World Journal of Laparoscopic Surgery

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Volume  18 (2025)
Volume  17 (2024)
Volume  16 (2023)
Volume  15 (2022)
Volume  14 (2021)
Volume  13 (2020)
Volume  12 (2019)
Volume  11 (2018)
Volume  10 (2017)
Volume  9 (2016)
Volume  8 (2015)
Volume  7 (2014)
Volume  6 (2013)
Volume  5 (2012)
Volume  4 (2011)
Volume  3 (2010)
Volume  2 (2009)
Volume  1 (2008)
Related articles

VOLUME 18 , ISSUE 1 ( January-April, 2025 ) > List of Articles

Original Article

Effect of Gastropexy-omentopexy on Early Postoperative Outcome of Laparoscopic Sleeve Gastrectomy: A Prospective Comparative Study

Mostafa M Ibrahim, Ahmed A Abd Elmotaleb

Keywords : Gastric twist, Laparoscopic sleeve gastrectomy, Omentopexy

Citation Information : Ibrahim MM, Elmotaleb AA. Effect of Gastropexy-omentopexy on Early Postoperative Outcome of Laparoscopic Sleeve Gastrectomy: A Prospective Comparative Study. World J Lap Surg 2025; 18 (1):16-19.

DOI: 10.5005/jp-journals-10033-1635

License: CC BY-NC 4.0

Published Online: 16-12-2024

Copyright Statement:  Copyright © 2025; The Author(s).


Abstract

Background: The laparoscopic sleeve gastrectomy (LSG) is a pure restrictive bariatric operation. Gastropexy-omentopexy was proposed to alleviate complications, such as leakage, twist, and vomiting that may occur after sleeve gastrectomy This study was aimed to compare the effect of gastropexy-omentopexy on the early postoperative complications of LSG. Methodology: This is a prospective comparative study conducted between August 2021 and January 2024. It included 376 patients who had LSG at Asyut University Hospital. They were randomly divided in two groups, group A (No = 200) with gastropexy-omentopexy and group B (176) without gastropexy-omentopexy. Results: There was no statistically significant difference in terms of age, sex, and preoperative body mass index. The overall postoperative complications of group B are higher than those of group A (p = 0.001). There was no significant difference in postoperative leak, bleeding, stricture, and twist between the two groups. Nausea and vomiting were higher in group B than in group A (p = 0.001) gastropexy-omentopexy. Conclusion: Laparoscopic sleeve gastrectomy with omentopexy had a significant effect on the overall early complications and readmission rates after LSG. More studies are required to provide a strong recommendation of omentopexy as a standard step in LSG.

