الفهرس 
History of Laparoscopic Sleeve GastrectomyOnly 14 pages are availabe for public view
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Abstract
Background: Obesity has reached epidemic proportions in the United States and around the world. Laparoscopic sleeve gastrectomy(LSG) is essentially a restrictive bariatric operation. Weight loss is achieved by drastically reducing the gastric volume, which in turn leads to reduced food intake. In addition, a series of hormonal changes occurring postoperatively in bariatric patients, contribute to decreased appetite, reduced food intake and long-term weight loss. To date there is a lack of standardization regarding the surgical technique of LSG, which may affect the long-term outcome of the patients.
Objective: Comparison between antral resection in laparoscopic sleeve gastrectomy & classical laparoscopic sleeve gastrectomy in short & long- term complications.
Patients and Methods: This is a prospective randomized control study held in El Demerdash hospital including forty patients with BMI exceeding 30, twenty of them underwent antral resection in laparoscopic sleeve gastrectomy, and the other twenty patients underwent classic laparoscopic sleeve gastrectomy.
Results: Our study showed also mild increase in weight loss and BMI reduction after 12 months in the antral resection group more than the antral preservation group with mean weight loss 70.5kg in antral resection group compared to 75.05kg in antral preservation group and mean BMI 27.7 %in antral resection group compared to 27.9% in antral preservation group, but again still doesn’t rise to be statistically significant value.
Conclusion: Our study showed that a more radical antral resection resulted in better weight loss in the first postoperative year, but it doesn’t rise to be statistically significant value.