Integrated bioabsorbable tissue reinforcement in laparoscopic sleeve gastrectomy

Joshua B. Alley, Stephen J. Fenton, Michael C. Harnisch, Michael N. Angeletti, Richard M Peterson

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Division of the stomach in laparoscopic sleeve gastrectomy may be performed using bare stapler cartridges or cartridges fitted with tissue reinforcement strips, with or without oversewing. Many tissue reinforcement strips are after-market add-on products that must be fitted onto a stapler during surgery. A retrospective review was conducted of 85 consecutive patients undergoing laparoscopic sleeve gastrectomy using a novel integrated bioabsorbable polymer buttress pre-mounted on a single-use loading unit stapler. Mean preoperative body mass index (BMI) was 41.7∈±∈5.2 kg/m 2. Morbidity and short-term outcomes were documented. Mean follow-up was 8.1∈±∈3.6 months (range, 1.0-16.2 months). There were no mortalities or staple line leaks noted in this series with short-term follow up. The major complication rate (grade III and above) was 7.1% and included: reoperation for staple line bleeding (2.4%, n∈=∈2), gastric sleeve stenosis requiring balloon dilation (2.4%, n∈=∈2), choledocholithiasis 2 weeks after surgery (1.2%, n∈=∈1), and reoperation without abnormality for suspected perioperative obstruction (1.2%, n∈=∈1). Mean percent excess BMI loss at 3 (44.6∈±∈11.3), 6 (57.9∈±∈17.2), and 12 months (72.4∈±∈27.5) was comparable to other published series. The use of an integrated absorbable synthetic polymer for stapled tissue reinforcement in laparoscopic sleeve gastrectomy appears to be feasible and safe, and yields results consistent with other published techniques.

Original languageEnglish (US)
Pages (from-to)1311-1315
Number of pages5
JournalObesity Surgery
Volume21
Issue number8
DOIs
StatePublished - Aug 2011

Fingerprint

Gastrectomy
Reoperation
Stomach
Polymers
Body Mass Index
Choledocholithiasis
Dilatation
Pathologic Constriction
Hemorrhage
Morbidity
Mortality

Keywords

  • Bariatric surgery
  • Gastroplasty
  • Laparoscopy
  • Obesity

ASJC Scopus subject areas

  • Surgery
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

Cite this

Alley, J. B., Fenton, S. J., Harnisch, M. C., Angeletti, M. N., & Peterson, R. M. (2011). Integrated bioabsorbable tissue reinforcement in laparoscopic sleeve gastrectomy. Obesity Surgery, 21(8), 1311-1315. https://doi.org/10.1007/s11695-010-0313-x

Integrated bioabsorbable tissue reinforcement in laparoscopic sleeve gastrectomy. / Alley, Joshua B.; Fenton, Stephen J.; Harnisch, Michael C.; Angeletti, Michael N.; Peterson, Richard M.

In: Obesity Surgery, Vol. 21, No. 8, 08.2011, p. 1311-1315.

Research output: Contribution to journalArticle

Alley, JB, Fenton, SJ, Harnisch, MC, Angeletti, MN & Peterson, RM 2011, 'Integrated bioabsorbable tissue reinforcement in laparoscopic sleeve gastrectomy', Obesity Surgery, vol. 21, no. 8, pp. 1311-1315. https://doi.org/10.1007/s11695-010-0313-x
Alley JB, Fenton SJ, Harnisch MC, Angeletti MN, Peterson RM. Integrated bioabsorbable tissue reinforcement in laparoscopic sleeve gastrectomy. Obesity Surgery. 2011 Aug;21(8):1311-1315. https://doi.org/10.1007/s11695-010-0313-x
Alley, Joshua B. ; Fenton, Stephen J. ; Harnisch, Michael C. ; Angeletti, Michael N. ; Peterson, Richard M. / Integrated bioabsorbable tissue reinforcement in laparoscopic sleeve gastrectomy. In: Obesity Surgery. 2011 ; Vol. 21, No. 8. pp. 1311-1315.
@article{5851510c82e245e7a5e876051d6049e3,
title = "Integrated bioabsorbable tissue reinforcement in laparoscopic sleeve gastrectomy",
abstract = "Division of the stomach in laparoscopic sleeve gastrectomy may be performed using bare stapler cartridges or cartridges fitted with tissue reinforcement strips, with or without oversewing. Many tissue reinforcement strips are after-market add-on products that must be fitted onto a stapler during surgery. A retrospective review was conducted of 85 consecutive patients undergoing laparoscopic sleeve gastrectomy using a novel integrated bioabsorbable polymer buttress pre-mounted on a single-use loading unit stapler. Mean preoperative body mass index (BMI) was 41.7∈±∈5.2 kg/m 2. Morbidity and short-term outcomes were documented. Mean follow-up was 8.1∈±∈3.6 months (range, 1.0-16.2 months). There were no mortalities or staple line leaks noted in this series with short-term follow up. The major complication rate (grade III and above) was 7.1{\%} and included: reoperation for staple line bleeding (2.4{\%}, n∈=∈2), gastric sleeve stenosis requiring balloon dilation (2.4{\%}, n∈=∈2), choledocholithiasis 2 weeks after surgery (1.2{\%}, n∈=∈1), and reoperation without abnormality for suspected perioperative obstruction (1.2{\%}, n∈=∈1). Mean percent excess BMI loss at 3 (44.6∈±∈11.3), 6 (57.9∈±∈17.2), and 12 months (72.4∈±∈27.5) was comparable to other published series. The use of an integrated absorbable synthetic polymer for stapled tissue reinforcement in laparoscopic sleeve gastrectomy appears to be feasible and safe, and yields results consistent with other published techniques.",
keywords = "Bariatric surgery, Gastroplasty, Laparoscopy, Obesity",
author = "Alley, {Joshua B.} and Fenton, {Stephen J.} and Harnisch, {Michael C.} and Angeletti, {Michael N.} and Peterson, {Richard M}",
year = "2011",
month = "8",
doi = "10.1007/s11695-010-0313-x",
language = "English (US)",
volume = "21",
pages = "1311--1315",
journal = "Obesity Surgery",
issn = "0960-8923",
publisher = "Springer New York",
number = "8",

