Morbid Obesity Clinical Trial
Official title:
Multicentric Randomized Prospective Study Assessing the Impact of the Bougie Calibration Size During Laparoscopic Sleeve Gastrectomy on the Rate of Postoperative Staple-line Leak Rate
Staple-line leak is the most frequent and incapacitating complication after laparoscopic sleeve gastrectomy (LSG). The aim of this prospective randomized trial is to compare the staple-line leak rate after LSG according to the use of a standard bougie calibre (34, 36 or 38 Fr) or 48-Fr, assuming that a higher diameter is correlated with a lower risk of leak, without lowering long-term weight loss.
Laparoscopic sleeve gastrectomy (LSG) has become an increasing bariatric procedure. The most
common complication is gastric leak from the staple line, observed in approximately 3% of
cases, and can result in long and incapacitating treatment. The diameter of the bougie used
to calibrate the remnant stomach could impact the rate of gastric leak, a higher diameter
being correlated with a lower risk of leak, without lowering long-term weight loss.
The aim of this prospective randomized trial is to compare the outcomes of LSG according to
the use of a standard care bougie calibre or 48-Fr on postoperative gastric leak and mid-term
weight loss.
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