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Laparoscopic Sleeve Gastrectomy Using 42-French Versus 32-French Bougie: The First-Year Outcome

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Abstract

Background

The optimal size of bougie in laparoscopic sleeve gastrectomy (LSG) remains controversial. The aim of this study was to evaluate the first-year outcome of LSG using two different sizes of bougies.

Methods

This study used a single institute retrospective case-control study of two groups of patients. Group A (N = 66) underwent LSG using 42-Fr and group B (N = 54) using 32-Fr bougies. A medication score was applied to assess the change in comorbid conditions.

Results

Groups A and B's age (39.5 ± 12 vs. 43.6 ± 12.3 years), weight (119 ± 17 vs. 120 ± 20), and BMI (42.8 ± 3.8 vs. 43.6 ± 6.9 kg/m2), respectively, were comparable (p = NS). Comorbid conditions were type 2 diabetes (T2DM) in 19 (29 %) vs. 23 (43 %) patients, hypertension in 22 (33 %) vs. 18 (33 %) patients, and gastroesophageal reflux (GERD) in 28 (42 %) vs. 10 (19 %) patients, respectively. At 1 year, group A vs. B BMI was (29.4 ± 5 vs. 30 ± 5 kg/m2) and excess weight loss was 67 vs. 65 %, respectively (p = NS). Postoperatively, T2DM (79 vs. 83 %), hypertension (82 vs. 61 %), and GERD (82 vs. 60 %) (p = NS), respectively, in groups A vs. B did not require previous medications anymore. Complications were comparable.

Conclusions

Our data suggest that using a 42-Fr or 32-Fr bougie does not influence LSG first-year weight loss or resolution of comorbid conditions. Long-term data is needed to conclude this issue.

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Conflict of Interest

Hadar Spivak, Mosh Rubin, Eran Sadot, Esther Pollack, Anya Feigin, and David Goitein have no conflicts of interest to declare.

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Authors and Affiliations

  1. Department of Surgery C, Chaim Sheba Medical Center, 2 Sheba Rd., Tel Hashomer, 56261, Israel

    Hadar Spivak, Moshe Rubin, Eran Sadot, Esther Pollak, Anya Feygin & David Goitein

  2. Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel

    Hadar Spivak, Moshe Rubin, Eran Sadot, Esther Pollak, Anya Feygin & David Goitein

Authors
  1. Hadar Spivak
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  2. Moshe Rubin
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  3. Eran Sadot
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  4. Esther Pollak
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  5. Anya Feygin
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  6. David Goitein
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Correspondence to Hadar Spivak.

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Spivak, H., Rubin, M., Sadot, E. et al. Laparoscopic Sleeve Gastrectomy Using 42-French Versus 32-French Bougie: The First-Year Outcome. OBES SURG 24, 1090–1093 (2014). https://doi.org/10.1007/s11695-014-1199-9

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  • DOI: https://doi.org/10.1007/s11695-014-1199-9

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