A Survey of Dumping Symptomatology after Gastric Bypass With or Without Lesser Omental Transection View Full Text


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Article Info

DATE

2011-02

AUTHORS

Constantine T. Frantzides, Mark A. Carlson, Valerie K. Shostrom, Jacob Roberts, George Stavropoulos, George Ayiomamitis, Alexander Frantzides

ABSTRACT

BACKGROUND: Lesser omental transection during gastric bypass for morbid obesity may be associated with postoperative dumping. A survey of postoperative symptoms was performed in patients undergoing laparoscopic Roux-en-Y gastric bypass with transection vs. preservation of the lesser omentum. METHODS: A written questionnaire on dumping symptoms was administered to patients 2 years after laparoscopic Roux-en-Y gastric bypass with or without transection of the lesser omentum. Statistical testing was performed to determine whether the rate of various symptoms was related to the transection of the lesser omentum. RESULTS: The patients without lesser omental transection had significantly less symptoms than the patients with transection for 11 out of the 17 symptoms that were queried (p < 0.05). Ingestion of sweets was associated with dumping symptoms more frequently in the group of transected patients, and this group also had a lower frequency of sweet eating (p < 0.05). CONCLUSION: This study demonstrated that transection of the lesser omentum during laparoscopic-gastric bypass was associated with more postoperative dumping symptoms compared to bypass with preservation of the lesser omentum. This association may be secondary to a partial vagotomy that may occur if the lesser omentum is transected during gastric bypass. More... »

PAGES

186-193

References to SciGraph publications

  • 2009-10. Pathophysiology, diagnosis and management of postoperative dumping syndrome in NATURE REVIEWS GASTROENTEROLOGY & HEPATOLOGY
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  • 2008-10. SAGES guideline for clinical application of laparoscopic bariatric surgery in SURGICAL ENDOSCOPY
  • 2008-12. The Change in the Dumping Syndrome Concept in OBESITY SURGERY
  • 2007. Minimally Invasive Bariatric Surgery in NONE
  • 2008. Roux-en-Y Gastric Bypass in THE SAGES MANUAL
  • 2007. Evolution of Bariatric Minimally Invasive Surgery in MINIMALLY INVASIVE BARIATRIC SURGERY
  • 2007. Circular Stapler Technique for Gastroenterostomy in MINIMALLY INVASIVE BARIATRIC SURGERY
  • 2007. Laparoscopic Roux-en-Y Gastric Bypass: Hand-Sewn Gastrojejunostomy Technique in MINIMALLY INVASIVE BARIATRIC SURGERY
  • 1996-12. The Influence of Dumping on Weight Loss After Gastric Restrictive Surgery for Morbid Obesity in OBESITY SURGERY
  • 2008-10. News and Notices in SURGICAL ENDOSCOPY
  • 2007-11. Predicting Complications after Bariatric Surgery using Obesity-Related Co-morbidities in OBESITY SURGERY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s11695-010-0124-0

    DOI

    http://dx.doi.org/10.1007/s11695-010-0124-0

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1051852176

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/20379798


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