Ineke Meredith1,2, Yu Kai Lim3, Susrutha K Wickremesekera3, Simon Bann2,3,4. 1. Department of General Surgery, North Shore Hospital, Auckland, New Zealand. 2. Wellington School of Medicine, University of Otago, Wellington, New Zealand. 3. Department of General Surgery, Wellington Regional Hospital, Wellington, New Zealand. 4. Victoria University, Wellington, New Zealand.
Abstract
BACKGROUND: We aimed to report our experience with upper gastrointestinal (UGI) contrast studies and computed tomography (CT) swallow studies after laparoscopic sleeve gastrectomy, and comment on the merits of each modality. METHOD: Retrospective review of all patients undergoing laparoscopic sleeve gastrectomy (LSG) in a New Zealand hospital between 2011 and 2014 was conducted. Over this time period, routine UGI was replaced by CT swallow studies. All medical records and radiology were reviewed and pertinent findings reported. RESULTS: Seventy-nine patients underwent LSG over this time period and one patient had to be excluded; 48 (61.5%) had a UGI study and 30 patients (38.5%) had CT swallow. There were no leaks in this study and no leaks became clinically significant. Sixteen of 30 patients (53.3%) undergoing CT swallow had significant incidental findings demonstrated on axial imaging that required follow-up. CONCLUSION: CT swallow can provide the same information as a UGI but has a significant rate of incidental findings. The rate of incidental pathology on CT is higher than that quoted in the general population. In a bariatric population, this may allow early detection and treatment of co-existent pathology.
BACKGROUND: We aimed to report our experience with upper gastrointestinal (UGI) contrast studies and computed tomography (CT) swallow studies after laparoscopic sleeve gastrectomy, and comment on the merits of each modality. METHOD: Retrospective review of all patients undergoing laparoscopic sleeve gastrectomy (LSG) in a New Zealand hospital between 2011 and 2014 was conducted. Over this time period, routine UGI was replaced by CT swallow studies. All medical records and radiology were reviewed and pertinent findings reported. RESULTS: Seventy-nine patients underwent LSG over this time period and one patient had to be excluded; 48 (61.5%) had a UGI study and 30 patients (38.5%) had CT swallow. There were no leaks in this study and no leaks became clinically significant. Sixteen of 30 patients (53.3%) undergoing CT swallow had significant incidental findings demonstrated on axial imaging that required follow-up. CONCLUSION: CT swallow can provide the same information as a UGI but has a significant rate of incidental findings. The rate of incidental pathology on CT is higher than that quoted in the general population. In a bariatric population, this may allow early detection and treatment of co-existent pathology.
Authors: Manuel Ferrer-Márquez; Juan José García-Díaz; Almudena Moreno-Serrano; José Miguel García-Díez; Manuel Ferrer-Ayza; Raquel Alarcón-Rodríguez; Enrique G Artero; Alberto Soriano-Maldonado Journal: Obes Surg Date: 2017-02 Impact factor: 4.129
Authors: Małgorzata Deręgowska-Cylke; Piotr Palczewski; Marcin Błaż; Radosław Cylke; Paweł Ziemiański; Wojciech Szeszkowski; Wojciech Lisik; Marek Gołębiowski Journal: Obes Surg Date: 2021-11-19 Impact factor: 3.479