Antral resection versus antral preservation during laparoscopic sleeve gastrectomy for severe obesity: Systematic review and meta-analysis

McGlone, Emma Rose; Gupta, Ajay K.; Reddy, Marcus; Khan, Omar A.

doi:10.1016/j.soard.2018.02.021

Cited by 60Bariatric Surgery and OutcomesMinimally Invasive Surgical TechniquesBody Contouring and Surgery

Antral resection versus antral preservation during laparoscopic sleeve gastrectomy for severe obesity: Systematic review and meta-analysis

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McGlone, Emma Rose, Gupta, Ajay K., Reddy, Marcus, Khan, Omar A.·2018·Surgery for Obesity and Related Diseases

DOI 10.1016/j.soard.2018.02.021

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Abstract

Although laparoscopic sleeve gastrectomy is an established operation for severe obesity, there is controversy regarding the extent to which the antrum is excised. The objective of this systematic review was to investigate the effect on perioperative complications and medium-term outcomes of antral resecting versus antral preserving sleeve gastrectomy. MEDLINE, EMBASE, and Cochrane databases were searched from 1946 to April 2017. Eligible studies compared antral resection (staple line commencing 2-3 cm from pylorus) with antral preservation (>5 cm from pylorus) in patients undergoing primary sleeve gastrectomy for obesity. Meta-analyses were performed with a random-effects model, and risk of bias within and across studies was assessed using validated scoring systems. Eight studies (619 participants) were included: 6 randomized controlled trials and 2 cohort studies. Overall follow-up was 94% for the specified outcomes of each study. Mean percentage excess weight loss was 62% at 12 months (7 studies; 574 patients) and 67% at 24 months (4 studies; 412 patients). Antral resection was associated with significant improvement in percentage excess weight loss at 24-month follow-up (mean 70% versus 61%; standardized mean difference .95; confidence interval .35-1.58, P<.005), an effect that remained significant when cohort studies were excluded. There was no difference in incidence of perioperative bleeding, leak, or de novo gastroesophageal reflux disease. According to the available evidence, antral resection is associated with better medium-term weight loss compared with antral preservation, without increased risk of surgical complications. Further randomized clinical trials are indicated to confirm this finding.

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There were no differences in gastroesophageal reflux between antral resection and antral preservation in sleeve gastrectomy (0.69, 95% CI 0.26 to 1.82).
“Weight loss was more pronounced with antral resection (SMD 0.95, 95% CI 0.32 to 1.58), with no differences in staple line leak (RR 1.87, 95% CI 0.46 to 7.61), bleeding (RR 1.27, 95% CI 0.40 to 4.01) or gastroesophageal reflux (0.69, 95% CI 0.26 to 1.82).”
From Clinical practice guidelines of the European Association for Endoscopic Surgery (EAES) on bariatric surgery: update 2020 endorsed by IFSO-EC, EASO and ESPCOP (2020) · cites this paper as [98]
Weight loss was more pronounced with antral resection (2-3 cm from the pylorus versus >5 cm antral preservation) in sleeve gastrectomy (SMD 0.95, 95% CI 0.32 to 1.58).
“Weight loss was more pronounced with antral resection (SMD 0.95, 95% CI 0.32 to 1.58), with no differences in staple line leak (RR 1.87, 95% CI 0.46 to 7.61), bleeding (RR 1.27, 95% CI 0.40 to 4.01) or gastroesophageal reflux (0.69, 95% CI 0.26 to 1.82).”
From Clinical practice guidelines of the European Association for Endoscopic Surgery (EAES) on bariatric surgery: update 2020 endorsed by IFSO-EC, EASO and ESPCOP (2020) · cites this paper as [98]
There were no differences in bleeding between antral resection and antral preservation in sleeve gastrectomy (RR 1.27, 95% CI 0.40 to 4.01).
“Weight loss was more pronounced with antral resection (SMD 0.95, 95% CI 0.32 to 1.58), with no differences in staple line leak (RR 1.87, 95% CI 0.46 to 7.61), bleeding (RR 1.27, 95% CI 0.40 to 4.01) or gastroesophageal reflux (0.69, 95% CI 0.26 to 1.82).”
From Clinical practice guidelines of the European Association for Endoscopic Surgery (EAES) on bariatric surgery: update 2020 endorsed by IFSO-EC, EASO and ESPCOP (2020) · cites this paper as [98]
There were no differences in staple line leak between antral resection and antral preservation in sleeve gastrectomy (RR 1.87, 95% CI 0.46 to 7.61).
“Weight loss was more pronounced with antral resection (SMD 0.95, 95% CI 0.32 to 1.58), with no differences in staple line leak (RR 1.87, 95% CI 0.46 to 7.61), bleeding (RR 1.27, 95% CI 0.40 to 4.01) or gastroesophageal reflux (0.69, 95% CI 0.26 to 1.82).”
From Clinical practice guidelines of the European Association for Endoscopic Surgery (EAES) on bariatric surgery: update 2020 endorsed by IFSO-EC, EASO and ESPCOP (2020) · cites this paper as [98]

Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & for the PRISMA Group (2009) · BMJ · doi:10.1136/bmj.b2535 · Cited by 83,823 · see citing works
GRADE: an emerging consensus on rating quality of evidence and strength of recommendations
Guyatt, G. H., Oxman, A. D., Vist, G. E., Kunz, R., Falck-Ytter, Y., Alonso-Coello, P., & Schünemann, H. J. (2008) · BMJ · doi:10.1136/bmj.39489.470347.ad · Cited by 23,305 · see citing works
Assessing the quality of reports of randomized clinical trials: Is blinding necessary?
Jadad, A. R., Moore, R. A., Carroll, D., Jenkinson, C., Reynolds, D. J. M., Gavaghan, D. J., & McQuay, H. J. (1996) · Controlled Clinical Trials · doi:10.1016/0197-2456(95)00134-4 · Cited by 17,582 · see citing works
Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement
Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2010) · International Journal of Surgery · doi:10.1016/j.ijsu.2010.02.007 · Cited by 12,156 · see citing works
Current methods of the U.S. Preventive Services Task Force
Harris, R., Helfand, M., Woolf, S. H., Lohr, K. N., Mulrow, C. D., Teutsch, S. M., & Atkins, D. C. (2001) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(01)00261-6 · Cited by 1,720 · see citing works
Bariatric Surgery and Long-term Durability of Weight Loss
Maciejewski, M. L., Arterburn, D. E., Van Scoyoc, L., Smith, V. A., Yancy, W. S., Weidenbacher, H. J., Livingston, E. H., & Olsen, M. K. (2016) · JAMA Surgery · doi:10.1001/jamasurg.2016.2317 · Cited by 720 · see citing works
A checklist designed to aid consistency and reproducibility of GRADE assessments: development and pilot validation
Meader, N., King, K., Llewellyn, A., Norman, G., Brown, J., Rodgers, M., Moe-Byrne, T., Higgins, J., Sowden, A., & Stewart, G. B. (2014) · Systematic Reviews · doi:10.1186/2046-4053-3-82 · Cited by 560 · see citing works
Laparoscopic Sleeve Gastrectomy: A Multi-purpose Bariatric Operation
Baltasar, A., Serra, C., Pérez, N., Bou, R., Bengochea, M., & Ferri, L. (2005) · Obesity Surgery · doi:10.1381/0960892055002248 · Cited by 498 · see citing works
Laparoscopic Sleeve Gastrectomy — Influence of Sleeve Size and Resected Gastric Volume
Weiner, R. A., Weiner, S. R., Pomhoff, I., Jacobi, C. A., Makarewicz, W., & Weigand, G. (2007) · Obesity Surgery · doi:10.1007/s11695-007-9232-x · Cited by 434 · see citing works
Fifth International Consensus Conference: current status of sleeve gastrectomy
Gagner, M., Hutchinson, C., & Rosenthal, R. (2016) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2016.01.022 · Cited by 401 · see citing works
Laparoscopic Sleeve Gastrectomy Versus Roux-Y-Gastric Bypass for Morbid Obesity—3-Year Outcomes of the Prospective Randomized Swiss Multicenter Bypass Or Sleeve Study (SM-BOSS)
Peterli, R., Wölnerhanssen, B. K., Vetter, D., Nett, P. C., Gass, M., Borbély, Y., Peters, T. T. A., Schiesser, M., Schultes, B., Beglinger, C., et al. (2016) · Annals of Surgery · doi:10.1097/sla.0000000000001929 · Cited by 251 · see citing works
Scintigraphic Evaluation of Gastric Emptying in Obese Patients Submitted to Sleeve Gastrectomy Compared to Normal Subjects
Braghetto, I., Davanzo, C., Korn, O., Csendes, A., Valladares, H., Herrera, E., González, P., & Papapietro, K. (2009) · Obesity Surgery · doi:10.1007/s11695-009-9954-z · Cited by 235 · see citing works
The Impact of Different Surgical Techniques on Outcomes in Laparoscopic Sleeve Gastrectomies
Berger, E. R., Clements, R. H., Morton, J. M., Huffman, K. M., Wolfe, B. M., Nguyen, N. T., Ko, C. Y., & Hutter, M. M. (2016) · Annals of Surgery · doi:10.1097/sla.0000000000001851 · Cited by 221 · see citing works
Complications associated with laparoscopic sleeve gastrectomy for morbid obesity: a surgeon’s guide
Sarkhosh, K., Birch, D. W., Sharma, A. M., & Karmali, S. (2013) · Canadian Journal of Surgery · doi:10.1503/cjs.033511 · Cited by 200 · see citing works
Long-term results after sleeve gastrectomy: A systematic review
Juodeikis, Ž., & Brimas, G. (2016) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2016.10.006 · Cited by 143 · see citing works
Laparoscopic Sleeve Gastrectomy Versus Laparoscopic Roux-En-Y Gastric Bypass for Morbid Obesity and Related Comorbidities: A Meta-Analysis of 21 Studies
