Acceleration of Gastric Emptying and Improvement of GERD Outcome After Laparoscopic Sleeve Gastrectomy in Non-diabetic Obese Patients
Purpose Obesity has become a pandemic nowadays. Bariatric surgery is increasingly performed to manage obesity. Currently, laparoscopic sleeve gastrectomy (LSG) is a widely accepted procedure given its feasibility and efficacy. Previous studies revealed conflicting results regarding the change of gas...
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| Veröffentlicht in: | Obesity surgery 2020-07, Vol.30 (7), p.2676-2683 |
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| creator | Salman, Mohamed Abdalla Mikhail, Hani Maurice Sabri Abdelsalam, Ahmed Abdallah, Ahmed Elshafey, Hossam E. Abouelregal, Tarek Elsayed Omar, Mahmoud Gouda Elkassar, Hesham Ahmed, Reham Abdelghany Atallah, Mohamed Shaaban, Hossam El-Din Abdellatif, Zeinab Elkholy, Shaimaa Salman, Ahmed Abdallah |
| description | Purpose
Obesity has become a pandemic nowadays. Bariatric surgery is increasingly performed to manage obesity. Currently, laparoscopic sleeve gastrectomy (LSG) is a widely accepted procedure given its feasibility and efficacy. Previous studies revealed conflicting results regarding the change of gastric emptying following sleeve gastrectomy. The primary aim of the present study is to assess gastric motor function by gastric emptying scintigraphy in a cohort of non-diabetic patients undergoing laparoscopic sleeve gastrectomy (LSG) for treatment of severe obesity.
Methods
This prospective observational study included 100 obese, non-diabetic patients attending the surgery clinic at Cairo University Hospitals and Al Azhar University Hospitals. LSG was performed following a standardized protocol, with no complications observed. All patients had gastric emptying scintigraphy done through a standard semisolid meal (250 kcal), marked with 0.5 mCiTc 99, pre-operatively and 3 months after LSG.
Results
The mean age was 38.71 years (9.2) and males comprised 57% of the cohort. The body mass index, low-density lipoproteins, and glycated hemoglobin declined significantly at 3-month postsurgery. The scintigraphy study revealed a significantly reduced percent retention at equivalent time points 3 months after LSG. In addition, the percent of patients suffering from GERD decreased significantly after LSG.
Conclusion
Gastric emptying becomes faster after LSG in morbidly obese non-diabetic patients. GERD symptoms improve after surgery. |
| doi_str_mv | 10.1007/s11695-020-04547-8 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2381846928</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2407710532</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-e804cff05fe98b5a153f39bb9f9b94ddd0bdd6b8d5e75a38dbc5cf1a74b4ae433</originalsourceid><addsrcrecordid>eNp9kctu1DAUhi0EokPhBVggS2zYBHxNnOWoDKXSiEFc1pYvx1WqSRxsp9I8AO-N2xSQWLCyLH_nO_71I_SSkreUkO5dprTtZUMYaYiQomvUI7ShHVH1ytRjtCF9SxrVM36GnuV8QwijLWNP0RlnjBAh2g36uXUOjpBMGeKEY8CXJpc0OLwb53IapmtsJo-vxjnFWxhhKvfM7st7fFiKiyPgbSiQ8N7MJsXs4lxnvx4BbmFVgStxPOFhwp_i1PjBWCgVOVjIgD_XtdWZn6MnwRwzvHg4z9H3D7tvFx-b_eHy6mK7bxzvZGlAEeFCIDJAr6w0VPLAe2v70NteeO-J9b61ykvopOHKWyddoKYTVhgQnJ-jN6u3xvmxQC56HHLNfzQTxCVrxhVVou2Zqujrf9CbuKSp_k4zQbqOEslZpdhKuRo-Jwh6TsNo0klTou9K0mtJupak70vSd-pXD-rFjuD_jPxupQJ8BXJ9mq4h_d39H-0vhq2eog</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2407710532</pqid></control><display><type>article</type><title>Acceleration of Gastric Emptying and Improvement of GERD Outcome After Laparoscopic Sleeve Gastrectomy in Non-diabetic Obese Patients</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Salman, Mohamed Abdalla ; Mikhail, Hani Maurice Sabri ; Abdelsalam, Ahmed ; Abdallah, Ahmed ; Elshafey, Hossam E. ; Abouelregal, Tarek Elsayed ; Omar, Mahmoud Gouda ; Elkassar, Hesham ; Ahmed, Reham Abdelghany ; Atallah, Mohamed ; Shaaban, Hossam El-Din ; Abdellatif, Zeinab ; Elkholy, Shaimaa ; Salman, Ahmed Abdallah</creator><creatorcontrib>Salman, Mohamed Abdalla ; Mikhail, Hani Maurice Sabri ; Abdelsalam, Ahmed ; Abdallah, Ahmed ; Elshafey, Hossam E. ; Abouelregal, Tarek Elsayed ; Omar, Mahmoud Gouda ; Elkassar, Hesham ; Ahmed, Reham Abdelghany ; Atallah, Mohamed ; Shaaban, Hossam El-Din ; Abdellatif, Zeinab ; Elkholy, Shaimaa ; Salman, Ahmed Abdallah</creatorcontrib><description>Purpose
Obesity has become a pandemic nowadays. Bariatric surgery is increasingly performed to manage obesity. Currently, laparoscopic sleeve gastrectomy (LSG) is a widely accepted procedure given its feasibility and efficacy. Previous studies revealed conflicting results regarding the change of gastric emptying following sleeve gastrectomy. The primary aim of the present study is to assess gastric motor function by gastric emptying scintigraphy in a cohort of non-diabetic patients undergoing laparoscopic sleeve gastrectomy (LSG) for treatment of severe obesity.
