Comparison of mid- and long-term outcomes of antrum-resecting versus antrum-preserving laparoscopic sleeve gastrectomy

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dc.contributor.authorDemirpolat, Muhammed Taha
dc.contributor.authorİslam, Mehmet Muzaffer
dc.contributor.authorBacaksız, Mehmet Erman
dc.contributor.authorŞişik, Abdullah
dc.contributor.authorKermansaravi, Mohammad
dc.date.accessioned2026-01-05T10:23:38Z
dc.date.available2026-01-05T10:23:38Z
dc.date.issued2025
dc.departmentMeslek Yüksekokulu, Gedik Meslek Yüksekokulu, Anestezi Programı
dc.description.abstractBackgroundThe aim of this study is to compare the mid- and long-term results after laparoscopic sleeve gastrectomy (LSG) according to the distance of the first staple from the pylorus.MethodsThis study is a retrospective analysis of prospectively collected data of patients who underwent LSG. While the distance of the first staple from the pylorus was 2-3 cm in group A, the distance of the first staple to the pylorus was 5-6 cm in group B. Laboratory parameters, comorbidity resolution, anthropometric measurements, and complications were documented at the end of the first, third, and fifth postoperative years.ResultsOf the total 376 patients, 127 were excluded for various reasons, 102 patients were lost to follow-up, and 147 patients were included in the final analysis. Upon examining the follow-up data at the 1st, 3rd, and 5th years, a statistically significant difference was observed between the groups in terms of total weight loss (TWL%), excess body mass index loss (EBMIL%), and recurrent weight gain (RWG)%, with group A showing an advantage. The majority of the patients requiring conversional metabolic and bariatric surgery (MBS) were in group B, and the difference was significant (p = 0.017).ConclusionThe distance of the first staple from the pylorus may significantly influence the outcomes related to RWG%, TWL%, and type 2 diabetes mellitus (T2DM) resolution in the medium-long-term. Furthermore, additional research is needed to determine the optimal positioning for enhanced patient results.
dc.identifier.doi10.1007/s11695-025-08354-x
dc.identifier.endpage5345
dc.identifier.issn0960-8923
dc.identifier.issn1708-0428
dc.identifier.issue12
dc.identifier.pmid41201754
dc.identifier.scopus2-s2.0-105025108981
dc.identifier.scopusqualityQ1
dc.identifier.startpage5336
dc.identifier.urihttps://doi.org/10.1007/s11695-025-08354-x
dc.identifier.urihttps://hdl.handle.net/11501/2589
dc.identifier.volume35
dc.identifier.wosWOS:001609486100001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorŞişik, Abdullah
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofObesity Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectLaparoscopic Sleeve Gastrectomy
dc.subjectMid-Term Results
dc.subjectRecurrent Weight Gain
dc.subjectRemission Of Comorbidity
dc.subjectSustainable Weight Loss
dc.titleComparison of mid- and long-term outcomes of antrum-resecting versus antrum-preserving laparoscopic sleeve gastrectomy
dc.typeArticle

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