{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T22:53:42Z","timestamp":1779317622369,"version":"3.51.4"},"reference-count":26,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2022,3,23]],"date-time":"2022-03-23T00:00:00Z","timestamp":1647993600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,3,23]],"date-time":"2022-03-23T00:00:00Z","timestamp":1647993600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100002386","name":"Cairo University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100002386","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["OBES SURG"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract\n<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Laparoscopic sleeve gastrectomy (LSG) has gained acceptance worldwide. However, SG has its own complications that need a specialized management. Omentopexy is a technique in which the sleeved part of the stomach is fixed to the greater omentum.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Aim of the Study<\/jats:title>\n                <jats:p>The present work aimed to investigate the potential effect of omentopexy on the upper GIT disturbances in patients with severe obesity and undergoing LSG.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Patients and Methods<\/jats:title>\n                <jats:p>This study included patients who were recruited for LSG in our institution from June 2019 to October 2020. Patients having no upper GIT symptoms, no esophagogastroduodenoscopy (EGD) GERD signs, and no hiatus hernia were eligible for the study. Patients were randomly enrolled into the omentopexy group (underwent LSG with omentopexy) and the non-omentopexy group (underwent LSG only). Patients were followed up 1\u00a0month, 3\u00a0months, and 1\u00a0year after the operation. EGD was performed at the 1-year follow-up.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Forty-five patients constituted the omentopexy group and forty-six constituted the non-omentopexy group. Omentopexy was associated with significant reduction in the early post LSG upper GIT symptoms, and less EGD evident reflux esophagitis at the 1-year follow-up (statistically non-significant).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>The current work adds a new evidence of the omentopexy benefits in patients undergoing sleeve gastrostomy, with an overall better outcome in regard to the upper GIT upset and GERD compared to LSG alone.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Graphical abstract<\/jats:title>\n                \n              <\/jats:sec>","DOI":"10.1007\/s11695-022-05995-0","type":"journal-article","created":{"date-parts":[[2022,3,23]],"date-time":"2022-03-23T11:03:45Z","timestamp":1648033425000},"page":"1864-1871","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Omentopexy Effect on the Upper Gastrointestinal Symptoms and the Esophagogastroduodenoscopy Findings in Patients Undergoing Sleeve Gastrectomy"],"prefix":"10.1007","volume":"32","author":[{"given":"Amir K.","family":"Abosayed","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed Saber","family":"Mostafa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,3,23]]},"reference":[{"issue":"7","key":"5995_CR1","doi-asserted-by":"publisher","first-page":"673","DOI":"10.1007\/s40273-014-0243-x","volume":"33","author":"A Hruby","year":"2015","unstructured":"Hruby A, Hu FB. The epidemiology of obesity: a big picture. Pharmacoeconomics. 2015;33(7):673\u201389.","journal-title":"Pharmacoeconomics"},{"issue":"11","key":"5995_CR2","doi-asserted-by":"publisher","first-page":"1046","DOI":"10.1001\/jamasurg.2016.2317","volume":"151","author":"ML Maciejewski","year":"2016","unstructured":"Maciejewski ML, Arterburn DE, Van Scoyoc L, Smith VA, Yancy WS Jr, Weidenbacher HJ, et al. JAMA Surg. 2016;151(11):1046\u201355.","journal-title":"JAMA Surg"},{"issue":"3","key":"5995_CR3","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1002\/ags3.12030","volume":"1","author":"WJ Lee","year":"2017","unstructured":"Lee WJ, Almalki O. Recent advancements in bariatric\/metabolic surgery. Ann Gastroenterol Surg. 2017;1(3):171\u20139.","journal-title":"Ann Gastroenterol Surg"},{"issue":"3","key":"5995_CR4","doi-asserted-by":"publisher","first-page":"782","DOI":"10.1007\/s11695-018-3593-1","volume":"29","author":"R Welbourn","year":"2019","unstructured":"Welbourn R, Hollyman M, Kinsman R, Dixon J, Liem R, Ottosson J, et al. Bariatric surgery worldwide: baseline demographic description and one-year outcomes from the fourth IFSO global registry report 2018. Obes Surg. 2019;29(3):782\u201395.","journal-title":"Obes Surg"},{"issue":"1","key":"5995_CR5","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1089\/lap.2017.0398","volume":"28","author":"G Viscido","year":"2018","unstructured":"Viscido G, Gorodner V, Signorini F, Navarro L, Obeide L, Moser F. Laparoscopic sleeve gastrectomy: endoscopic findings and gastroesophageal reflux symptoms at 18-month follow-up. J Laparoendosc Adv Surg Tech A. 2018;28(1):71\u20137.","journal-title":"J Laparoendosc Adv Surg Tech A"},{"issue":"1","key":"5995_CR6","first-page":"56","volume":"31","author":"G Silecchia","year":"2018","unstructured":"Silecchia G, Iossa A. Complications of staple line and anastomoses following laparoscopic bariatric surgery. Ann Gastroenterol. 