{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T20:27:47Z","timestamp":1786739267145,"version":"build-2736575974"},"reference-count":31,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title>Context:<\/jats:title>\n                    <jats:p>The importance of upper gastrointestinal (UGI) contrast study following sleeve gastrectomy (SG) is equivocal. It can, however, yield anatomical and functional details, the significance of which mostly remains unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Settings and Design:<\/jats:title>\n                    <jats:p>This prospective, single-center study included SG patients between January 2018 and January 2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>UGI contrast study was done on post-operative day 1. The findings of the study namely gastroesophageal junction (GEJ) holdup time, presence of fundus, gastroduodenal emptying (GDE) time, and sleeve shape were compared with weight loss, improvement of glycosylated hemoglobin (HbA1c) and gastroesophageal reflux disease (GERD) symptoms at 3, 6, and 12 months follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      There were 138 patients with 100% follow-up. Radiological sleeve patterns observed were: tubular (62.3%), superior (16.0%), and inferior (21.7%) pouches. GEJ holdup time had no effect on percentage total weight loss (%TWL) (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.09) or HbA1c improvement (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.077). The absence of fundus led to greater %TWL at 6 months (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.048). GDE time &lt;15 s led to higher %TWL (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.028) and lower HbA1c (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.010) at 12 months. Antrum size &lt;2 cm was associated with higher %TWL (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.022) and lower HbA1c level (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.047) at 12 months. Vomiting and regurgitation were common with tubular sleeves.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>UGI contrast study can predict weight loss, HbA1c improvement, and GERD symptoms. The absence of fundus, small antrum, and rapid GDE are associated with better weight loss. HbA1c improvement is better with small antrum and rapid GDE. Tubular sleeve predisposes to vomiting and regurgitation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jmas.jmas_186_20","type":"journal-article","created":{"date-parts":[[2021,7,16]],"date-time":"2021-07-16T11:37:40Z","timestamp":1626435460000},"page":"97-104","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Is there a role for upper gastrointestinal contrast study to predict the outcomes of sleeve gastrectomy? Lessons learnt from a prospective study"],"prefix":"10.4103","volume":"18","author":[{"given":"Shivanshu","family":"Misra","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shankar","family":"Balasubramanian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Srikanth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saravana","family":"Kumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Christinajoice","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepa","family":"Nandhini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. Praveen","family":"Raj","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-15-20240828","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1007\/s11695-018-3593-1","article-title":"Bariatric surgery worldwide: Baseline demographic description and one-year outcomes from the fourth IFSO global registry report 2018","volume":"29","author":"Welbourn","year":"2019","journal-title":"Obes Surg"},{"key":"R2-15-20240828","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1007\/s11695-011-0472-4","article-title":"Preoperative predictors of weight loss following bariatric surgery: Systematic review","volume":"22","author":"Livhits","year":"2012","journal-title":"Obes Surg"},{"key":"R3-15-20240828","doi-asserted-by":"crossref","first-page":"1015","DOI":"10.1007\/s11605-015-2808-1","article-title":"Predictors of long-term diabetes remission after metabolic surgery","volume":"19","author":"Lee","year":"2015","journal-title":"J Gastrointest Surg"},{"key":"R4-15-20240828","doi-asserted-by":"crossref","first-page":"1261","DOI":"10.1016\/j.soard.2019.05.017","article-title":"Gastroesophageal reflux-related physiologic changes after sleeve gastrectomy and Roux-en-Y gastric bypass: A prospective comparative study","volume":"15","author":"Raj","year":"2019","journal-title":"Surg Obes