Zhang, Y., Wang, J., Sun, X., Cao, Z., Xu, X., Liu, D., Xiangyang, X., & Qin, M. (2014) · Obesity Surgery · doi:10.1007/s11695-014-1385-9 · Cited by 137 · see citing works
Dilated Upper Sleeve Can be Associated with Severe Postoperative Gastroesophageal Dysmotility and Reflux
Keidar, A., Appelbaum, L., Schweiger, C., Elazary, R., & Baltasar, A. (2009) · Obesity Surgery · doi:10.1007/s11695-009-0032-3 · Cited by 126 · see citing works
Long term predictors of success after laparoscopic sleeve gastrectomy
Ellatif, M. E. A., Abdallah, E., Askar, W. A., Thabet, W., Abou-Shady, M. A., Abbas, A., Elhadidi, A., Elezaby, A. F., Salama, A. F., Dawoud, I., et al. (2014) · International Journal of Surgery · doi:10.1016/j.ijsu.2014.02.008 · Cited by 115 · see citing works
Definition determines weight regain outcomes after sleeve gastrectomy
Lauti, M., Lemanu, D. P., Zeng, I. S. L., Su’a, B., Hill, A. G., & MacCormick, A. D. (2017) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2017.02.029 · Cited by 110 · see citing works
Impact of Extent of Antral Resection on Surgical Outcomes of Sleeve Gastrectomy for Morbid Obesity (A Prospective Randomized Study)
Abdallah, E., Nakeeb, A. E., Youssef, T., Abdallah, H., Ellatif, M. E. A., Lotfy, A., Youssef, M., Elganash, A., Moatamed, A., Morshed, M. M., et al. (2014) · Obesity Surgery · doi:10.1007/s11695-014-1242-x · Cited by 102 · see citing works
Radical Resection of the Pyloric Antrum and Its Effect on Gastric Emptying After Sleeve Gastrectomy
Michalský, D., Dvořák, P., Běláček, J., & Kasalický, M. (2013) · Obesity Surgery · doi:10.1007/s11695-012-0850-6 · Cited by 76 · see citing works
Analysis of Gastric Physiology After Laparoscopic Sleeve Gastrectomy (LSG) With or Without Antral Preservation in Relation to Metabolic Response: a Randomised Study
Vives, M., Molina, A., Danús, M., Rebenaque, E., Blanco, S., París, M., Sánchez, A., Sabench, F., & Déjardin, D. D. C. (2017) · Obesity Surgery · doi:10.1007/s11695-017-2700-z · Cited by 76 · see citing works
Erratum to: Impact of Extent of Antral Resection on Surgical Outcomes of Sleeve Gastrectomy for Morbid Obesity (A Prospective Randomized Study)
Abdallah, E., Nakeeb, A. E., Youssef, T., Abdallah, H., Ellatif, M. E. A., Lotfy, A., Youssef, M., Elganash, A., Moatamed, A., Morshed, M. M., et al. (2015) · Obesity Surgery · doi:10.1007/s11695-015-1833-1 · Cited by 70 · see citing works
Morbid Obesity and Sleeve Gastrectomy: How Does It Work?
Papailiou, J., Albanopoulos, K., Toutouzas, K. G., Tsigris, C., Nikiteas, N. I., & Zografos, G. (2010) · Obesity Surgery · doi:10.1007/s11695-010-0148-5 · Cited by 70 · see citing works
Interventions in randomised controlled trials in surgery: issues to consider during trial design
Blencowe, N., Brown, J. M., Cook, J. A., Metcalfe, C., Morton, D. G., Nicholl, J. P., Sharples, L. D., Treweek, S. P., & Blazeby, J. M. (2015) · Trials · doi:10.1186/s13063-015-0918-4 · Cited by 67 · see citing works
The Magnitude of Antral Resection in Laparoscopic Sleeve Gastrectomy and its Relationship to Excess Weight Loss
Obeidat, F., Shanti, H., Mismar, A., Albsoul, N. M., & Al-Qudah, M. S. (2015) · Obesity Surgery · doi:10.1007/s11695-015-1642-6 · Cited by 67 · see citing works
Length of the antral segment in pylorus-preserving gastrectomy
Nakane, Y., Michiura, T., Inoue, K., Sato, M., Nakai, K., & Yamamichi, K. (2002) · British journal of surgery · doi:10.1046/j.1365-2168.2002.01984.x · Cited by 64 · see citing works
The effect of residual gastric antrum size on the outcome of laparoscopic sleeve gastrectomy: a prospective randomized trial
Elgeidie, A., El-Hemaly, M., Hamdy, E., Sorogy, M. E., Abdelgawad, M., & Hak, N. G. (2014) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2014.12.025 · Cited by 58 · see citing works
Laparoscopic Roux-en-Y Gastric Bypass versus Sleeve Gastrectomy for Obese Patients with Type 2 Diabetes: A Meta-analysis of Randomized Controlled Trials
Wang, M., Guo, X. H., Zhang, Y., Zhang, H. H., Zhang, H. H., & Zhang, Y. C. (2015) · The American Surgeon · doi:10.1177/000313481508100229 · Cited by 53 · see citing works
Prediction Model for Hemorrhagic Complications after Laparoscopic Sleeve Gastrectomy: Development of SLEEVE BLEED Calculator
Janik, M. R., Walędziak, M. S., Brągoszewski, J., Kwiatkowski, A., & Paśnik, K. (2016) · Obesity Surgery · doi:10.1007/s11695-016-2417-4 · Cited by 52 · see citing works
Laparoscopic Sleeve Gastrectomy—Radiological Assessment of Fundus Size and Sleeve Voiding
Pomerri, F., D, M. F. M., Allegro, G., Bernante, P., Prevedello, L., & Muzzio, P. C. (2010) · Obesity Surgery · doi:10.1007/s11695-010-0255-3 · Cited by 49 · see citing works
Staple line reinforcement during laparoscopic sleeve gastrectomy: Does it affect clinical outcomes?
Glaysher, M. A., Khan, O. A., Mabvuure, N. T., Wan, A. C. T., Reddy, M., & Vasilikostas, G. (2013) · International Journal of Surgery · doi:10.1016/j.ijsu.2013.02.015 · Cited by 42 · see citing works
Self-citation
Changing Epidemiology of Bariatric Surgery in the UK: Cohort Study Using Primary Care Electronic Health Records
for the King’s Bariatric Surgery Study Group, Booth, H., Khan, O. A., Fildes, A., Prevost, A. T., Reddy, M., Charlton, J., & Gulliford, M. C. (2016) · Obesity Surgery · doi:10.1007/s11695-015-2032-9 · Cited by 42 · see citing works
Self-citation
Early post-operative weight loss after laparoscopic sleeve gastrectomy correlates with the volume of the excised stomach and not with that of the sleeve! Preliminary data from a multi-detector computed tomography-based study
Lal, P., Vindal, A., Midha, M., Nagpal, P., Manchanda, A., & Chander, J. (2014) · Surgical Endoscopy · doi:10.1007/s00464-014-4021-9 · Cited by 40 · see citing works
Midterm Clinical Outcomes of Antrum Resection Margin at Laparoscopic Sleeve Gastrectomy for Morbid Obesity
Yormaz, S., Yılmaz, H., Ece, İ., Yılmaz, F., & Sahin, M. (2016) · Obesity Surgery · doi:10.1007/s11695-016-2384-9 · Cited by 31 · see citing works
Weight Loss Analysis According to Different Formulas after Sleeve Gastrectomy With or Without Antral Preservation: a Randomised Study
Sabench, F., López, A. M., Vives, M., Carceller, E. R., Blasco, S. B., Vilalta, F. J. B., París, M., Campón, M. L. P., Gonzàlez, M. H., Marín, A. S., et al. (2016) · Obesity Surgery · doi:10.1007/s11695-016-2454-z · Cited by 29 · see citing works
Faster Gastric Emptying after Laparoscopic Sleeve Gastrectomy
Gagner, M. (2010) · Obesity Surgery · doi:10.1007/s11695-010-0086-2 · Cited by 25 · see citing works
Sleeve gastrectomy for gastric band failures – A prospective study
Khan, O. A., Mansour, S., Irukulla, S., Reddy, K. M., Vasilikostas, G., & Wan, A. C. T. (2013) · International Journal of Surgery · doi:10.1016/j.ijsu.2013.03.005 · Cited by 14 · see citing works
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Di Lorenzo, N., Antoniou, S. A., Batterham, R. L., Busetto, L., Godoroja, D., Iossa, A., Carrano, F. M., Agresta, F., Alarçon, I., Azran, C., et al. (2020) · Surgical Endoscopy · doi:10.1007/s00464-020-07555-y · Cited by 465 · see citing works
Do we understand the pathophysiology of GERD after sleeve gastrectomy?
Felińska, E. A., Billeter, A. T., Nickel, F., Contin, P., Berlth, F., Chand, B., Grimminger, P., Mikami, D. J., SCHOPPMANN, S. F., & Müller-Stich, B. P. (2020) · Annals of the New York Academy of Sciences · doi:10.1111/nyas.14467 · Cited by 86 · see citing works
The first modified Delphi consensus statement on sleeve gastrectomy
Mahawar, K. K., Omar, I., Singhal, R., Aggarwal, S., Allouch, M., Al-Sabah, S. K., Angrisani, L., Badiuddin, F., Balibrea, J. M., Bashir, A. A., et al. (2021) · Surgical Endoscopy · doi:10.1007/s00464-020-08216-w · Cited by 50 · see citing works
Promising effects of 33 to 36 Fr. bougie calibration for laparoscopic sleeve gastrectomy: a systematic review and network meta-analysis
Chang, P., Chen, K.-H., Jhou, H., Chen, P., Huang, C., Lee, C., & Chang, T. (2021) · Scientific Reports · doi:10.1038/s41598-021-94716-1 · Cited by 34 · see citing works
Current recommendations for procedure selection in class I and II obesity developed by an expert modified Delphi consensus
Kermansaravi, M., Chiappetta, S., Parmar, C. D., Shikora, S. A., Prager, G., LaMasters, T. L., Ponce, J., Kow, L., Nimeri, A. A., Kothari, S. N., et al. (2024) · Scientific Reports · doi:10.1038/s41598-024-54141-6 · Cited by 25 · see citing works
