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Measurement of gastric wall thickness after laparoscopic sleeve gastrectomy: obesity comorbidities and gastric wall in Chinese patients with obesity

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Abstract

Leakage of the sleeve remains constant after laparoscopic sleeve gastrectomy (LSG). This complication may be due to a mismatch between the staple height and gastric wall thickness (GWT). Our aim was to measure the GWT in Chinese patients with obesity and investigate the relationship between GWT and gender, body mass index (BMI), body weight, and obesity-related comorbidities. The GWT of 210 resected specimens after LSG was measured using a tissue measuring device, at a compression pressure of 8 g/mm2 at three predetermined locations: antrum, midbody, and fundus. Two hundred ten patients (171 female/39 male). The gastric wall was thickest at the antrum followed by the midbody and thinnest at the fundus (3.02 mm, 2.22 mm, and 1.6 mm, respectively). Patients with gastritis and those with reflux esophagitis had thicker GWT at the antrum; male had thicker GWT at the antrum and fundus; patients with body weight > 100 kg, and those with BMI > 40 kg/m2 had thicker GWT at the fundus. Linear regression analysis revealed a significant association between GWT with body weight and BMI at the antrum and fundus; Furthermore, hypertension associated with the GWT at the fundus (P < 0.01, P < 0.01, P < 0.02, P < 0.01; and P < 0.04, respectively). This study showed that the anatomical location of the gastric wall is a major predicting factor of GWT. Furthermore, gastritis, reflux esophagitis, male gender, BMI > 40 kg/m2, body weight > 100 kg, and hypertension may increase the GWT at the antrum and fundus in Chinese patients with obesity.

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Funding

This work was supported by the Science and Technology Program of Xuzhou (KC22231).

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Author notes

  1. Fidele Kakule Kitaghenda and Chang Shu have contributed equally to this study.

Authors and Affiliations

  1. Department of Gastrointestinal Surgery, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, 221002, Jiangsu, People’s Republic of China

    Fidele Kakule Kitaghenda, Chang Shu, Jian Wang, Jian Hong, Libin Yao & Xiaocheng Zhu

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  1. Fidele Kakule Kitaghenda
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  2. Chang Shu
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  3. Jian Wang
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  4. Jian Hong
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  5. Libin Yao
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  6. Xiaocheng Zhu
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Contributions

FKK, CS, and XZ contributed to the conception and design of the study. JW performed the statistical analysis. FKK wrote the first draft of the manuscript. CS and JH wrote sections of the manuscript. LY and XZ contributed to the revision of the manuscript, assistance, and funding. All authors have reviewed and agreed to the submission of the manuscript.

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Correspondence to Libin Yao or Xiaocheng Zhu.

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Conflict of interest

Author 1 declares that he has no conflict of interest. Author 2 declares that he has no conflict of interest. Author 3 declares that he has no conflict of interest. Author 4 declares that he has no conflict of interest. Author 5 declares that he has no conflict of interest. Author 6 declares that he has no conflict of interest.

Ethical approval

All procedures performed in the studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The study was approved by the ethics committee of The Affiliated Hospital of Xuzhou Medical University.

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Kitaghenda, F.K., Shu, C., Wang, J. et al. Measurement of gastric wall thickness after laparoscopic sleeve gastrectomy: obesity comorbidities and gastric wall in Chinese patients with obesity. Updates Surg 75, 1235–1242 (2023). https://doi.org/10.1007/s13304-023-01538-z

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  • DOI: https://doi.org/10.1007/s13304-023-01538-z

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