Methods
This prospective observational study included 100 obese, non-diabetic patients attending the surgery clinic at Cairo University Hospitals and Al Azhar University Hospitals. LSG was performed following a standardized protocol, with no complications observed. All patients had gastric emptying scintigraphy done through a standard semisolid meal (250 kcal), marked with 0.5 mCiTc 99, pre-operatively and 3 months after LSG.
Results
The mean age was 38.71 years (9.2) and males comprised 57% of the cohort. The body mass index, low-density lipoproteins, and glycated hemoglobin declined significantly at 3-month postsurgery. The scintigraphy study revealed a significantly reduced percent retention at equivalent time points 3 months after LSG. In addition, the percent of patients suffering from GERD decreased significantly after LSG.
Conclusion
Gastric emptying becomes faster after LSG in morbidly obese non-diabetic patients. GERD symptoms improve after surgery.</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-020-04547-8</identifier><identifier>PMID: 32200446</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Acceleration ; Adult ; Body Mass Index ; Diabetes ; Female ; Gastrectomy ; Gastric Bypass ; Gastric Emptying ; Gastroesophageal Reflux - diagnostic imaging ; Gastrointestinal surgery ; Humans ; Laparoscopy ; Male ; Medicine ; Medicine & Public Health ; Obesity ; Obesity, Morbid - surgery ; Original Contributions ; Surgery ; Treatment Outcome</subject><ispartof>Obesity surgery, 2020-07, Vol.30 (7), p.2676-2683</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020</rights><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-e804cff05fe98b5a153f39bb9f9b94ddd0bdd6b8d5e75a38dbc5cf1a74b4ae433</citedby><cites>FETCH-LOGICAL-c375t-e804cff05fe98b5a153f39bb9f9b94ddd0bdd6b8d5e75a38dbc5cf1a74b4ae433</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11695-020-04547-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11695-020-04547-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32200446$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Salman, Mohamed Abdalla</creatorcontrib><creatorcontrib>Mikhail, Hani Maurice Sabri</creatorcontrib><creatorcontrib>Abdelsalam, Ahmed</creatorcontrib><creatorcontrib>Abdallah, Ahmed</creatorcontrib><creatorcontrib>Elshafey, Hossam E.</creatorcontrib><creatorcontrib>Abouelregal, Tarek Elsayed</creatorcontrib><creatorcontrib>Omar, Mahmoud Gouda</creatorcontrib><creatorcontrib>Elkassar, Hesham</creatorcontrib><creatorcontrib>Ahmed, Reham Abdelghany</creatorcontrib><creatorcontrib>Atallah, Mohamed</creatorcontrib><creatorcontrib>Shaaban, Hossam El-Din</creatorcontrib><creatorcontrib>Abdellatif, Zeinab</creatorcontrib><creatorcontrib>Elkholy, Shaimaa</creatorcontrib><creatorcontrib>Salman, Ahmed Abdallah</creatorcontrib><title>Acceleration of Gastric Emptying and Improvement of GERD Outcome After Laparoscopic Sleeve Gastrectomy in Non-diabetic Obese Patients</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Purpose
Obesity has become a pandemic nowadays. Bariatric surgery is increasingly performed to manage obesity. Currently, laparoscopic sleeve gastrectomy (LSG) is a widely accepted procedure given its feasibility and efficacy. Previous studies revealed conflicting results regarding the change of gastric emptying following sleeve gastrectomy. The primary aim of the present study is to assess gastric motor function by gastric emptying scintigraphy in a cohort of non-diabetic patients undergoing laparoscopic sleeve gastrectomy (LSG) for treatment of severe obesity.
