. This simple technique allows extraction of specimen safely in a short time and does not require any special device.

scholarly journals Immunosuppressant-induced late acute pancreatitis after laparoscopic sleeve gastrectomy: a case report and literature review

2019 ◽  
Vol 2019 (12) ◽  
Author(s):  
Awadh AlQahtani ◽  
Mohammed N Alali ◽  
Safaa Allehiani
Keyword(s):  
Acute Pancreatitis ◽  
Sleeve Gastrectomy ◽  
Synergistic Effect ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Late Complication ◽  
Late Complications ◽  
Safe Procedure ◽  
Threatening Condition ◽  
Risk Patients ◽  
Life Threatening

Abstract Acute pancreatitis (AP) is a serious life-threatening condition, especially in high-risk patients. Limited data exist regarding early and late complications of immunosuppressant drugs as a cause of pancreatitis, especially Tacrolimus and Mycophenolate Mofetil (MMF), after transplantation. We report a rare case of late AP secondary to immunosuppressants’ synergistic effect after 5 years of renal transplant in an obese patient on day 4 after laparoscopic sleeve gastrectomy (LSG). We present a 41-year-old Saudi obese male patient, known to have multiple comorbidities and a renal transplantation twice, was on multiple medications, including Prednisolone, MMF and Tacrolimus for 5 years. On day 4 post-LSG, he developed severe epigastric abdominal pain and was diagnosed to have AP as a late complication of immunosuppressants’ synergistic effect. LSG is a common safe procedure, but complications related to medical illnesses or medications can occur. Careful review and sufficient knowledge of early and late complications are required.

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