PDF Share
  1. Franco JVA, Ruiz PA, Palermo M, et al. A review of studies comparing three laparoscopic procedures in bariatric surgery: Sleeve gastrectomy, roux-en-y gastric bypass and adjustable gastric banding. Obes Surg 2011;21(9):1458–1468. DOI: 10.1007/s11695-011-0390-5.
  2. Melissas J, Daskalakis M, Koukouraki S, et al. Sleeve gastrectomy – A “food limiting” operation. Obes Surg 2008;18(10):1251–1256. DOI: 10.1007/s11695-008-9634-4.
  3. Papailiou J, Albanopoulos K, Toutouzas KG, et al. Morbid obesity and sleeve gastrectomy: How does it work? Obes Surg 2010;20: 1448–1455. DOI: 10.1007%2Fs11695-010-0148-5.
  4. Weiner RA, Weiner S. Laparoscopic sleeve gastrectomy: early complications. In: Obesity, Bariatric and Metabolic Surgery: A Comprehensive Guide. 2nd ed. Springer Nature Switzerland AG: Springer International Publishing; 2023. pp. 465–477.
  5. Iannelli A, Treacy P, Sebastianelli L, et al. Perioperative complications of sleeve gastrectomy: Review of the literature. J Minim Access Surg 2019;15(1):1–7. DOI: 10.4103/jmas.JMAS_271_17.
  6. Sharma N, Chau WY. Remodifying omentopexy technique used with laparoscopic sleeve gastrectomy: Does it change any outcomes? Obes Surg 2020;30(4):1527–1535. DOI: 10.1007/s11695-019-04357-7
  7. Elatrash O, Eldebeiky M, Elsherbeny M, et al. Effects and results of omentopexy during laparoscopic sleeve gastrectomy on possible post operative bleeding and/or leakage [Internet]. QJM: An International Journal of Medicine 2020;113(Supplement_1):hcaa050.015. DOI: 10.1093/qjmed/hcaa050.015.
  8. Nosrati SS, Pazouki A, Sabzikarian M, et al. Can omentopexy reduce the incidence of gastroesophageal reflux disease after laparoscopic sleeve gastrectomy. Obes Surg 2021;31(1):274–281. DOI: 10.1007/s11695-020-04923-4.
  9. Abou-Ashour HS. Impact of gastropexy/omentopexy on gastrointestinal symptoms after laparoscopic sleeve gastrectomy. Obes Surg 2022;32(3):729–736. DOI: 10.1007/s11695-021-05806-y.
  10. Elghandour AM, Osman A, Khalifa M, et al. Laparoscopic sleeve gastrectomy with interrupted sutures omentopexy, does a simple addition change the outcome? Ain-Shams J Surg 2021;4(1):11–18. DOI: 10.21608/ASJS.2009.177107.
  11. Ibrahim M, Badawy AA, Aly MYF, et al. Outcome of laparoscopic sleeve gastrectomy and laparoscopic roux-en-y gastric bypass: A prospective observational 18-month study. Indian J Surg 2021;83. DOI: 10.1007/s12262-021-02958-0.
  12. Felsenreich DM, Prager G. Laparoscopic Sleeve Gastrectomy: Comorbidity Outcomes. In: Obesity, Bariatric and Metabolic Surgery. Springer Nature Switzerland AG: Springer International Publishing; 2023. pp. 1–12.
  13. Abd Ellatif ME, Abdallah E, Askar W, et al. Long term predictors of success after laparoscopic sleeve gastrectomy. Int J Surg 2014;12(5):504–508. DOI: 10.1016/j.ijsu.2014.02.008.
  14. Golomb I, David M Ben, Glass A, et al. Long-term metabolic effects of laparoscopic sleeve gastrectomy. JAMA Surg 2015;150(11):1051–1057. DOI: 10.1001/jamasurg.2015.2202.
  15. Di Capua F, Cesana GC, Uccelli M, et al. Comparison of laparoscopic sleeve gastrectomy bleeding and leakage rates in four staple-line reinforcement methods: A prospective observational study. J Laparoendoscopic Adv Surg Tech 2022;32(11):1176–1180. DOI: 10.1089/lap.2022.0122.
  16. Alanezi H, Alshehri A, Alrobiea A, et al. The causes, prevention, and management of gastric leakage after laparoscopic sleeve gastrectomy: A review article. J Metab Bariat Surg 2019;8(2):28. DOI: 10.17476/jmbs.2019.8.2.28.
  17. Zarzycki P, Kulawik J, Małczak P, et al. Laparoscopic sleeve gastrectomy with omentopexy: Is it really a promising method? – A systematic review with meta-analysis. Obes Surg 2021;31(6):2709–2716. DOI: 10.1007/s11695-021-05327-8.
  18. Nosrati SS, Pazouki A, Sabzikarian M, et al. Can omentopexy reduce the incidence of gastroesophageal reflux disease after laparoscopic sleeve gastrectomy. Obesity Surgery 2021;31:274–281. DOI: 10.1007/s11695-020-04923-4.
  19. Labib MF. The omentopexy role in the prevention of post-operative gastric sleeve surgery complications. Egyptian J Hosp Med 2020;81. DOI: 10.21608/ejhm.2020.127971.
  20. Abosayed AK, Mostafa MS. Omentopexy effect on the upper gastrointestinal symptoms and the esophagogastroduodenoscopy findings in patients undergoing sleeve gastrectomy. Obes Surg 2022;32(6):1864–1871. DOI: 10.1007/s11695-022-05995-0.
  21. Sabry K, Qassem M. The impact of routine omentopexy to staple line on the incidence of early postoperative complications after laparoscopic sleeve gastrectomy: Is it worth? The Egyptian Journal of Surgery 2018;37(4):479. DOI: 10.4103/ejs.ejs_56_18.
  22. Afaneh C, Costa R, Pomp A, et al. A prospective randomized controlled trial assessing the efficacy of omentopexy during laparoscopic sleeve gastrectomy in reducing postoperative gastrointestinal symptoms. Surg Endosc 2015;29(1):41–47. DOI: 10.1007/s00464-014-3651-2.
  23. Våge V, Behme J, Jossart G, et al. Gastropexy predicts lower use of acid-reducing medication after laparoscopic sleeve gastrectomy. A prospective cohort study. Int J Surg 2020;74:113–117. DOI: 10.1016/j.ijsu.2019.12.029.
  24. Ertekin SC. The efficacy of omentopexy during laparoscopic sleeve gastrectomy: Comparative analysis of surgical outcomes, complications, and quality of life. Cureus 2023;15(9). DOI: 10.7759/cureus.45201.
  25. Arslan E, Banli O, Sipahi M, et al. Effects and results of omentopexy during laparoscopic sleeve gastrectomy. Surg Laparosc Endosc Percutan Tech 2018;28(3):174–177. DOI: 10.1097/SLE.0000000000000526.
  26. Khalifa IG, Balamoun HA, Lasheen O, et al. Effect of omental reattachment on food tolerance and gastric emptying in laparoscopic sleeve gastrectomy. Bariatr Surg Pract Patient Care 2018;13(2):64–68. DOI: 10.1089/bari.2018.0013.
  27. Lale A, Aygen E, Kirkil C, et al. Efficacy of staple line reinforcement with omentopexy during laparoscopic sleeve gastrectomy on postoperative complications: Experience of a single center Surg Laparosc Endosc Percutan Tech 2020;31(2):181–187. DOI: 10.1097/SLE.0000000000000863.
  28. Hwang D, Yoo M, Park YS, IBC-Oxford University2023_BJSOral_24. Comparison of postoperative GERD after LSG with omentopexy versus LSG without omentopexy, incidence of peri-operative GERD LSG in East Asia. British Journal of Surgery 2023;110(Supplement_9):znad382–024. DOI: 10.1093/bjs/znad382.024.
  29. Pilone V, Tramontano S, Renzulli M, et al. Omentopexy with Glubran®2 for reducing complications after laparoscopic sleeve gastrectomy: Results of a randomized controlled study. BMC Surg 2019;19 (Suppl 1):56. DOI: 10.1186/s12893-019-0507-7.
  30. Hassan II. Possible role of omentopexy in minimising post sleeve gastrectomy complications. Surg Obes Rel Dis 2018;14(11):S158. 10.1016/j.soard.2018.09.362.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.