Methods
This prospective observational study included 100 obese, non-diabetic patients attending the surgery clinic at Cairo University Hospitals and Al Azhar University Hospitals. LSG was performed following a standardized protocol, with no complications observed. All patients had gastric emptying scintigraphy done through a standard semisolid meal (250 kcal), marked with 0.5 mCiTc 99, pre-operatively and 3 months after LSG.
Results
The mean age was 38.71 years (9.2) and males comprised 57% of the cohort. The body mass index, low-density lipoproteins, and glycated hemoglobin declined significantly at 3-month postsurgery. The scintigraphy study revealed a significantly reduced percent retention at equivalent time points 3 months after LSG. In addition, the percent of patients suffering from GERD decreased significantly after LSG.
Conclusion
Gastric emptying becomes faster after LSG in morbidly obese non-diabetic patients. GERD symptoms improve after surgery.</description><subject>Acceleration</subject><subject>Adult</subject><subject>Body Mass Index</subject><subject>Diabetes</subject><subject>Female</subject><subject>Gastrectomy</subject><subject>Gastric Bypass</subject><subject>Gastric Emptying</subject><subject>Gastroesophageal Reflux - diagnostic imaging</subject><subject>Gastrointestinal surgery</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Obesity</subject><subject>Obesity, Morbid - surgery</subject><subject>Original Contributions</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kctu1DAUhi0EokPhBVggS2zYBHxNnOWoDKXSiEFc1pYvx1WqSRxsp9I8AO-N2xSQWLCyLH_nO_71I_SSkreUkO5dprTtZUMYaYiQomvUI7ShHVH1ytRjtCF9SxrVM36GnuV8QwijLWNP0RlnjBAh2g36uXUOjpBMGeKEY8CXJpc0OLwb53IapmtsJo-vxjnFWxhhKvfM7st7fFiKiyPgbSiQ8N7MJsXs4lxnvx4BbmFVgStxPOFhwp_i1PjBWCgVOVjIgD_XtdWZn6MnwRwzvHg4z9H3D7tvFx-b_eHy6mK7bxzvZGlAEeFCIDJAr6w0VPLAe2v70NteeO-J9b61ykvopOHKWyddoKYTVhgQnJ-jN6u3xvmxQC56HHLNfzQTxCVrxhVVou2Zqujrf9CbuKSp_k4zQbqOEslZpdhKuRo-Jwh6TsNo0klTou9K0mtJupak70vSd-pXD-rFjuD_jPxupQJ8BXJ9mq4h_d39H-0vhq2eog</recordid><startdate>20200701</startdate><enddate>20200701</enddate><creator>Salman, Mohamed Abdalla</creator><creator>Mikhail, Hani Maurice Sabri</creator><creator>Abdelsalam, Ahmed</creator><creator>Abdallah, Ahmed</creator><creator>Elshafey, Hossam E.</creator><creator>Abouelregal, Tarek Elsayed</creator><creator>Omar, Mahmoud Gouda</creator><creator>Elkassar, Hesham</creator><creator>Ahmed, Reham Abdelghany</creator><creator>Atallah, Mohamed</creator><creator>Shaaban, Hossam El-Din</creator><creator>Abdellatif, Zeinab</creator><creator>Elkholy, Shaimaa</creator><creator>Salman, Ahmed Abdallah</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20200701</creationdate><title>Acceleration of Gastric Emptying and Improvement of GERD Outcome After Laparoscopic Sleeve Gastrectomy in Non-diabetic Obese Patients</title><author>Salman, Mohamed Abdalla ; Mikhail, Hani Maurice Sabri ; Abdelsalam, Ahmed ; Abdallah, Ahmed ; Elshafey, Hossam E. ; Abouelregal, Tarek Elsayed ; Omar, Mahmoud Gouda ; Elkassar, Hesham ; Ahmed, Reham Abdelghany ; Atallah, Mohamed ; Shaaban, Hossam El-Din ; Abdellatif, Zeinab ; Elkholy, Shaimaa ; Salman, Ahmed Abdallah</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-e804cff05fe98b5a153f39bb9f9b94ddd0bdd6b8d5e75a38dbc5cf1a74b4ae433</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Acceleration</topic><topic>Adult</topic><topic>Body Mass Index</topic><topic>Diabetes</topic><topic>Female</topic><topic>Gastrectomy</topic><topic>Gastric Bypass</topic><topic>Gastric Emptying</topic><topic>Gastroesophageal Reflux - diagnostic imaging</topic><topic>Gastrointestinal surgery</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Obesity</topic><topic>Obesity, Morbid - surgery</topic><topic>Original Contributions</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Salman, Mohamed Abdalla</creatorcontrib><creatorcontrib>Mikhail, Hani Maurice Sabri</creatorcontrib><creatorcontrib>Abdelsalam, Ahmed</creatorcontrib><creatorcontrib>Abdallah, Ahmed</creatorcontrib><creatorcontrib>Elshafey, Hossam E.