{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T01:08:02Z","timestamp":1784250482518,"version":"3.55.0"},"reference-count":40,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,2,20]],"date-time":"2025-02-20T00:00:00Z","timestamp":1740009600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Laparoscopic sleeve gastrectomy (LSG) has been proven to be an effective surgical method for managing morbid obesity. However, the extent of the antral excision remains controversial. In this meta\u2010analysis, we evaluated the safety and efficacy of LSG with antral resection (AR) and antral preservation (AP).<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>The PubMed, Embase, Cochrane Library, and Google Scholar databases were systematically searched for randomized clinical trials (RCTs) from their inception dates to March 2024. The main outcomes were the percentage of excess weight loss (%EWL), percentage of total weight loss (%TWL), and BMI at 3, 6, 12, and 24 months postsurgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fourteen RCTs comprising 1222 patients were included in the study. The %EWL was significantly lower in the AP group at 6 (mean difference [MD]: \u22125.65 and <jats:italic>p<\/jats:italic>\u00a0=\u00a00.003), 12 (MD: \u22125.08 and <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.00001), and 24 (MD: \u22125.23 and <jats:italic>p<\/jats:italic>\u00a0=\u00a00.0004) months. The %TWL was significantly lower in the AP group at 3 (MD: \u22124.63 and <jats:italic>p<\/jats:italic>\u00a0=\u00a00.02), 6 (MD: \u22123.98 and <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.0001), and 12 (MD: \u22124.63 and <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.00001) months. BMI was lower in the AR group at 3 (MD: 1.81 and <jats:italic>p<\/jats:italic>\u00a0=\u00a00.007) and 6 (MD: 2.39 and <jats:italic>p<\/jats:italic>\u00a0=\u00a00.002) months. No significant difference was found in surgical time and de novo gastroesophageal reflux disease; however, the AP group demonstrated significantly longer hospital stays and a lower rate of late vomiting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>LSG with AR yields better weight loss than LSG with AP but may lead to a higher rate of late vomiting.<\/jats:p><\/jats:sec>","DOI":"10.1002\/wjs.12500","type":"journal-article","created":{"date-parts":[[2025,2,20]],"date-time":"2025-02-20T20:25:12Z","timestamp":1740083112000},"page":"769-779","source":"Crossref","is-referenced-by-count":2,"title":["Antrum Resection Versus Preservation Following Laparoscopic Sleeve Gastrectomy in the Treatment of Obesity: A Meta\u2010Analysis of Randomized Controlled Trials and Systematic Review"],"prefix":"10.1002","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8207-4809","authenticated-orcid":false,"given":"Jinlong","family":"Luo","sequence":"first","affiliation":[{"name":"Division of Gastrointestinal Surgery Department of General Surgery West China Hospital  Chengdu China"},{"name":"Department of Colorectal Anal Surgery Zigong Fourth People's Hospital  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Furui","family":"Zhong","sequence":"additional","affiliation":[{"name":"Department of Colorectal Anal Surgery Zigong Fourth People's Hospital  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hua","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Colorectal Anal Surgery Zigong Fourth People's Hospital  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lie","family":"Yang","sequence":"additional","affiliation":[{"name":"Division of Gastrointestinal Surgery Department of General Surgery West China Hospital  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,2,20]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.metabol.2022.155217"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41574\u2010022\u201000690\u20107"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41366\u2010023\u201001398\u2010y"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj\u20102022\u2010071027"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-25173-4_24"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695\u2010022\u201005958\u20105"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695\u2010023\u201006884\u2010w"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.2147\/DMSO.S351973"},{"key":"e_1_2_12_10_1","first-page":"10590","article-title":"The PRISMA 2020 Statement: An Updated Guideline for Reporting Systematic Reviews","volume":"88","author":"Matthew J. 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