Our Summary
The researchers in this paper wanted to look at the impact of a certain type of procedure during a type of weight loss surgery called laparoscopic sleeve gastrectomy. This surgery involves removing a large portion of the stomach to help people lose weight. The additional procedure involves using a special type of glue to fix the back part of the stomach in place.
The study took place between January 2019 and February 2021. The patients were divided into two groups before the operation. The first group of 75 patients had the additional procedure, while the second group of 75 just had the weight loss surgery.
The researchers then looked at changes in the patients’ body mass index (a measure of body fat based on height and weight) and the size of their stomachs 12 months after the operation.
Out of the original 150, 110 patients were included in the final analysis. 54 of these had the additional procedure, and 56 just had the weight loss surgery.
The results showed that the patients who had the additional procedure lost more weight (39.1% vs. 34.5%) and their stomachs increased less in size (39.8% vs. 164.7%) compared to those who just had the weight loss surgery.
The study therefore suggests that using this special type of glue to fix the back part of the stomach in place during weight loss surgery could be a promising way to help prevent patients from regaining weight and needing further surgery.
FAQs
- What does the study suggest about the use of posterior fixation with fibrin sealant in laparoscopic sleeve gastrectomy?
- How does posterior fixation with fibrin sealant affect the total weight loss rate and gastric volume increase rate in patients?
- What is the potential benefit of posterior fixation with fibrin sealant in preventing weight regain and the need for revision surgery?
Doctor’s Tip
A helpful tip a doctor might tell a patient about gastric sleeve surgery is to consider posterior fixation with fibrin sealant as a method to prevent weight regain and the need for revision surgery. This technique has shown promising results in terms of total weight loss rate and gastric volume increase rate in the postoperative 12th month. Discuss this option with your surgeon to see if it may be beneficial for your individual case.
Suitable For
Patients who are recommended for gastric sleeve surgery typically include those who have a body mass index (BMI) of 40 or higher, or a BMI of 35 or higher with obesity-related health conditions such as type 2 diabetes, high blood pressure, or sleep apnea. Candidates for gastric sleeve surgery should also have attempted other weight loss methods such as diet and exercise without success. Additionally, patients should be committed to making lifestyle changes after surgery to maintain weight loss.
Timeline
Before Gastric Sleeve:
- Patient consults with a healthcare provider about weight loss options
- Patient undergoes various tests and evaluations to determine eligibility for surgery
- Patient receives counseling and education on the procedure, risks, and lifestyle changes
- Patient may be required to follow a specific diet and exercise regimen before surgery
After Gastric Sleeve:
- Patient undergoes laparoscopic sleeve gastrectomy surgery
- Postoperative recovery period, including monitoring for complications
- Patient follows a specific diet plan and exercise regimen as recommended by healthcare provider
- Regular follow-up appointments with healthcare provider for monitoring progress and adjusting treatment plan if needed
- Patient experiences weight loss and improvements in overall health and quality of life
12th Month Post-Op:
- Patient continues to follow diet and exercise plan
- Assessments of body mass index and gastric volume are conducted
- Comparison between patients who underwent gastric posterior fixation with fibrin sealant and those who did not
- Patients in the posterior fixation group show superior total weight loss rate and less gastric volume increase rate
- Conclusion drawn that posterior fixation with fibrin sealant may be a promising method for preventing weight regain and reducing the need for revision surgery
What to Ask Your Doctor
- What is gastric posterior fixation with fibrin sealant and how does it work in conjunction with laparoscopic sleeve gastrectomy?
- What are the potential benefits of undergoing gastric posterior fixation with fibrin sealant during laparoscopic sleeve gastrectomy?
- Are there any risks or complications associated with gastric posterior fixation with fibrin sealant that I should be aware of?
- How does gastric posterior fixation with fibrin sealant impact weight loss and maintenance in the long term?
- What is the success rate of gastric posterior fixation with fibrin sealant in preventing weight regain and the need for revision surgery?
- How soon after laparoscopic sleeve gastrectomy can gastric posterior fixation with fibrin sealant be performed?
- Will I need any additional follow-up appointments or monitoring if I undergo gastric posterior fixation with fibrin sealant during laparoscopic sleeve gastrectomy?
- Are there any specific dietary or lifestyle changes I should make following gastric posterior fixation with fibrin sealant to optimize weight loss and maintenance?
- How does gastric posterior fixation with fibrin sealant compare to other weight loss surgery options in terms of effectiveness and safety?
- What is the recovery process like after undergoing gastric posterior fixation with fibrin sealant during laparoscopic sleeve gastrectomy?
Reference
Authors: Kizilkaya MC, Gokay R, Mutlu AU, Sonmez S, Yilmaz S, Kocatas A, Saracoglu C, Aytac E. Journal: Langenbecks Arch Surg. 2024 Feb 14;409(1):60. doi: 10.1007/s00423-024-03253-8. PMID: 38353730