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ORIGINAL ARTICLE
Year : 2020  |  Volume : 39  |  Issue : 1  |  Page : 86-93

Role of GastriSail device in laparoscopic sleeve gastrectomy


Department of General Surgery, Gastrointestinal Surgery Unit, Alexandria University Hospital, Alexandria, Egypt

Correspondence Address:
MD, MRCS Mostafa R Elkeleny
Department of General Surgery, Gastrointestinal Surgery Unit, Alexandria University Hospital, Alexandria
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ejs.ejs_140_19

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Background The aim of this study is to evaluate the possible merits of GastriSail device in laparoscopic sleeve gastrectomy (LSG) over the standard LSG. Patients and methods A prospective study was conducted on 40 patients who were randomly divided into two groups: group A included 20 patients who underwent LSG using GastriSail, and group B included 20 patients who underwent LSG with the standard bougie. The groups were compared regarding operative time, consistent sleeve formation, delineation and visualization, intraoperative and postoperative complication rates, hospital stay, gastric pouch design, and percentage of excess weight loss percentage. Results Regarding intraoperative time, the mean time was 72.0±13.58 and 79.0±11.74 for groups A and B, respectively. Although no patients in group B had consistent sleeve formation, 12 (60%) patients had consistent sleeve formation. Delineation and visualization was accomplished in 100% of group A patients but was not accomplished at all in group B patients. Alignment of the stomach was reached in 12 patients in group A but no patients at all in group B. There was no significant difference between both groups regarding hospital stay. The smaller tube design shown by gastrografin radiography at third postoperative day was accomplished in eight (80%) patients and two (20%) patients in groups A and B, respectively. Postoperative computed tomographic volumetric study illustrated smaller gastric volume in group A but without significant difference. Conclusion The use of GastriSail device is superior to the standard LSG in consistent sleeve formation, visualization and delineation, good alignment, and accomplishment of a small tube design, with no significant difference in excess weight loss. Operative time is less with the use of GastriSail but with no statistical significance.


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