Volumetric Pouch Study After Laparoscopic Sleeve Gastrectomy

Volumetric Pouch Study After Laparoscopic Sleeve Gastrectomy: Effect of the Pouch Size on Excessive Weight Loss and Weight Regain

This study aimed to evaluate Laparoscopic Sleeve Gastrectomy in the treatment of morbidly obese patients pre and post-operatively after 3 months, 6 months, and 1-year follow-up and assess the volumetric changes of the gastric reservoir 1 year after LSG using multi-slice computer tomography.

Inclusion Criteria:

• BMI of > 40 kg/m 2 or > 35 kg/m2 with comorbidities e.g. hypertension and type 2 DM.
• All patients failed in supervised conservative management for obesity for at least 2 years.

Exclusion Criteria:

• BMI > 60
• previous bariatric surgery
• symptomatic reflux oesophagitis disease, gastric pathology (tumor, active peptic ulcer)
• Significant psychological disorder, active alcohol or substance abuse
• severe eating disorders (bulimia)
• severe systemic disease making anesthesia or surgery prohibitively risky (American Society of Anesthesiologists (ASA) class IV