</creatorcontrib><creatorcontrib>Abouelregal, Tarek Elsayed</creatorcontrib><creatorcontrib>Omar, Mahmoud Gouda</creatorcontrib><creatorcontrib>Elkassar, Hesham</creatorcontrib><creatorcontrib>Ahmed, Reham Abdelghany</creatorcontrib><creatorcontrib>Atallah, Mohamed</creatorcontrib><creatorcontrib>Shaaban, Hossam El-Din</creatorcontrib><creatorcontrib>Abdellatif, Zeinab</creatorcontrib><creatorcontrib>Elkholy, Shaimaa</creatorcontrib><creatorcontrib>Salman, Ahmed Abdallah</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Salman, Mohamed Abdalla</au><au>Mikhail, Hani Maurice Sabri</au><au>Abdelsalam, Ahmed</au><au>Abdallah, Ahmed</au><au>Elshafey, Hossam E.</au><au>Abouelregal, Tarek Elsayed</au><au>Omar, Mahmoud Gouda</au><au>Elkassar, Hesham</au><au>Ahmed, Reham Abdelghany</au><au>Atallah, Mohamed</au><au>Shaaban, Hossam El-Din</au><au>Abdellatif, Zeinab</au><au>Elkholy, Shaimaa</au><au>Salman, Ahmed Abdallah</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acceleration of Gastric Emptying and Improvement of GERD Outcome After Laparoscopic Sleeve Gastrectomy in Non-diabetic Obese Patients</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2020-07-01</date><risdate>2020</risdate><volume>30</volume><issue>7</issue><spage>2676</spage><epage>2683</epage><pages>2676-2683</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>Purpose
Obesity has become a pandemic nowadays. Bariatric surgery is increasingly performed to manage obesity. Currently, laparoscopic sleeve gastrectomy (LSG) is a widely accepted procedure given its feasibility and efficacy. Previous studies revealed conflicting results regarding the change of gastric emptying following sleeve gastrectomy. The primary aim of the present study is to assess gastric motor function by gastric emptying scintigraphy in a cohort of non-diabetic patients undergoing laparoscopic sleeve gastrectomy (LSG) for treatment of severe obesity.
Methods
This prospective observational study included 100 obese, non-diabetic patients attending the surgery clinic at Cairo University Hospitals and Al Azhar University Hospitals. LSG was performed following a standardized protocol, with no complications observed. All patients had gastric emptying scintigraphy done through a standard semisolid meal (250 kcal), marked with 0.5 mCiTc 99, pre-operatively and 3 months after LSG.
Results
The mean age was 38.71 years (9.2) and males comprised 57% of the cohort. The body mass index, low-density lipoproteins, and glycated hemoglobin declined significantly at 3-month postsurgery. The scintigraphy study revealed a significantly reduced percent retention at equivalent time points 3 months after LSG. In addition, the percent of patients suffering from GERD decreased significantly after LSG.
Conclusion
Gastric emptying becomes faster after LSG in morbidly obese non-diabetic patients. GERD symptoms improve after surgery.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>32200446</pmid><doi>10.1007/s11695-020-04547-8</doi><tpages>8</tpages></addata></record> |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Acceleration Adult Body Mass Index Diabetes Female Gastrectomy Gastric Bypass Gastric Emptying Gastroesophageal Reflux - diagnostic imaging Gastrointestinal surgery Humans Laparoscopy Male Medicine Medicine & Public Health Obesity Obesity, Morbid - surgery Original Contributions Surgery Treatment Outcome |
| title | Acceleration of Gastric Emptying and Improvement of GERD Outcome After Laparoscopic Sleeve Gastrectomy in Non-diabetic Obese Patients |
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