Observational Study
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. May 27, 2021; 13(5): 452-460
Published online May 27, 2021. doi: 10.4240/wjgs.v13.i5.452
Practices concerning sleeve gastrectomy in Turkey: A survey of surgeons
Burhan Mayir
Burhan Mayir, Department of General Surgery, Antalya Training and Research Hospital, Antalya 07010, Turkey
Author contributions: Article design, data collection, analysis, literature review and writing by performed by Mayir B.
Institutional review board statement: The data used in the study are derived from a survey, so no institutional review board review was needed.
Informed consent statement: The data used in the study are derived from a survey. As all subject identification variables have been removed, no informed consent was needed.
Conflict-of-interest statement: No conflict of interest.
Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author at burmay@yahoo.com.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Burhan Mayir, MD, Associate Professor, Surgeon, Department of General Surgery, Antalya Training and Research Hospital, Dumlupınar Blv. Yanyolu No: 171, Antalya 07010, Turkey. burmay@yahoo.com
Received: November 2, 2020
Peer-review started: November 2, 2020
First decision: November 30, 2020
Revised: December 10, 2020
Accepted: April 25, 2021
Article in press: April 25, 2021
Published online: May 27, 2021
Abstract
BACKGROUND

Laparoscopic sleeve gastrectomy (LSG) is the most common bariatric surgical procedure. LSG is a restrictive procedure and in this operation stomach volume is greatly reduced. When the details of the procedure are examined, it is seen that there are many different methods surgery.

AIM

To analyze approaches of surgeons performing LSG.

METHODS

A questionnaire consist of 44 questions was sent by e-mail to the surgeons performing bariatric surgery. Approaches of surgery about preoperative period, surgical techniques and postoperative period was questioned.

RESULTS

Different approaches about antibiotic prophylaxis, stapler line reinforcement utilization, application of intraoperative and postoperative leakage test, approach to the crus and hiatal hernia repair were detected. It was observed that a few partipicipants applied contrary to the guidelines of antibiotic prophlaxis and thromboembolism prophylaxis. Approaches about other subjects were generally similar.

CONCLUSION

In this study, approaches about LSG that most common bariatric surgical procedure in our country was learned. According to these results, knowing the approaches in our country will be beneficial in terms of determining the training programs in bariatric surgery, improving surgical results and reducing the complications.

Keywords: Bariatric surgery, Obesity, Laparoscopic sleeve gastrectomy, Complications, Leak, Surgery practices

Core Tip: The goal of laparoscopic sleeve gastrectomy is to limit the amount of food taken by reducing the stomach volume. When the surgical applications are examined, it is seen that although the surgical technique is similar in general terms, when the details of the technique are considered and the pre- and post-surgical applications are evaluated, there are very different applications. The aim of this study was to evaluate the clinical applications of laparoscopic sleeve gastrectomy surgeons.