Cited by 51Bariatric Surgery and OutcomesMinimally Invasive Surgical TechniquesBody Contouring and Surgery

The effectiveness and safety of laparoscopic sleeve gastrectomy with different sizes of bougie calibration: A systematic review and meta-analysis

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Wang, Yao, Yi, Xiao-Yan, Gong, Li-lin, Li, Qi-fu, Zhang, Jun, Wang, Zhi-hong·2018·International Journal of Surgery

Abstract

OBJECTIVES: This systematic review and meta-analysis was performed to compare the influence of different calibrating bougie sizes on clinical outcomes in laparoscopic sleeve gastrectomy (LSG) for patients with obesity. MATERIALS AND METHODS: A systematic review of the literature was performed using the key words: "laparoscopic sleeve gastrectomy", "bougie size", "calibration", "obesity", and "obese" for searches of electronic databases up to October 2017. Clinical characteristics such as, the percentage of excess weight loss (%EWL), overall complications, gastrointestinal leaks, gastroesophageal reflux disease (GERD) were pooled by meta-analysis. Stata 12.0 (Stata Corp, College Station, TX, USA) was used to perform the meta-analysis. RESULTS: Data were extracted from 11 original studies matching our inclusion criteria. In our review, the group of patients who had operations with thinner bougies had a greater %EWL (SMD 0.23, 95% CI 0.14-0.33, P < .001) than the group where larger diameters were used. Furthermore, no significant differences were found in the incidence of overall complications (OR 1.00, 95% CI 0.73-1.37, P = .978), postoperative gastrointestinal leaks (OR 0.91, 95% CI 0.67-1.24, P = .554), and GERD (OR 0.77, 95% CI 0.37-1.59, P = .476) between the two groups. A robust result could not be made about remission of comorbidities using differing diameter bougies due to insufficient data. CONCLUSIONS: Use of thinner diameter bougies in LSG was more effective in enabling weight loss and did not increase the risk of overall complications, gastrointestinal leaks or GERD compared with larger diameter bougies.

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Authors
Wang, Y., Yi, X.-Y., Gong, L.-L., Li, Q.-F., Zhang, J., & Wang, Z.-H.
Affiliations
The Affiliated Yongchuan Hospital of Chongqing Medical University (CN)
Corresponding author
Wang, Yao
Venue
International Journal of Surgery
Published
2018-01
Volume
49
Pages
32-38
ISSN
  • 1743-9159 (ISSN-L)
  • 1743-9191
OpenAlex
W2775289210
Cited by
51
References
40
Citations by year
2026: 4 · 2025: 5 · 2024: 9 · 2023: 7 · 2022: 6 · 2021: 6 · 2020: 9 · 2019: 4 · 2018: 1
FWCI
0.81
Type
journal article
Language
en
Open access
Locations
  • International Journal of Surgery (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Clinical Key Specialties Construction of China ([2011]170)
  • Young and Middle-age High-level Medical Reserved Personnel Training Project Foundation of Chongqing, China. Yuweiren ([2015] 49)
Topics
  • Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
  • Health Sciences › Medicine › Surgery › Minimally Invasive Surgical Techniques
  • Health Sciences › Medicine › Surgery › Body Contouring and Surgery
Keywords
laparoscopic sleeve gastrectomy, obesity, excess weight loss, postoperative complications, gastrointestinal leak, gastroesophageal reflux disease, bariatric surgery
MeSH terms
Adult, Calibration, Female, Gastrectomy, Gastroesophageal Reflux, Humans, Male, Middle Aged, Obesity, Laparoscopy, Postoperative Complications, Postoperative Period, Weight Loss, Comorbidity, Incidence, Treatment Outcome

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