2018;31(1):56\u201364.","journal-title":"Ann Gastroenterol"},{"key":"5995_CR7","doi-asserted-by":"publisher","first-page":"S361","DOI":"10.1007\/s00464-018-6179-z","volume":"32","author":"Y Abe","year":"2018","unstructured":"Abe Y, Shinoda M, Kitago M, Yagi H, Takano K, Oshima G, et al. 26th International Congress of the European Association for Endoscopic Surgery (EAES), London, United Kingdom, 30 May\u20131 June 2018: Video Presentations. Surg Endosc. 2018;32:S361\u2013429.","journal-title":"Surg Endosc"},{"issue":"3","key":"5995_CR8","doi-asserted-by":"publisher","first-page":"174","DOI":"10.1097\/SLE.0000000000000526","volume":"28","author":"E Arslan","year":"2018","unstructured":"Arslan E, Banli O, Sipahi M, Yagci G. Effects and results of omentopexy during laparoscopic sleeve gastrectomy. Surg Laparosc Endosc Percutan Tech. 2018;28(3):174\u20137.","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"key":"5995_CR9","doi-asserted-by":"publisher","first-page":"2709","DOI":"10.1007\/s11695-021-05327-8","volume":"31","author":"P Zarzycki","year":"2021","unstructured":"Zarzycki P, Kulawik J, Ma\u0142czak P, Rubinkiewicz M, Wierdak M, Major P. Laparoscopic sleeve gastrectomy with omentopexy: is it really a promising method?\u2014A systematic review with meta-analysis. Obes Surg. 2021;31:2709\u201316.","journal-title":"Obes Surg"},{"key":"5995_CR10","doi-asserted-by":"publisher","first-page":"1466","DOI":"10.1053\/j.gastro.2005.11.059","volume":"5","author":"J Tack","year":"2006","unstructured":"Tack J, Talley NJ, Camilleri M, Holtmann G, Hu P, Malagelada JR, et al. Functional gastroduodenal disorders. Gastroenterology. 2006;5:1466\u201379.","journal-title":"Gastroenterology"},{"key":"5995_CR11","doi-asserted-by":"crossref","unstructured":"AlHaddad M, AlAtwan AA, AlKhadher T, AlJewaied A, Qadhi I, AlSabah SK. Omentopexy during laparoscopic sleeve gastrectomy: is it effective in reducing postoperative gastrointestinal symptoms. A retrospective cohort study. Annals of Medicine and Surgery. 2021;65:102369.","DOI":"10.1016\/j.amsu.2021.102369"},{"key":"5995_CR12","doi-asserted-by":"publisher","first-page":"357","DOI":"10.1007\/s11695-009-0040-3","volume":"20","author":"I Braghetto","year":"2010","unstructured":"Braghetto I, Lanzarini E, Korn O, Valladares H, Molina JC, Henriquez A. Manometric changes of the lower esophageal sphincter after sleeve gastrectomy in obese patients. Obes Surg. 2010;20:357\u201362.","journal-title":"Obes Surg"},{"key":"5995_CR13","doi-asserted-by":"publisher","first-page":"1797","DOI":"10.1007\/s11695-017-2567-z","volume":"27","author":"Y Mendeville","year":"2017","unstructured":"Mendeville Y, Van Looveren R, Vancoillie P, Verbeke X, Vandendriessche K, Vuylsteke P, et al. Moderating the enthusiasm of sleeve gastrectomy: up to fifty percent of reflux symptoms after ten years in a consecutive series of one hundred laparoscopic sleeve gastrectomies. Obes Surg. 2017;27:1797\u2013803.","journal-title":"Obes Surg"},{"issue":"4","key":"5995_CR14","doi-asserted-by":"publisher","first-page":"1527","DOI":"10.1007\/s11695-019-04357-7","volume":"30","author":"N Sharma","year":"2020","unstructured":"Sharma N, Chau WY. Remodifying omentopexy technique used with laparoscopic sleeve gastrectomy: does it change any outcomes? Obes Surg. 2020;30(4):1527\u201335.","journal-title":"Obes Surg"},{"key":"5995_CR15","doi-asserted-by":"publisher","first-page":"56","DOI":"10.1186\/s12893-019-0507-7","volume":"19","author":"V Pilone","year":"2019","unstructured":"Pilone V, Tramontano S, Renzulli M, Romano M, Monda A, Albanese A, et al. Omentopexy with Glubran\u00ae2 for reducing complications after laparoscopic sleeve gastrectomy: results of a randomized controlled study. BMC Surg. 2019;19:56.","journal-title":"BMC Surg"},{"key":"5995_CR16","doi-asserted-by":"crossref","unstructured":"Abou-Ashour HS. Impact of gastropexy\/omentopexy on gastrointestinal symptoms after laparoscopic sleeve gastrectomy. Obes Surg. 2021","DOI":"10.1007\/s11695-021-05806-y"},{"issue":"6","key":"5995_CR17","doi-asserted-by":"publisher","first-page":"539","DOI":"10.1097\/SLE.0000000000000722","volume":"29","author":"B Batman","year":"2019","unstructured":"Batman B, Altun H. Benefits of suture reinforcement in laparoscopic sleeve gastrectomy. Surg Laparosc Endosc Percutaneous Tech. 2019;29(6):539\u201342.","journal-title":"Surg Laparosc Endosc Percutaneous Tech"},{"key":"5995_CR18","doi-asserted-by":"crossref","unstructured":"Saber E, Ibrahim A, Benjamine F. Effects and results of omentopexy during laparoscopic sleeve gastrectomy on possible post operative bleeding and\/or leakage. QJM: An International Journal of Medicine. 