Abstract
Background:
Obesity and its related diseases are increasing worldwide to an alarming figure, and researches are conducted to control and understand this pandemic.
Purpose:
This study aims to determine the added value of adding gastrojejunostomy to sleeve gastrectomy regarding gastric emptying and percentage of excess weight loss (%EWL).
Materials and Methods:
This study included 40 morbidly obese patients and was divided into two groups, group 1 underwent sleeve gastrectomy and group 2 underwent hybrid technique (adding gastrojejunostomy to the sleeved stomach). Both groups had gastric emptying test after 1 month and were followed for 1 year for %EWL or body mass index (BMI) change.
Results:
Regarding %EWL, it reached after 1 year 73.45 ± 7.63 (mean ± SD) in group 2, which was higher than group 1, 69.33 ± 3.79 with p value = 0.009. It has been shown that gastric emptying to solids was also faster in the group 2 with a mean solid emptying T ½ of 18.25 min compared with group 1 with a mean of 28.35 min with a statistically significant p value of <0.001.
Conclusions:
There is a significant difference of emptying through gastrojejunostomy, which clarifies the added value of creating gastrojejunostomy to sleeve gastrectomy and may explain the lower pouch pressure than sleeve and therefore less gastroesophageal reflux disease symptoms.
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