The potential of a polyglycolic acid sheet for preventing intrathoracic sleeve migration.
Minim Invasive Ther Allied Technol
; 32(4): 199-206, 2023 Aug.
Article
em En
| MEDLINE
| ID: mdl-37335178
ABSTRACT
INTRODUCTION:
Postoperative gastroesophageal reflux disease (GERD) can be a consequence of laparoscopic sleeve gastrectomy (LSG). Intrathoracic sleeve migration (ITSM) is a factor contributing to its development. This study aimed to investigate whether the occurrence of ITSM can be prevented by applying a polyglycolic acid (PGA) sheet around the His angle. MATERIAL ANDMETHODS:
In this retrospective analysis, 46 consecutive patients who underwent LSG were divided into two groups Group A - our standard LSG in the first half (n = 23) and Group B - our standard LSG with PGA sheet covering the angle of His in the second half (n = 23). We compared the two groups for one-year postoperative GERD and the incidence of ITSM.RESULTS:
No significant differences were found between the two groups in terms of patient background, operation time, and one-year postoperative total body weight loss, and no adverse effects related to the PGA sheet were observed. Group B had a significantly lower incidence of ITSM than Group A, and the rate of acid-reducing medicine usage was less pronounced in Group B during follow-up (p < .05).CONCLUSION:
This study suggests that applying a PGA sheet can be safe and effective in reducing postoperative ITSM and preventing exacerbations of postoperative GERD.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Obesidade Mórbida
/
Refluxo Gastroesofágico
/
Laparoscopia
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Revista:
Minim Invasive Ther Allied Technol
Ano de publicação:
2023
Tipo de documento:
Article