}

TY - JOUR

T1 - Integrated bioabsorbable tissue reinforcement in laparoscopic sleeve gastrectomy

AU - Alley, Joshua B.

AU - Fenton, Stephen J.

AU - Harnisch, Michael C.

AU - Angeletti, Michael N.

AU - Peterson, Richard M

PY - 2011/8

Y1 - 2011/8

N2 - Division of the stomach in laparoscopic sleeve gastrectomy may be performed using bare stapler cartridges or cartridges fitted with tissue reinforcement strips, with or without oversewing. Many tissue reinforcement strips are after-market add-on products that must be fitted onto a stapler during surgery. A retrospective review was conducted of 85 consecutive patients undergoing laparoscopic sleeve gastrectomy using a novel integrated bioabsorbable polymer buttress pre-mounted on a single-use loading unit stapler. Mean preoperative body mass index (BMI) was 41.7∈±∈5.2 kg/m 2. Morbidity and short-term outcomes were documented. Mean follow-up was 8.1∈±∈3.6 months (range, 1.0-16.2 months). There were no mortalities or staple line leaks noted in this series with short-term follow up. The major complication rate (grade III and above) was 7.1% and included: reoperation for staple line bleeding (2.4%, n∈=∈2), gastric sleeve stenosis requiring balloon dilation (2.4%, n∈=∈2), choledocholithiasis 2 weeks after surgery (1.2%, n∈=∈1), and reoperation without abnormality for suspected perioperative obstruction (1.2%, n∈=∈1). Mean percent excess BMI loss at 3 (44.6∈±∈11.3), 6 (57.9∈±∈17.2), and 12 months (72.4∈±∈27.5) was comparable to other published series. The use of an integrated absorbable synthetic polymer for stapled tissue reinforcement in laparoscopic sleeve gastrectomy appears to be feasible and safe, and yields results consistent with other published techniques.

AB - Division of the stomach in laparoscopic sleeve gastrectomy may be performed using bare stapler cartridges or cartridges fitted with tissue reinforcement strips, with or without oversewing. Many tissue reinforcement strips are after-market add-on products that must be fitted onto a stapler during surgery. A retrospective review was conducted of 85 consecutive patients undergoing laparoscopic sleeve gastrectomy using a novel integrated bioabsorbable polymer buttress pre-mounted on a single-use loading unit stapler. Mean preoperative body mass index (BMI) was 41.7∈±∈5.2 kg/m 2. Morbidity and short-term outcomes were documented. Mean follow-up was 8.1∈±∈3.6 months (range, 1.0-16.2 months). There were no mortalities or staple line leaks noted in this series with short-term follow up. The major complication rate (grade III and above) was 7.1% and included: reoperation for staple line bleeding (2.4%, n∈=∈2), gastric sleeve stenosis requiring balloon dilation (2.4%, n∈=∈2), choledocholithiasis 2 weeks after surgery (1.2%, n∈=∈1), and reoperation without abnormality for suspected perioperative obstruction (1.2%, n∈=∈1). Mean percent excess BMI loss at 3 (44.6∈±∈11.3), 6 (57.9∈±∈17.2), and 12 months (72.4∈±∈27.5) was comparable to other published series. The use of an integrated absorbable synthetic polymer for stapled tissue reinforcement in laparoscopic sleeve gastrectomy appears to be feasible and safe, and yields results consistent with other published techniques.

KW - Bariatric surgery

KW - Gastroplasty

KW - Laparoscopy

KW - Obesity

UR - http://www.scopus.com/inward/record.url?scp=80052310686&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=80052310686&partnerID=8YFLogxK

U2 - 10.1007/s11695-010-0313-x

DO - 10.1007/s11695-010-0313-x

M3 - Article

C2 - 21088926

AN - SCOPUS:80052310686

VL - 21

SP - 1311

EP - 1315

JO - Obesity Surgery

JF - Obesity Surgery

SN - 0960-8923

IS - 8

ER -