Relat Dis"},{"key":"R5-15-20240828","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1016\/j.amjsurg.2015.05.031","article-title":"Laparoscopic sleeve gastrectomy and gastroesophageal reflux disease: A systematic review and meta-analysis","volume":"211","author":"Oor","year":"2016","journal-title":"Am J Surg"},{"key":"R6-15-20240828","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1007\/s11695-010-0236-6","article-title":"Anatomy and complications following laparoscopic sleeve gastrectomy: Radiological evaluation and imaging pitfalls","volume":"21","author":"Triantafyllidis","year":"2011","journal-title":"Obes Surg"},{"key":"R7-15-20240828","doi-asserted-by":"crossref","first-page":"1039","DOI":"10.1007\/s11695-012-0658-4","article-title":"Upper gastrointestinal swallow study following bariatric surgery: Institutional review and review of the literature","volume":"22","author":"Brockmeyer","year":"2012","journal-title":"Obes Surg"},{"key":"R8-15-20240828","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1007\/s11695-007-9057-7","article-title":"Abnormal findings on routine upper GI series following laparoscopic Roux-en-Y gastric bypass","volume":"17","author":"Raman","year":"2007","journal-title":"Obes Surg"},{"key":"R9-15-20240828","doi-asserted-by":"crossref","first-page":"858","DOI":"10.1007\/s11695-010-0255-3","article-title":"Laparoscopic sleeve gastrectomy \u2013 Radiological assessment of fundus size and sleeve voiding","volume":"21","author":"Pomerri","year":"2011","journal-title":"Obes Surg"},{"key":"R10-15-20240828","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1007\/s11695-010-0339-0","article-title":"Symptoms of gastroesophageal reflux following laparoscopic sleeve gastrectomy are related to the final shape of the sleeve as depicted by radiology","volume":"21","author":"Lazoura","year":"2011","journal-title":"Obes Surg"},{"key":"R11-15-20240828","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1007\/s11695-012-0610-7","article-title":"IFSO-APC consensus statements 2011","volume":"22","author":"Kasama","year":"2012","journal-title":"Obes Surg"},{"key":"R12-15-20240828","doi-asserted-by":"crossref","first-page":"1721","DOI":"10.1016\/S0221-0363(08)74476-7","article-title":"Early imaging features after sleeve gastrectomy","volume":"89","author":"Werquin","year":"2008","journal-title":"J Radiol"},{"key":"R13-15-20240828","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1016\/j.ijsu.2020.02.035","article-title":"Comparative analysis of weight loss and resolution of comorbidities between laparoscopic sleeve gastrectomy and Roux-en-Y gastric bypass: A systematic review and meta-analysis based on 18 studies","volume":"76","author":"Han","year":"2020","journal-title":"Int J Surg"},{"key":"R14-15-20240828","doi-asserted-by":"crossref","first-page":"4135813","DOI":"10.1155\/2018\/4135813","article-title":"Impact of laparoscopic sleeve gastrectomy on gastrointestinal motility","volume":"2018","author":"Sioka","year":"2018","journal-title":"Gastroenterol Res Pract"},{"key":"R15-15-20240828","doi-asserted-by":"crossref","first-page":"1024","DOI":"10.1381\/0960892054621125","article-title":"Sleeve gastrectomy and gastric banding: effects on plasma ghrelin levels","volume":"15","author":"Langer","year":"2005","journal-title":"Obes Surg"},{"key":"R16-15-20240828","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1097\/SLA.0b013e318156f012","article-title":"Weight loss, appetite suppression, and changes in fasting and postprandial ghrelin and peptide-YY levels after Roux-en-Y gastric bypass and sleeve gastrectomy: A prospective, double blind study","volume":"247","author":"Karamanakos","year":"2008","journal-title":"Ann Surg"},{"key":"R17-15-20240828","doi-asserted-by":"crossref","first-page":"1145","DOI":"10.1016\/j.soard.2017.01.032","article-title":"Is a \u201cretained fundus\u201d seen on postoperative upper gastrointestinal series after laparoscopic sleeve gastrectomy predictive of inferior weight loss?","volume":"13","author":"Salamat","year":"2017","journal-title":"Surg Obes Relat Dis"},{"key":"R18-15-20240828","doi-asserted-by":"crossref","first-page":"1587","DOI":"10.1007\/s11695-014-1242-x","article-title":"Impact of extent of antral resection on surgical outcomes of sleeve gastrectomy for morbid obesity (a prospective randomized study)","volume":"24","author":"Abdallah","year":"2014","journal-title":"Obes Surg"},{"key":"R19-15-20240828","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1016\/j.soard.2018.02.021","article-title":"Antral resection versus antral preservation during laparoscopic sleeve gastrectomy for severe obesity: Systematic review and meta-analysis","volume":"14","author":"McGlone","year":"2018","journal-title":"Surg Obes Relat Dis"},{"key":"R20-15-20240828","doi-asserted-by":"crossref","first-page":"3548","DOI":"10.1007\/s00464-012-2352-y","article-title":"Tests of correlation between immediate postoperative gastroduodenal transit times and weight loss after laparoscopic sleeve gastrectomy","volume":"26","author":"Parikh","year":"2012","journal-title":"Surg Endosc"},{"key":"R21-15-20240828","doi-asserted-by":"crossref","first-page":"2836","DOI":"10.1007\/s11695-017-2700-z","article-title":"Analysis of gastric physiology after Laparoscopic Sleeve Gastrectomy (LSG) with or without antral preservation in relation to metabolic response: A randomised study","volume":"27","author":"Vives","year":"2017","journal-title":"Obes Surg"},{"key":"R22-15-20240828","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1007\/s11695-012-0850-6","article-title":"Radical resection of the pyloric antrum and its effect on gastric emptying after sleeve gastrectomy","volume":"23","author":"Michalsky","year":"2013","journal-title":"Obes Surg"},{"key":"R23-15-20240828","doi-asserted-by":"crossref","first-page":"2739","DOI":"10.1007\/s00464-017-5972-4","article-title":"Influence of antrum size on gastric emptying and weight-loss outcomes after laparoscopic sleeve gastrectomy (preliminary analysis of a randomized trial)","volume":"32","author":"Garay","year":"2018","journal-title":"Surg Endosc"},{"key":"R24-15-20240828","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1007\/s11695-008-9791-5","article-title":"Gastric emptying is not affected by sleeve gastrectomy \u2013 Scintigraphic evaluation of gastric emptying after sleeve gastrectomy without removal of the gastric antrum","volume":"19","author":"Bernstine","year":"2009","journal-title":"Obes Surg"},{"key":"R25-15-20240828","doi-asserted-by":"crossref","first-page":"2243","DOI":"10.1007\/s11695-020-04457-9","article-title":"Temporal effects of sleeve gastrectomy on glucose-insulin homeostasis and incretin hormone response at 1 and 6 months","volume":"30","author":"Prior","year":"2020","journal-title":"Obes Surg"},{"key":"R26-15-20240828","doi-asserted-by":"crossref","first-page":"3540","DOI":"10.1007\/s00464-011-1755-5","article-title":"First-phase insulin secretion, insulin sensitivity, ghrelin, GLP-1, and PYY changes 72 h after sleeve gastrectomy in obese diabetic patients: The gastric hypothesis","volume":"25","author":"Basso","year":"2011","journal-title":"Surg Endosc"},{"key":"R27-15-20240828","doi-asserted-by":"crossref","first-page":"536","DOI":"10.1007\/s11695-013-1117-6","article-title":"Improvement of gastroesophageal reflux symptoms after standardized laparoscopic sleeve gastrectomy","volume":"24","author":"Daes","year":"2014","journal-title":"Obes Surg"},{"key":"R28-15-20240828","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1016\/j.soard.2013.07.018","article-title":"Improvement in gastroesophageal reflux disease symptoms after various bariatric procedures: Review of the Bariatric Outcomes Longitudinal Database","volume":"10","author":"Pallati","year":"2014","journal-title":"Surg Obes Relat Dis"},{"key":"R29-15-20240828","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1540\/jsmr.33.81","article-title":"New aspects of gastric adaptive relaxation, reflex after food intake for more food: involvement of capsaicin-sensitive sensory nerves and nitric oxide","volume":"33","author":"Arakawa","year":"1997","journal-title":"J Smooth Muscle Res"},{"key":"R30-15-20240828","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1007\/s11695-007-9288-7","article-title":"A prospective multicenter study of 163 sleeve gastrectomies: Results at 1 and 2 years","volume":"18","author":"Nocca","year":"2008","journal-title":"Obes Surg"},{"key":"R31-15-20240828","first-page":"570","article-title":"Comparison between antral resection in laparoscopic sleeve gastrectomy and classical laparoscopic sleeve gastrectomy","volume":"38","author":"Ahmed","year":"2019","journal-title":"Egypt J Surg"}],"container-title":["Journal of Minimal Access Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.JMAS_186_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T19:27:25Z","timestamp":1786735645000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.JMAS_186_20"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":31,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/jmas.jmas_186_20","relation":{},"ISSN":["0972-9941"],"issn-type":[{"value":"0972-9941","type":"print"}],"subject":[],"published":{"date-parts":[[2022,1]]}}}