Prophylactic Gastropexy for Prevention of Post-sleeve Gastric Twist | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2025, Issue 3, March 2025, Page 253-258 PDF (414.73 K) | ||||
| Document Type: Original Article | ||||
| DOI: https://doi.org/10.21608/aimj.2025.446497 | ||||
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| Authors | ||||
| Magdy Mahmoud Moustafa1; Mohamed Hasan El kaseer2; Ahmed Khairy Hussein El Habit* 3 | ||||
| 1Professor of General Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt | ||||
| 2Assistant Professor of General Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt; | ||||
| 3MSc, General Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt. | ||||
| Abstract | ||||
| Background: When it comes to treating severe obesity, bariatric surgery is still the gold standard. For the past five years, more than half of all bariatric procedures have been laparoscopic sleeve gastrectomy (LSG). Aim and objectives: To assess gastropexy as a main method for post-sleeve gastric twist control. Patients and methods: Using a systematic random sampling technique, 50 patients from the general surgery departments of Al-Azhar University Hospitals participated in this prospective observational study. Results: When it came to bleeding and leaking, the groups weren't significantly different. However, when it came to nausea, vomiting, reflux symptoms in the first year after surgery, and stomach torsion, there was a substantial difference. Conclusion: Gastric torsion, reflux symptoms, vomiting, and nausea following sleeve gastrectomy (SG) with or without gastropexy are significantly different. Additionally, there were significant differences in hospital readmissions, antiemetic use, severe GEJ incompetence, hospital/surgeon calls, and excessive clinical visits in the SG with gastropexy group compared to the SG without gastropexy group. | ||||
| Keywords | ||||
| Prophylactic gastropexy; Post-sleeve gastric twist | ||||
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