Hypotonic Low Esophageal Sphincter Is Not Predictive of Gastroesophageal Reflux Disease After Sleeve Gastrectomy
Greilsamer, T., de Montrichard, M., Varannes, S. B. D., Jacobi, D., Guillouche, M., Régenet, N., Mirallié, É., & Blanchard, C. L. (2020) · Obesity Surgery · doi:10.1007/s11695-019-04335-z · Cited by 21 · see citing works
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Khalifa, I. G., Tobar, W. L., Hegazy, T. O., Balamoun, H. A., Mikhail, S., Salman, M. A., & Elsayed, E. A. (2019) · Obesity Surgery · doi:10.1007/s11695-019-03840-5 · Cited by 20 · see citing works
Does Sleeve Gastrectomy Increase the Risk of Barret’s Esophagus?
Lallemand, L., Duchalais, É., Musquer, N., Jacobi, D., Coron, E., Varannes, S. B. D., Mirallié, É., & Blanchard, C. L. (2020) · Obesity Surgery · doi:10.1007/s11695-020-04875-9 · Cited by 20 · see citing works
The Effect of Antrum Size on Weight Loss, Glucagon-Like Peptide-1 (GLP-1) Levels, and Glycemic Control Following Laparoscopic Sleeve Gastrectomy in Adolescents with Obesity and Type 2 Diabetes
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Qi, X., Li, X., Jiao, Y., Chen, S., Song, P., Qian, Z., & Tang, L. (2022) · Diabetes Metabolic Syndrome and Obesity · doi:10.2147/dmso.s351973 · Cited by 3 · see citing works
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Antrum Resection Versus Preservation Following Laparoscopic Sleeve Gastrectomy in the Treatment of Obesity: A Meta‐Analysis of Randomized Controlled Trials and Systematic Review
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Sleeve Gastrectomy with Pyloroplasty in Wistar Rats: Assessment of Gastric Emptying, Intestinal Transit, and Possible Duodenogastric Alkaline Reflux
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Starting Antrectomy in Less than 2 cm from Pylorus at Laparoscopic Sleeve Gastrectomy
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Laparoscopic Sleeve Gastrectomy: The Technique
Aggarwal, S., Gupta, M., Singla, V., & Gagner, M. (2022) · Springer eBooks · doi:10.1007/978-3-030-54064-7_26-1 · Cited by 1 · see citing works
Evaluation of Laparoscopic Sleeve Gastrectomy With a Natural Band (Sewefy Wrap): Results From a Prospective, Randomized Controlled Trial
Sewefy, A. M., Kayed, T., & Esmaeel, T. E. (2025) · Cureus · doi:10.7759/cureus.83733 · Cited by 1 · see citing works
Comparison of Mid- and Long-term Outcomes of Antrum-Resecting Versus Antrum-Preserving Laparoscopic Sleeve Gastrectomy
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Patient-reported outcomes after antrum resection versus antrum preservation in laparoscopic sleeve gastrectomy patients: A retrospective cohort study
Aljomah, N., Bamehriz, F. Y., Nimeri, A. A., Alamri, H., Alsubaie, H., Alnumay, A., Alqarzaie, A. A., Alsuhaim, A., Silsilah, M., Shunayf, M. B., et al. (2026) · Saudi Journal of Gastroenterology · doi:10.4103/sjg.sjg_139_25 · Cited by 1 · see citing works
Gastric Remnant Shape Following Laparoscopic Sleeve Gastrectomy Correlates with Weight Loss
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Evaluation and Treatment of the Patient Who Is Regaining Weight
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Antral Resection versus Antral Preservation during Laparoscopic Sleeve Gastrectomy: Does Outcome Differ?
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Comment on: Complications after laparoscopic sleeve gastrectomy: can we approach a 0% rate using the largest staple height with reinforcement all along the staple line? Short-term results and technical considerations
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Self-citation
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Comment on antrum resection versus antrum preservation in laparoscopic sleeve gastrectomy: Unaddressed issues
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ANTRECTOMY VERSUS ANTRAL PRESERVATION IN SLEEVE GASTRECTOMY: A RETROSPECTIVE PROPENSITY SCORE ANALYSIS OF 675 PATIENTS
Jacob, A., ALREHAILY, W., CIOCAN, D., LUZZA, L., LORENZI, V. D., Donatelli, G., Derienne, J., PERLEMUTER, G., COURIE, R., Voican, C. S., et al. (2026) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2026.10.002