2020;113(1):5\u201315.","DOI":"10.1093\/qjmed\/hcaa050.015"},{"issue":"6","key":"5995_CR19","doi-asserted-by":"publisher","first-page":"2199","DOI":"10.21608\/ejhm.2020.127971","volume":"81","author":"M Labib","year":"2020","unstructured":"Labib M. The omentopexy role in the prevention of post-operative gastric sleeve surgery complications. Egypt J Hosp Med. 2020;81(6):2199\u2013204.","journal-title":"Egypt J Hosp Med"},{"issue":"1","key":"5995_CR20","doi-asserted-by":"publisher","first-page":"274","DOI":"10.1007\/s11695-020-04923-4","volume":"31","author":"SS Nosrati","year":"2021","unstructured":"Nosrati SS, Pazouki A, Sabzikarian M, Pakaneh M, Kabir A, Kermansaravi M. Can omentopexy reduce the incidence of gastroesophageal reflux disease after laparoscopic sleeve gastrectomy. Obes Surg. 2021;31(1):274\u201381.","journal-title":"Obes Surg"},{"issue":"4","key":"5995_CR21","doi-asserted-by":"publisher","first-page":"479","DOI":"10.4103\/ejs.ejs_56_18","volume":"37","author":"K Sabry","year":"2018","unstructured":"Sabry K, Qassem M. The impact of routine omentopexy to staple line on the incidence of early postoperative complications after laparoscopic sleeve gastrectomy: is it worth? Egypt J Surg. 2018;37(4):479.","journal-title":"Egypt J Surg"},{"issue":"1","key":"5995_CR22","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1007\/s00464-014-3651-2","volume":"29","author":"C Afaneh","year":"2015","unstructured":"Afaneh C, Costa R, Pomp A, Dakin G. A prospective randomized controlled trial assessing the efficacy of omentopexy during laparoscopic sleeve gastrectomy in reducing postoperative gastrointestinal symptoms. Surg Endosc. 2015;29(1):41\u20137.","journal-title":"Surg Endosc"},{"key":"5995_CR23","doi-asserted-by":"publisher","first-page":"980","DOI":"10.1007\/s11695-020-05088-w","volume":"31","author":"M Mizera","year":"2021","unstructured":"Mizera M, Wysocki M, Bartosiak K, Franczak P, Hady HR, Kalinowski P, et al. Type 2 diabetes remission 5 years after laparoscopic sleeve gastrectomy: multicenter cohort study. Obes Surg. 2021;31:980\u20136.","journal-title":"Obes Surg"},{"issue":"3","key":"5995_CR24","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1097\/SLE.0000000000000597","volume":"29","author":"AMM Filho","year":"2019","unstructured":"Filho AMM, Silva LB, Godoy ES, Falc\u00e3o AM, de Quadros LG, Zotarelli Filho IJ, et al. Omentopexy in sleeve gastrectomy reduces early gastroesophageal reflux symptoms. Surg Laparosc Endosc Percutan Tech. 2019;29(3):155\u201361.","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"key":"5995_CR25","doi-asserted-by":"publisher","first-page":"1260","DOI":"10.1007\/s00464-012-2593-9","volume":"27","author":"CM Tai","year":"2013","unstructured":"Tai CM, Huang CK, Lee YC, Chang CY, Lee CT, Lin JT. Increase in gastroesophageal reflux disease symptoms and erosive esophagitis 1 year after laparoscopic sleeve gastrectomy among obese adults. Surg Endosc. 2013;27:1260\u20136.","journal-title":"Surg Endosc"},{"key":"5995_CR26","doi-asserted-by":"publisher","first-page":"122","DOI":"10.1016\/j.clinimag.2020.11.020","volume":"72","author":"D Gandhi","year":"2020","unstructured":"Gandhi D, Boregowda U, Sharma P, Ahuja K, Jain N, Khanna K, Gupta N. A review of commonly performed bariatric surgeries: imaging features and its complications. Clin Imaging. 2020;72:122\u201335.","journal-title":"Clin Imaging"}],"container-title":["Obesity Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11695-022-05995-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11695-022-05995-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11695-022-05995-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,5]],"date-time":"2022-05-05T20:58:11Z","timestamp":1651784291000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11695-022-05995-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,23]]},"references-count":26,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2022,6]]}},"alternative-id":["5995"],"URL":"https:\/\/doi.org\/10.1007\/s11695-022-05995-0","relation":{},"ISSN":["0960-8923","1708-0428"],"issn-type":[{"value":"0960-8923","type":"print"},{"value":"1708-0428","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,23]]},"assertion":[{"value":"19 December 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 March 2022","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 March 2022","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 March 2022","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study has been approved by the appropriate institutional research ethics committee.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}