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Metabolic and Bariatric Surgery ·

Antral Preservation in Sleeve Gastrectomy: A Game Changer for Gut Health

The debate on the optimal distance between the starting point of gastric transection and the pylorus in laparoscopic sleeve gastrectomy (LSG) remains unresolved. Some opt for a shorter distance to maximize weight loss, while others prefer a longer distance, believing it offers protection against post-surgery issues like vomiting and gastroesophageal reflux disease (GERD). This meta-analysis compared the outcomes of 6-cm and 2-cm distances from the pylorus, favoring the former due to its potential to reduce postoperative vomiting, GERD, and leaks.

Review by Diab AF, Kim A (…) DuCoin CG et 4 al. in Obes Surg

© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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