Effects of Small Sized Versus Medium Sized Bougies on Excess Weight Loss & Complication Rate forLaparoscopic Sleeve Gastrectomy

Abstract

Objective: To assess excess weight loss results and complication rate with medium sized (36 Fr) & small
sized (32 Fr) bougie.
Method: This study was conducted at Fatima Memorial hospital from Dec 2012 to Dec 2017. A total of 50
patients were segregated into two groups of 25 each. Group 1 had LSG using 36 Fr. sized bougie while group
2 had 32 Fr. bougie for neogastric sleeve formation. Patients were followed up for excess weight loss and
BMI at 6months, 1 year, 2 years, 3 years and 4-year interval.
Results: EWL in group 1 & 2 was 39.2± 6.77kg & 41.9± 4.35kg at 6 months, 73.64± 6.49kg & 71.06± 7.77kg
at 1 year, 65.52± 5.53kg & 63.92± 7.07kg at 2 years, 58.16± 4.97kg & 57.28± 5.75kg at 3 years and 55.48±
3.39kg & 55.36± 3.72kg for 4 years, not significant statistically. BMI in group 1 & 2 were 39.47± 5.11 &
35.88± 4.40 at 6 months, 29.22± 2.68 & 29.12± 2.00 at 1 year, 25.44± 1.96 & 24.73± 2.86 at 2 years, 22.84±
1.79 & 22.40±2.20 at 3 years and 21.66± 1.32, 21.67± 1.62 at 4 years and found statistically insignificant.
Conclusion: With regards to extra weight loss, medium and small sized bougies have identical effects but the
former has lowest complication. Medium sized bougies are best choice to ensure safety in LSG.

How to cite: Lodhi JK, Malik A, Bukhari ST, Amjad S, Hussain T. Effects of Small Sized Versus Medium Sized Bougies on
Excess Weight Loss & Complication Rate for Laparoscopic Sleeve Gastrectomy. Esculapio - JSIMS 2022;18(03):253-256