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Obesity Surgery

, Volume 28, Issue 4, pp 1002–1006 | Cite as

Does Size Matter? Correlation of Excised Gastric Specimen Size in Sleeve Gastrectomy to Postoperative Weight Loss and Comorbidities

  • Jessica McCracken
  • Maggie Steinbeisser
  • Bilal Kharbutli
Original Contributions
  • 204 Downloads

Abstract

Background

We present the correlation between excised specimen size in laparoscopic sleeve gastrectomy and patient demographics, comorbidities, and postoperative weight loss.

Objective

This study aims to address whether the size of gastric specimen excised during laparoscopic sleeve gastrectomy has any correlation with patient demographics, comorbidities, and postoperative percent of excess body weight lost.

Setting

Study was performed at a community teaching hospital in Michigan.

Methods

We examined data from 204 patients who underwent sleeve gastrectomy between August 2011 and January 2015. Data was collected retrospectively including demographics, comorbidities, body mass index (BMI), percent of excess body weight lost, and the size of the gastric specimen removed including specimen volume in cubic centimeters, length, width, and thickness in centimeters.

Results

We found that gastric specimen size does not correlate with initial BMI or change in BMI at 3, 6, or 12 months. Larger specimen sizes were found in males, increasing age, and patients with diabetes mellitus.

Conclusions

There was no correlation between excised stomach size in laparoscopic sleeve gastrectomy and postoperative weight loss (percent of excess body weight lost) or change in BMI. Male gender, diabetes, and increasing patients’ age correlated with larger excised stomach size. Initial BMI and having histological gastritis did not correlate with excised stomach size.

Keywords

Gastrectomy specimen size Stomach size and weight loss Laparoscopic sleeve gastrectomy Weight loss after sleeve gastrectomy Stomach and diabetes 

Notes

Funding Source

Community teaching hospital GME support.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures—if any—performed in studies involving human participants were in accordance with the ethical standards of the Institutional and/or National Research Committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of study, formal consent is not required.

Informed Consent

Informed consent does not apply to this retrospective study.

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Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  1. 1.Department of SurgeryHenry Ford Wyandotte HospitalWyandotteUSA

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