Background
Laparoscopic sleeve gastrectomy (LSG) is considered as one of the most popular bariatric procedures worldwide. Although LSG appears simple, there is still no standard procedure across different surgical teams. The most debatable issue in sleeve gastrectomy is the gastric pouch size; by changing the size of the bougie, we can create different volumes of the stomach tube.
Aim
The aim was to compare the outcome following LSG results when using 32 versus 40-Fr bougie as regards the effects of each on the clinical outcome: weight loss of the patients and possible complications.
Patients and methods
Our study is a prospective, comparative study of 60 patients, who underwent LSG between ‘March 2015 and March 2016’ with a 1-year follow-up. The patients were classified into two groups: group A (=30) who underwent LSG using a bougie size of 32 Fr and group B (=30) who underwent LSG using a bougie size of 40 Fr. We recorded the operative time, hospital stay, and intraoperative and postoperative complications.
Results
A total of 60 patients [17 (28.3%) men and 43 (71.7%) women] underwent LSG. Patients had a mean age of 35±10 years (range: 18–58 years). The mean;Deg;BM;Deg;I was 46.66±4.30 kg/m (range: 34.6–57.5 kg/m); the duration of hospital stay in group A was 56±28.07 h, with group B being 36.4±10.68. As regards the weight loss both groups had the same excess weight loss over 1 year; postoperative persistent vomiting was in favor of group A with four (13.3%) patients, two of them required intervention either by endoscopy or conversion to bypass, in comparison to one patient in group B who was managed conservatively.
Conclusion
The use of bougie size 32 Fr did not result in significant excess weight loss differences than bougie size 40 Fr; however, more complications were observed.