Comment on: antral resection versus antral preservation during laparoscopic sleeve gastrectomy for severe obesity: systematic review and meta-analysis
Gagner, M. (2018) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2018.04.001 · Cited by 4 · see citing works
Antrum Resection Versus Preservation Following Laparoscopic Sleeve Gastrectomy in the Treatment of Obesity: A Meta‐Analysis of Randomized Controlled Trials and Systematic Review
Luo, J., Zhong, F., Yang, H., & Yang, L. (2025) · World Journal of Surgery · doi:10.1002/wjs.12500 · Cited by 2 · see citing works
Antral Resection versus Antral Preservation during Laparoscopic Sleeve Gastrectomy: Does Outcome Differ?
Elhoofy, A., Ibrahim, M. M. E. S., & Omar, W. (2018) · Ain Shams Journal of Surgery · doi:10.21608/asjs.2018.178203 · Cited by 1 · see citing works
The Magnitude of Antral Resection in Laparoscopic Sleeve Gastrectomy and its Relationship to Excess Weight Loss
Obeidat, F., Shanti, H., Mismar, A., Albsoul, N. M., & Al-Qudah, M. S. (2015) · Obesity Surgery · doi:10.1007/s11695-015-1642-6 · Cited by 67 · see citing works
Comparison between antral resection in laparoscopic sleeve gastrectomy and classical laparoscopic sleeve gastrectomy
Helmy, M., Shaker, H. Z., Nafea, A., Naga, M. A., Gabr, A. M., & Allam, M. F. (2019) · Revista española de investigaciones quirúrgicas · Cited by 3 · see citing works

