Three-Dimensional Multi-detector Computed Tomography (3D-MDCT) Gastric Volumetry in Patients with obesity and Normal-Weight Individuals
Mohamed AbdAlla Salman, Basem Othman, Aly Elshehry, Mohamed Abbas, Mohamed Fouad, Amr Saadawy, Ahmed Elewa, Mohamed Tourky, Hossam Shaaban, Ahmed Salman, Sara Elshahed, Mahmoud Gebril, Sadaf Khalid, Mohammed Elsherbiney, Mohamed Moustafa Assal, Mohamed Hosny Abdo Osman, Aboalgasim Alamin Mohammed, Usama Shaker Mohamed
Obes Surg . 2022 Dec 11. doi: 10.1007/s11695-022-06402-4. Online ahead of print.
Background: Obesity is a widely prevalent medical and socioeconomic problem. Bariatric surgery is indicated for patients with clinically severe obesity. Reduction of gastric volume is an important factor that contributes to weight loss after laparscopic sleeve gastrectomy (LSG). The impact of the gastric volume on weight after LSG has been studied.
Aim of the study: This study was designed to assess the gastric volume in patients with obesity prior to LSG and in the normal-weight patients, using three-dimensional multi-detector computer tomography (3D-MDCT), and to evaluate the potential correlation of the gastric volume with body mass index (BMI).
Patients and methods: A total of 100 patients were equally enrolled in two groups: one group for patients with obesity scheduled for LSG and another one for normal-weight patients scheduled for non-bariatric surgery. The study patients underwent 3D-MDCT gastric volumetry.
Results: The gastric volume ranged from 525 to 1170 mL in patients with obesity and from 312 to 676 mL in the normal-weight group. Statistically significant difference was found between the two groups. Age, weight, and BMI were found to be predictors for the gastric volume in normal-weight patients only.
Conclusion: MDCT gastric volumetry is a feasible method to assess the stomach volume. Higher volumes were evident in patients with obesity. Age, weight, and BMI are predictors for the gastric volume in normal-weight patients with linear regression equations that could help during the preoperative planning of bariatric surgeries.