Geometry of Sleeve Gastrectomy Measured by 3D CT Versus Weight Loss: Preliminary Analysis
Background The size of the remnant stomach with respect to weight loss failure after laparoscopic sleeve gastrectomy (LSG) remains controversial. This study aimed to evaluate the impact of the actual size and volume of the remnant stomach, as measured by three-dimensional computed tomography (3D-CT)...
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| Published in | World journal of surgery Vol. 45; no. 1; pp. 235 - 242 |
|---|---|
| Main Authors | , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Cham
Springer International Publishing
01.01.2021
John Wiley & Sons, Inc |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0364-2313 1432-2323 1432-2323 |
| DOI | 10.1007/s00268-020-05807-5 |
Cover
| Abstract | Background
The size of the remnant stomach with respect to weight loss failure after laparoscopic sleeve gastrectomy (LSG) remains controversial. This study aimed to evaluate the impact of the actual size and volume of the remnant stomach, as measured by three-dimensional computed tomography (3D-CT) volumetry, on weight loss after LSG.
Methods
The clinical outcomes of 52 patients who underwent LSG between October 2008 and February 2019 were assessed. Weight metrics were recorded at 1, 3, and 6 months and 1 year postoperatively. 3D-CT volumetry was performed 1 year postoperatively, and the total remnant stomach volume (TSV), proximal stomach volume (PSV), antral stomach volume (ASV), and the distance between the pylorus and the distal edge of staple line (DPS) were measured. The relationship between the weight metrics and aforementioned factors was analyzed.
Results
Of the 52 patients who underwent LSG, 40 patients participated in this study. The average body mass index preoperatively was 38.3 ± 5.1 kg/m
2
, and the average percentage of total weight loss (%TWL) 1 year after LSG was 26.6 ± 9.3%. The average TSV, PSV, ASV, and DPS were 123.2 ± 60.3 ml, 73.4 ± 37.2 ml, 49.8 ± 30.3 ml, and 59.9 ± 18.5 mm, respectively. The DPS (
r
= − 0.394,
p
= 0.012) and ASV (
r
= − 0.356,
p
= 0.024) were correlated with %TWL 1 year postoperatively.
Conclusions
The actual DPS and ASV measured by 3D-CT affected weight loss after LSG. 3D-CT may be useful for the immediate identification of factors affecting insufficient weight loss in patients; this may, in turn, aid in the implementation of early intervention treatments. |
|---|---|
| AbstractList | The size of the remnant stomach with respect to weight loss failure after laparoscopic sleeve gastrectomy (LSG) remains controversial. This study aimed to evaluate the impact of the actual size and volume of the remnant stomach, as measured by three-dimensional computed tomography (3D-CT) volumetry, on weight loss after LSG.BACKGROUNDThe size of the remnant stomach with respect to weight loss failure after laparoscopic sleeve gastrectomy (LSG) remains controversial. This study aimed to evaluate the impact of the actual size and volume of the remnant stomach, as measured by three-dimensional computed tomography (3D-CT) volumetry, on weight loss after LSG.The clinical outcomes of 52 patients who underwent LSG between October 2008 and February 2019 were assessed. Weight metrics were recorded at 1, 3, and 6 months and 1 year postoperatively. 3D-CT volumetry was performed 1 year postoperatively, and the total remnant stomach volume (TSV), proximal stomach volume (PSV), antral stomach volume (ASV), and the distance between the pylorus and the distal edge of staple line (DPS) were measured. The relationship between the weight metrics and aforementioned factors was analyzed.METHODSThe clinical outcomes of 52 patients who underwent LSG between October 2008 and February 2019 were assessed. Weight metrics were recorded at 1, 3, and 6 months and 1 year postoperatively. 3D-CT volumetry was performed 1 year postoperatively, and the total remnant stomach volume (TSV), proximal stomach volume (PSV), antral stomach volume (ASV), and the distance between the pylorus and the distal edge of staple line (DPS) were measured. The relationship between the weight metrics and aforementioned factors was analyzed.Of the 52 patients who underwent LSG, 40 patients participated in this study. The average body mass index preoperatively was 38.3 ± 5.1 kg/m2, and the average percentage of total weight loss (%TWL) 1 year after LSG was 26.6 ± 9.3%. The average TSV, PSV, ASV, and DPS were 123.2 ± 60.3 ml, 73.4 ± 37.2 ml, 49.8 ± 30.3 ml, and 59.9 ± 18.5 mm, respectively. The DPS (r = - 0.394, p = 0.012) and ASV (r = - 0.356, p = 0.024) were correlated with %TWL 1 year postoperatively.RESULTSOf the 52 patients who underwent LSG, 40 patients participated in this study. The average body mass index preoperatively was 38.3 ± 5.1 kg/m2, and the average percentage of total weight loss (%TWL) 1 year after LSG was 26.6 ± 9.3%. The average TSV, PSV, ASV, and DPS were 123.2 ± 60.3 ml, 73.4 ± 37.2 ml, 49.8 ± 30.3 ml, and 59.9 ± 18.5 mm, respectively. The DPS (r = - 0.394, p = 0.012) and ASV (r = - 0.356, p = 0.024) were correlated with %TWL 1 year postoperatively.The actual DPS and ASV measured by 3D-CT affected weight loss after LSG. 3D-CT may be useful for the immediate identification of factors affecting insufficient weight loss in patients; this may, in turn, aid in the implementation of early intervention treatments.CONCLUSIONSThe actual DPS and ASV measured by 3D-CT affected weight loss after LSG. 3D-CT may be useful for the immediate identification of factors affecting insufficient weight loss in patients; this may, in turn, aid in the implementation of early intervention treatments. The size of the remnant stomach with respect to weight loss failure after laparoscopic sleeve gastrectomy (LSG) remains controversial. This study aimed to evaluate the impact of the actual size and volume of the remnant stomach, as measured by three-dimensional computed tomography (3D-CT) volumetry, on weight loss after LSG. The clinical outcomes of 52 patients who underwent LSG between October 2008 and February 2019 were assessed. Weight metrics were recorded at 1, 3, and 6 months and 1 year postoperatively. 3D-CT volumetry was performed 1 year postoperatively, and the total remnant stomach volume (TSV), proximal stomach volume (PSV), antral stomach volume (ASV), and the distance between the pylorus and the distal edge of staple line (DPS) were measured. The relationship between the weight metrics and aforementioned factors was analyzed. Of the 52 patients who underwent LSG, 40 patients participated in this study. The average body mass index preoperatively was 38.3 ± 5.1 kg/m , and the average percentage of total weight loss (%TWL) 1 year after LSG was 26.6 ± 9.3%. The average TSV, PSV, ASV, and DPS were 123.2 ± 60.3 ml, 73.4 ± 37.2 ml, 49.8 ± 30.3 ml, and 59.9 ± 18.5 mm, respectively. The DPS (r = - 0.394, p = 0.012) and ASV (r = - 0.356, p = 0.024) were correlated with %TWL 1 year postoperatively. The actual DPS and ASV measured by 3D-CT affected weight loss after LSG. 3D-CT may be useful for the immediate identification of factors affecting insufficient weight loss in patients; this may, in turn, aid in the implementation of early intervention treatments. BackgroundThe size of the remnant stomach with respect to weight loss failure after laparoscopic sleeve gastrectomy (LSG) remains controversial. This study aimed to evaluate the impact of the actual size and volume of the remnant stomach, as measured by three-dimensional computed tomography (3D-CT) volumetry, on weight loss after LSG. MethodsThe clinical outcomes of 52 patients who underwent LSG between October 2008 and February 2019 were assessed. Weight metrics were recorded at 1, 3, and 6 months and 1 year postoperatively. 3D-CT volumetry was performed 1 year postoperatively, and the total remnant stomach volume (TSV), proximal stomach volume (PSV), antral stomach volume (ASV), and the distance between the pylorus and the distal edge of staple line (DPS) were measured. The relationship between the weight metrics and aforementioned factors was analyzed.ResultsOf the 52 patients who underwent LSG, 40 patients participated in this study. The average body mass index preoperatively was 38.3 ± 5.1 kg/m2, and the average percentage of total weight loss (%TWL) 1 year after LSG was 26.6 ± 9.3%. The average TSV, PSV, ASV, and DPS were 123.2 ± 60.3 ml, 73.4 ± 37.2 ml, 49.8 ± 30.3 ml, and 59.9 ± 18.5 mm, respectively. The DPS (r = − 0.394, p = 0.012) and ASV (r = − 0.356, p = 0.024) were correlated with %TWL 1 year postoperatively.ConclusionsThe actual DPS and ASV measured by 3D-CT affected weight loss after LSG. 3D-CT may be useful for the immediate identification of factors affecting insufficient weight loss in patients; this may, in turn, aid in the implementation of early intervention treatments. Background The size of the remnant stomach with respect to weight loss failure after laparoscopic sleeve gastrectomy (LSG) remains controversial. This study aimed to evaluate the impact of the actual size and volume of the remnant stomach, as measured by three‐dimensional computed tomography (3D‐CT) volumetry, on weight loss after LSG. Methods The clinical outcomes of 52 patients who underwent LSG between October 2008 and February 2019 were assessed. Weight metrics were recorded at 1, 3, and 6 months and 1 year postoperatively. 3D‐CT volumetry was performed 1 year postoperatively, and the total remnant stomach volume (TSV), proximal stomach volume (PSV), antral stomach volume (ASV), and the distance between the pylorus and the distal edge of staple line (DPS) were measured. The relationship between the weight metrics and aforementioned factors was analyzed. Results Of the 52 patients who underwent LSG, 40 patients participated in this study. The average body mass index preoperatively was 38.3 ± 5.1 kg/m2, and the average percentage of total weight loss (%TWL) 1 year after LSG was 26.6 ± 9.3%. The average TSV, PSV, ASV, and DPS were 123.2 ± 60.3 ml, 73.4 ± 37.2 ml, 49.8 ± 30.3 ml, and 59.9 ± 18.5 mm, respectively. The DPS (r = − 0.394, p = 0.012) and ASV (r = − 0.356, p = 0.024) were correlated with %TWL 1 year postoperatively. Conclusions The actual DPS and ASV measured by 3D‐CT affected weight loss after LSG. 3D‐CT may be useful for the immediate identification of factors affecting insufficient weight loss in patients; this may, in turn, aid in the implementation of early intervention treatments. Background The size of the remnant stomach with respect to weight loss failure after laparoscopic sleeve gastrectomy (LSG) remains controversial. This study aimed to evaluate the impact of the actual size and volume of the remnant stomach, as measured by three-dimensional computed tomography (3D-CT) volumetry, on weight loss after LSG. Methods The clinical outcomes of 52 patients who underwent LSG between October 2008 and February 2019 were assessed. Weight metrics were recorded at 1, 3, and 6 months and 1 year postoperatively. 3D-CT volumetry was performed 1 year postoperatively, and the total remnant stomach volume (TSV), proximal stomach volume (PSV), antral stomach volume (ASV), and the distance between the pylorus and the distal edge of staple line (DPS) were measured. The relationship between the weight metrics and aforementioned factors was analyzed. Results Of the 52 patients who underwent LSG, 40 patients participated in this study. The average body mass index preoperatively was 38.3 ± 5.1 kg/m 2 , and the average percentage of total weight loss (%TWL) 1 year after LSG was 26.6 ± 9.3%. The average TSV, PSV, ASV, and DPS were 123.2 ± 60.3 ml, 73.4 ± 37.2 ml, 49.8 ± 30.3 ml, and 59.9 ± 18.5 mm, respectively. The DPS ( r = − 0.394, p = 0.012) and ASV ( r = − 0.356, p = 0.024) were correlated with %TWL 1 year postoperatively. Conclusions The actual DPS and ASV measured by 3D-CT affected weight loss after LSG. 3D-CT may be useful for the immediate identification of factors affecting insufficient weight loss in patients; this may, in turn, aid in the implementation of early intervention treatments. |
| Author | Tani, Masaji Yamaguchi, Tsuyoshi Miyake, Toru Maegawa, Hiroshi Morino, Katsutaro Tomozawa, Yuki Yamamoto, Hiroshi Ugi, Satoshi Kaida, Sachiko Watanabe, Yoshiyuki |
| Author_xml | – sequence: 1 givenname: Tsuyoshi surname: Yamaguchi fullname: Yamaguchi, Tsuyoshi email: tsuyo@belle.shiga-med.ac.jp organization: Department of Surgery, Shiga University of Medical Science – sequence: 2 givenname: Hiroshi surname: Yamamoto fullname: Yamamoto, Hiroshi organization: Department of Surgery, Kohnan Hospital – sequence: 3 givenname: Yuki surname: Tomozawa fullname: Tomozawa, Yuki organization: Department of Radiology, Shiga University of Medical Science – sequence: 4 givenname: Satoshi surname: Ugi fullname: Ugi, Satoshi organization: Department of Medicine, Shiga University of Medical Science – sequence: 5 givenname: Sachiko surname: Kaida fullname: Kaida, Sachiko organization: Department of Surgery, Shiga University of Medical Science – sequence: 6 givenname: Toru surname: Miyake fullname: Miyake, Toru organization: Department of Surgery, Shiga University of Medical Science – sequence: 7 givenname: Katsutaro surname: Morino fullname: Morino, Katsutaro organization: Department of Medicine, Shiga University of Medical Science – sequence: 8 givenname: Yoshiyuki surname: Watanabe fullname: Watanabe, Yoshiyuki organization: Department of Radiology, Shiga University of Medical Science – sequence: 9 givenname: Hiroshi surname: Maegawa fullname: Maegawa, Hiroshi organization: Department of Medicine, Shiga University of Medical Science – sequence: 10 givenname: Masaji surname: Tani fullname: Tani, Masaji organization: Department of Surgery, Shiga University of Medical Science |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33037439$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1016_j_soard_2022_11_009 crossref_primary_10_1089_bari_2023_0049 crossref_primary_10_1007_s11695_022_06125_6 crossref_primary_10_1080_17512433_2021_1997585 |
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| References | Wang, Yi, Li (CR8) 2016; 26 Gagner, Hutchinson, Rosenthal (CR2) 2016; 12 McNickle, Bonomo (CR15) 2017; 31 Vives, Molina, Danús (CR25) 2017; 27 Angrisani, Santonicola, Iovino (CR1) 2018; 12 Juodeikis, Brimas (CR7) 2017; 13 Saiki, Yamaguchi, Tanaka (CR12) 2019; 26 Omarov, Samadov, Coskun (CR17) 2020; 30 Cottam, Billing, Cottam (CR11) 2017; 13 Robert, Pasquer, Pelascini (CR23) 2016; 12 Garay, Balagué, Rodríguez-Otero (CR21) 2018; 32 McGlone, Gupta, Reddy (CR22) 2018; 14 Iannelli, Schneck, Noel (CR30) 2011; 21 Cho, Kim, Lo Menzo (CR6) 2015; 11 Yamamoto, Kaida, Yamaguchi (CR18) 2016; 46 Lee, Chong, Ser (CR5) 2011; 146 Saul, Stephens, Hofstätter Rde (CR9) 2012; 204 Khalifa, Tobar, Hegazy (CR20) 2019; 29 Bekheit, Abdel-Baki, Gamal (CR27) 2016; 26 Abdallah, El Nakeeb, Youssef (CR16) 2014; 24 Schauer, Bhatt, Kirwan (CR3) 2017; 376 Obeidat, Shanti (CR10) 2016; 26 Felsenreich, Langer, Kefurt (CR13) 2016; 12 Berger, Clements, Morton (CR26) 2016; 264 Sista, Abruzzese, Clementi (CR29) 2016; 20 Arman, Himpens, Dhaenens (CR14) 2016; 12 Elbanna, Emile, El-Hawary (CR28) 2019; 43 De Angelis, Avallone, Albanese (CR31) 2018; 28 Rosenthal, Li, Samuel (CR4) 2009; 5 Braghetto, Davanzo, Korn (CR24) 2009; 19 Sabench Pereferrer, Molina López, Vives Espelta (CR19) 2017; 27 2017; 31 2011; 146 2018; 28 2020; 30 2017; 27 2019; 43 2015; 11 2017; 13 2019; 26 2016; 20 2014; 24 2019; 29 2016; 264 2011; 21 2009; 5 2018; 12 2017; 376 2009; 19 2012; 204 2018; 32 2016; 26 2016; 46 2016; 12 2018; 14 e_1_2_7_6_1 e_1_2_7_5_1 e_1_2_7_4_1 e_1_2_7_3_1 e_1_2_7_9_1 e_1_2_7_8_1 e_1_2_7_7_1 e_1_2_7_19_1 e_1_2_7_18_1 e_1_2_7_17_1 e_1_2_7_16_1 e_1_2_7_2_1 e_1_2_7_15_1 e_1_2_7_14_1 e_1_2_7_13_1 e_1_2_7_12_1 e_1_2_7_11_1 e_1_2_7_10_1 e_1_2_7_26_1 e_1_2_7_27_1 e_1_2_7_28_1 e_1_2_7_29_1 e_1_2_7_30_1 e_1_2_7_25_1 e_1_2_7_31_1 e_1_2_7_24_1 e_1_2_7_32_1 e_1_2_7_23_1 e_1_2_7_22_1 e_1_2_7_21_1 e_1_2_7_20_1 |
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compared to normal subjects publication-title: Obes Surg doi: 10.1007/s11695-009-9954-z – volume: 26 start-page: 1505 year: 2016 end-page: 1510 article-title: Influence of the resected gastric volume on the weight loss after laparoscopic sleeve gastrectomy publication-title: Obes Surg – volume: 21 start-page: 832 year: 2011 end-page: 835 article-title: Re‐sleeve gastrectomy for failed laparoscopic sleeve gastrectomy: a feasibility study publication-title: Obes Surg – volume: 46 start-page: 268 year: 2016 end-page: 274 article-title: Potential mechanisms mediating improved glycemic control after bariatric/metabolic surgery publication-title: Surg Today – volume: 20 start-page: 1931 year: 2016 end-page: 1941 article-title: Effect of resected gastric volume on ghrelin and glp‐1 plasma levels: a prospective study publication-title: J Gastrointest Surg – volume: 26 start-page: 1173 year: 2016 end-page: 1177 article-title: Early weight loss as a predictor of 2‐year weight loss and resolution 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end-page: 1786 article-title: Long‐term (11+years) outcomes in weight, patient satisfaction, comorbidities, and gastroesophageal reflux treatment after laparoscopic sleeve gastrectomy publication-title: Surg Obes Relat Dis – volume: 29 start-page: 2263 year: 2019 end-page: 2269 article-title: Food tolerance after laparoscopic sleeve gastrectomy with total antral resection publication-title: Obes Surg – volume: 13 start-page: 693 year: 2017 end-page: 699 article-title: Long‐term results after sleeve gastrectomy: a systematic review publication-title: Surg Obes Relat Dis – volume: 26 start-page: 3023 year: 2016 end-page: 3030 article-title: The effectiveness and safety of sleeve gastrectomy in the obese elderly patients: a systematic review and meta‐analysis publication-title: Obes Surg – volume: 12 start-page: 750 year: 2016 end-page: 756 article-title: Fifth International Consensus Conference: current status of sleeve gastrectomy publication-title: Surg Obes Relat Dis – volume: 13 start-page: 1266 year: 2017 end-page: 1270 article-title: Long‐term success and failure with SG is predictable by 3 months: a multivariate model using simple office markers publication-title: Surg Obes Relat Dis – volume: 11 start-page: 1273 year: 2015 end-page: 1280 article-title: Effect of sleeve gastrectomy on type 2 diabetes as an alternative treatment modality to Roux‐en‐Y gastric bypass: systemic review and meta‐analysis publication-title: Surg Obes Relat Dis – volume: 24 start-page: 1587 year: 2014 end-page: 1594 article-title: Impact of extent of antral resection on surgical outcomes of sleeve gastrectomy for morbid obesity (a prospective randomized study) publication-title: Obes Surg – volume: 43 start-page: 199 year: 2019 end-page: 206 article-title: Assessment of the correlation between preoperative and immediate postoperative gastric volume and weight loss after sleeve gastrectomy using computed tomography volumetry publication-title: World J Surg – volume: 204 start-page: e1 year: 2012 end-page: 6 article-title: Preliminary outcomes of laparoscopic sleeve gastrectomy in a Veterans affairs medical center publication-title: Am J Surg – volume: 14 start-page: 857 year: 2018 end-page: 864 article-title: Antral resection versus antral preservation during laparoscopic sleeve gastrectomy for severe obesity: systematic review and meta‐analysis publication-title: Surg Obes Relat Dis – volume: 12 start-page: 1655 year: 2016 end-page: 1662 article-title: Weight loss, weight regain, and conversions to Roux‐en‐Y gastric bypass: 10‐year results of laparoscopic sleeve gastrectomy publication-title: Surg Obes Relat Dis – volume: 264 start-page: 464 year: 2016 end-page: 473 article-title: The impact of different surgical techniques on outcomes in laparoscopic sleeve gastrectomies: the first report from the metabolic and bariatric surgery accreditation and quality improvement program (MBSAQIP) publication-title: Ann Surg – volume: 146 start-page: 143 year: 2011 end-page: 148 article-title: Gastric bypass vs sleeve gastrectomy for type 2 diabetes mellitus: a randomized controlled trial publication-title: Arch Surg – volume: 27 start-page: 1254 year: 2017 end-page: 1260 article-title: Weight loss analysis according to different formulas after sleeve gastrectomy with or without antral preservation: a randomised study publication-title: Obes Surg – volume: 19 start-page: 1515 year: 2009 end-page: 1521 article-title: Scintigraphic evaluation of gastric emptying in obese patients submitted to sleeve gastrectomy compared to normal subjects publication-title: Obes Surg – volume: 12 start-page: 1286 year: 2016 end-page: 1291 article-title: Impact of sleeve gastrectomy volumes on weight loss results: a prospective study publication-title: Surg Obes Relat Dis – volume: 28 start-page: 3714 year: 2018 end-page: 3716 article-title: Re‐sleeve gastrectomy 4 years later: is it still an effective revisional option? publication-title: Obes Surg – volume: 5 start-page: 429 year: 2009 end-page: 434 article-title: Effect of sleeve gastrectomy on patients with diabetes mellitus publication-title: Surg Obes Relat Dis – volume: 26 start-page: 638 year: 2019 end-page: 647 article-title: Background characteristics and postoperative outcomes of insufficient weight loss after laparoscopic sleeve gastrectomy in Japanese patients publication-title: Ann Gastroenterol Surg – volume: 30 start-page: 446 year: 2020 end-page: 450 article-title: Comparison of weight loss in sleeve gastrectomy patients with and without antrectomy: a prospective randomized study publication-title: Obes Surg – volume: 12 start-page: 3783 year: 2018 end-page: 3794 article-title: IFSO worldwide survey 2016: primary, endoluminal, and revisional procedures publication-title: Obes Surg – ident: e_1_2_7_22_1 doi: 10.1007/s00464‐017‐5972‐4 – ident: e_1_2_7_8_1 doi: 10.1016/j.soard.2016.10.006 – ident: e_1_2_7_21_1 doi: 10.1007/s11695‐019‐03840‐5 – ident: e_1_2_7_5_1 doi: 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doi: 10.1016/j.soard.2016.01.022 – ident: e_1_2_7_28_1 doi: 10.1007/s11695‐015‐1981‐3 – ident: e_1_2_7_24_1 doi: 10.1016/j.soard.2016.01.021 – ident: e_1_2_7_19_1 doi: 10.1007/s00595‐015‐1134‐2 – ident: e_1_2_7_6_1 doi: 10.1001/archsurg.2010.326 – ident: e_1_2_7_10_1 doi: 10.1016/j.amjsurg.2012.07.005 – ident: e_1_2_7_30_1 doi: 10.1007/s11605‐016‐3292‐y – ident: e_1_2_7_18_1 doi: 10.1007/s11695‐019‐04177‐9 – ident: e_1_2_7_16_1 doi: 10.1007/s00464‐017‐5467‐3 |
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The size of the remnant stomach with respect to weight loss failure after laparoscopic sleeve gastrectomy (LSG) remains controversial. This study... The size of the remnant stomach with respect to weight loss failure after laparoscopic sleeve gastrectomy (LSG) remains controversial. This study aimed to... BackgroundThe size of the remnant stomach with respect to weight loss failure after laparoscopic sleeve gastrectomy (LSG) remains controversial. This study... |
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| SubjectTerms | Abdominal Surgery Body mass Body mass index Body size Body weight loss Cardiac Surgery Computed tomography Gastrectomy General Surgery Laparoscopy Medicine Medicine & Public Health Original Scientific Report Stomach Surgery Thoracic Surgery Vascular Surgery Weight loss measurement |
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| Title | Geometry of Sleeve Gastrectomy Measured by 3D CT Versus Weight Loss: Preliminary Analysis |
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