Sparing the antrum in sleeve gastrectomy cuts complications without sacrificing weight loss.
Nadia Aljomah, Fahad Bamehriz, Abdelrahman Nimeri, et al.
In a retrospective review of 157 sleeve gastrectomy patients, resecting versus preserving the gastric antrum produced similar weight loss and metabolic outcomes over 18 months. However, preserving the antrum was linked to markedly fewer complications (about 1% versus roughly 10%), while resection patients more often reported feelings of failure and preservation patients reported more nausea. The authors suggest antrum preservation may offer a better safety and psychological profile, though larger prospective trials are still needed.
- The question: In laparoscopic sleeve gastrectomy, should surgeons resect the gastric antrum, or preserve it?
- The study: A retrospective cohort of 157 patients compared the two approaches over 18 months.
- The finding: Weight loss and metabolic outcomes were similar. But complications were far less common with preservation: about 1% versus roughly 10% after resection.
- The nuance: Resection patients more often reported feeling their surgery had failed. Preservation patients reported more nausea.
Takeaway: Antrum preservation may offer a better safety and psychological profile — larger prospective trials are still needed.
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