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3D-computer gastrovolumetry: a new method of visual estimation of a gastric tube for patients after sleeve gastrectomy
O.O. Kalashnikov
State Scientific Institution “Center for Innovative Medical Technologies of the National Academy of
Sciences of Ukraine”, Kyiv, Ukraine
DOI: https://doi.org/10.15407/fz68.02.051
Abstract
The aim of this study was to analyze the volume of the gastric tube using sleeve gastrectomy (SG)
3D-computed gastrovolumetry for patients after SG and to determine its correlation with the percentage of
excess weight loss. Patients who underwent SG between 2015 and 2018 were followed prospectively and
evaluated after the operation. The condition of the gastric tube was examined using 3D-computer tomography
reconstruction and gastric volumetry. The gastric tube was distended by effervescent sodium bicarbonate
given orally. Gastric volume (GV) was estimated with the software of the CT device. The relationship between GV and weight loss was analyzed. Assessment of anthropometric parameters and the condition of the
gastric tube was performed 24 months after surgery. Forty-two patients (24 women, 18 men) with a mean
age of 36.9 ± 10.9 years were studied. The mean values body mass index (BMI) before and after SG were
48.1 ± 11.1 kg/m2 (from 35.3 to 81.5 kg/m2) and 34.7 ± 8.5 kg/m2 (from 26.7 to 61.3 kg/m2), respectively.
There was a statistically significant difference between BMI before and after RRS (Z = –5.58; P = 0.001),
after RRS BMI was significantly smaller. Mean percentage of excess weight loss (%EWL) was 52.2 ± 20.7%.
Mean GV was 288.7 ± 105.2 ml. The % EWL was inversely correlated with GV after SG (rs = –0.831;
P = 0.001). 3D-computer gastrovolumetry is a good method to measure GV after SG. Post-operative weight
loss inversely correlates with the GV.
Keywords:
obesity; sleeve gastrectomy; insufficient weight loss; weight regain after surgery; 3D-computer gastrovolumetry
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