Authors: J Wesley Alexander Lisa R Martin Hawver Hope R Goodman
Publish Date: 2009/09/01
Volume: 19, Issue: 11, Pages: 1591-1596
Abstract
Isolated sleeve gastrectomy is being used with increasing frequency for the treatment of morbid obesity This study was done to determine the potential benefit of placing a band of processed human dermis around the upper portion of a sleeve gastrectomy to prevent late dilatation and weight gainTwentyseven patients underwent a sleeve gastrectomy followed by placement of a band of biological tissue AlloDerm® placed 6 cm from the gastroesophageal junction The results were compared to 54 patients with a RouxenY gastric bypass GBP matched for sex age and initial body mass indexAll 27 patients had improvement or resolution of their diabetes hypertension hyperlipidemia and sleep apnea after banded sleeve gastrectomy BSG similar to the control GBP group There were no deaths but one patient had a pulmonary embolus and another had a presumed leak Symptoms of gastroesophageal reflux disease generally improved Overall results were almost identical to patients with GBPBSG provides results comparable to GBP in the shortterm followup but avoids potential longterm complications including internal hernias postoperative bowel obstructions anastomotic complications of the jejunojejunostomy hypoglycemia bacterial overgrowth and a spectrum of malabsorptive problems While this study documents the feasibility and possible benefits of this modification prospective controlled studies with longterm followup are needed to establish its place in procedures for surgical weight loss
Keywords: