Our Summary

This research paper investigates the role of a surgical procedure called laparoscopic sleeve gastrectomy (LSG) in treating a condition called gastroparesis, which causes delayed gastric emptying. This condition can be caused by problems with the nerves controlling stomach muscles, and it can result in symptoms like feeling full quickly when eating, nausea, and vomiting.

In the study, patients with symptoms suggesting they might have gastroparesis were assessed using diagnostic tests. Those with certain specific problems were then selected to undergo LSG, a procedure where a large part of the stomach is removed. The researchers recorded various details about the patients and the outcomes of the surgery, and also tracked the patients’ quality of life.

Out of 122 patients assessed, 19 underwent LSG. The researchers found that, on average, the patients’ gastric emptying and quality of life significantly improved after the procedure. There were some complications, but no patients died as a result of the surgery. The weight of the patients did not change significantly after the operation. However, three patients had a recurrence of delayed gastric emptying and needed another operation.

In conclusion, the researchers suggest that LSG could be a useful surgical treatment option for certain patients with gastroparesis.

FAQs

  1. What is the purpose of the laparoscopic sleeve gastrectomy (LSG) procedure in the context of this study?
  2. What were the observed outcomes for patients with gastroparesis after undergoing LSG according to the research?
  3. Did any patients experience complications or need further treatment following the LSG procedure in this study?

Doctor’s Tip

A doctor might tell a patient considering gastric sleeve surgery that it can be an effective treatment for conditions like gastroparesis, but it is important to carefully consider the potential risks and benefits. It is also important to follow a healthy diet and exercise plan after surgery to maximize the benefits of the procedure.

Suitable For

These patients typically have symptoms of gastroparesis and have not responded well to other treatments. They may have problems with the nerves controlling stomach muscles, causing delayed gastric emptying. Patients who are considered for gastric sleeve surgery may experience symptoms such as feeling full quickly when eating, nausea, vomiting, and other digestive issues related to gastroparesis.

Ultimately, patients who are recommended gastric sleeve surgery are those who have not seen improvement in their condition with other treatments and who may benefit from the removal of a large part of their stomach to improve gastric emptying and overall quality of life.

Timeline

Before the gastric sleeve surgery, patients typically undergo a thorough evaluation to determine if they are suitable candidates for the procedure. This evaluation may include medical history, physical examination, blood tests, imaging studies, and possibly a psychological evaluation. Patients may also be required to make lifestyle changes, such as following a specific diet and exercise regimen, to prepare for surgery.

After the gastric sleeve surgery, patients will need to follow a strict post-operative diet and exercise plan to help them adjust to their smaller stomach size and promote weight loss. They will also need to attend regular follow-up appointments with their healthcare provider to monitor their progress and make any necessary adjustments to their treatment plan. Over time, patients can expect to see improvements in their weight, overall health, and quality of life as they continue to follow their post-surgery guidelines.

What to Ask Your Doctor

  1. What specific symptoms suggest that I might have gastroparesis?

  2. How will diagnostic tests determine if I am a candidate for laparoscopic sleeve gastrectomy (LSG)?

  3. What are the potential risks and complications associated with LSG?

  4. How will LSG improve my gastric emptying and quality of life?

  5. What is the recovery process like after LSG?

  6. What dietary changes will I need to make after LSG?

  7. How long will it take to see results from LSG in terms of improved symptoms?

  8. Are there any alternative treatment options for gastroparesis that I should consider?

  9. What is the long-term outlook for patients who undergo LSG for gastroparesis?

  10. How often will I need follow-up appointments after LSG to monitor my progress?

Reference

Authors: Lee AM, Fuchs KH, Varga G, Breithaupt W, Neki K, Broderick R, Horgan S. Journal: Langenbecks Arch Surg. 2020 Feb;405(1):107-116. doi: 10.1007/s00423-020-01856-5. Epub 2020 Jan 20. PMID: 31956952