OUTCOME OF REMODIFYING OMENTOPEXY TECHNIQUE WITH LAPAROSCOPIC SLEEVE GASTRECTOMY

Abstract

Background : Gastric obstructions (LSG) leaks and staple line bleeding are reported after laparoscopic sleeve
gastrectomy. There is no ideal method or technique to avoid these mishaps. Modified omentopexy (OP) added to
LSG to determine its effect on gastric leaks and other complications. The aim of this study was the assessment of
safety & feasibility of omentopexy technique in Laparoscopic sleeve gastrectomy. The aim of this study was to
assess the safety & feasibility of omentopexy technique in Laparoscopic sleeve gastrectomy. Methods: This
Prospective Randomized controlled clinical trial study was conducted in zagazig university hospital including
32 patients with morbid obese who were admitted to General Surgery Department of Zagazig University
hospitals, for intervention surgery with laparoscopic sleeve Gastrectomy during the period from July 2020 to
August 2021 .Patients underwent a standardized preoperative assessment, including complete history, physical
examination and psychological evaluation. Results: There was a highly statistically significant regarding
decrease mean of Weight and BMI at six month postoperative compared to pre operative Laparoscopic sleave
gastrectomy with and without omental fixation group. Omentopexy may not change the outcome for
laparoscopic sleeve gastrectomy in terms of gastrointestinal symptoms or weight loss results although it is
associated with longer operative time. However, it may serve as an extra guard against leakage, bleeding,
vomiting, and gastroesophageal reflux disease, manifested by the decreased incidence of these complications
with that technique. Laparoscopic sleeve gastrectomy with omentopexy can be a feasible procedure for
decreasing morbidity and gastric leak rate.