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In patients with super obesity (BMI\u2009&gt;\u200950\u00a0kg\/m\u00b2), bariatric surgery, particularly laparoscopic sleeve gastrectomy (LSG), is a common treatment option. However, the role of antral resection (AR) in LSG remains unclear, especially in this high-risk population. This study aims to compare the effectiveness of LSG with antral resection (LSG-AR) and LSG with antrum preservation (LSG-AP) on weight loss and postoperative complaints in patients with super obesity.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>The medical records of patients with a BMI\u2009&gt;\u200950\u00a0kg\/m\u00b2 who underwent LSG between 2016 and 2022 were retrospectively reviewed. Weight data were collected at admission, and at the first, second, and fifth-year follow-up. Patients were divided into two groups based on LSG-AR or LSG-AP procedures.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Seventy-two patients were included. No significant difference was found in postoperative vomiting complaints between the groups (<jats:italic>p<\/jats:italic>\u2009=\u20090.67). First-year outcomes showed no significant differences in weight, BMI, or % Total Weight Loss (%TWL). However, second and fifth-year %TWL values were significantly higher in the LSG-AR group (<jats:italic>p<\/jats:italic>\u2009=\u20090.003 for both).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>LSG-AR provides more effective long-term weight loss in patients with super obesity. Early postoperative vomiting complaints diminish over time, suggesting LSG-AR as a viable one-stage procedure for this patient population.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00423-025-03607-w","type":"journal-article","created":{"date-parts":[[2025,1,11]],"date-time":"2025-01-11T03:59:38Z","timestamp":1736567978000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Sleeve gastrectomy with antral resection provides more effective weight loss in patients with super obesity"],"prefix":"10.1007","volume":"410","author":[{"given":"Ahmet Tarik","family":"Hamantepe","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emre","family":"G\u00f6n\u00fcll\u00fc","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gizem","family":"F\u0131rt\u0131na","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Onur","family":"\u0130lhan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adem","family":"Y\u00fcksel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerem","family":"Karaman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,1,11]]},"reference":[{"issue":"7","key":"3607_CR1","doi-asserted-by":"publisher","first-page":"161","DOI":"10.21037\/atm.2017.03.107","volume":"5","author":"M Abdelaal","year":"2017","unstructured":"Abdelaal M, le Roux CW, Docherty NG (2017) Morbidity and mortality associated with obesity. 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