Authors: McGlone, E. R., Gupta, A. K., Reddy, M., & Khan, O. A.
Affiliations: Hammersmith Hospital (GB)
Queen Mary University of London (GB)
Hebei Medical University (CN)
St George's Hospital (GB)
Corresponding author: McGlone, Emma Rose
ORCID: McGlone, Emma Rose
Gupta, Ajay K.
Reddy, Marcus
Khan, Omar A.
Venue: Surgery for Obesity and Related Diseases
Publisher: Elsevier BV
Published: 2018-06
Volume: 14
Issue: 6
Pages: 857-864
ISSN: 1550-7289 (ISSN-L)
DOI: 10.1016/j.soard.2018.02.021
OpenAlex: W2788521827
Cited by: 60
References: 38
Citations by year: 2026: 5 · 2025: 9 · 2024: 6 · 2023: 8 · 2022: 10 · 2021: 7 · 2020: 9 · 2019: 3 · 2018: 3
FWCI: 1.22
Type: journal article
Language: en
Open access: green
hdl.handle.net
Licence: cc-by-nc-nd
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Surgery for Obesity and Related Diseases (publishedVersion)
PubMed (publishedVersion)
Spiral (Imperial College London) (submittedVersion, cc-by-nc-nd)
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
MeSH terms: Gastrectomy, Gastroesophageal Reflux, Humans, Obesity, Morbid, Laparoscopy, Postoperative Complications, Pyloric Antrum, Weight Loss, Randomized Controlled Trials as Topic, Treatment Outcome, Bariatric Surgery, Anastomotic Leak, Organ Sparing Treatments

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Antral resection versus antral preservation during laparoscopic sleeve gastrectomy for severe obesity: Systematic review and meta-analysis

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