Omentopexy versus no omentopexy in sleeve gastrectomy: an updated systematic review and meta-analysis

Laparoscopic sleeve gastrectomy with omentopexy (O-LSG) has been compared to laparoscopic sleeve gastrectomy with no-omentopexy (NO-LSG) in terms of postoperative outcomes and one-year anthropometric results. This systematic review with meta-analysis aimed to compare the utility of omentopexy in sle...

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Bibliographic Details
Published in:Updates in surgery 2024-06, Vol.76 (3), p.811-827
Main Authors: Chaouch, Mohamed Ali, Khalfallah, Mehdi, Jabra, Sadok Ben, Jouilli, Mariem, Sallem, Om Kalthoum, Nouira, Ramzi, Noomen, Faouzi
Format: Article
Language:English
Subjects:
CRD
CRD42022336790
Gastrectomy - methods
Humans
Laparoscopy - methods
Length of Stay
Medicine
Medicine & Public Health
Obesity, Morbid - surgery
Omentum - surgery
Original Article
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Postoperative Complications - prevention & control
Surgery
Treatment Outcome
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Description
Summary:Laparoscopic sleeve gastrectomy with omentopexy (O-LSG) has been compared to laparoscopic sleeve gastrectomy with no-omentopexy (NO-LSG) in terms of postoperative outcomes and one-year anthropometric results. This systematic review with meta-analysis aimed to compare the utility of omentopexy in sleeve gastrectomy. We performed a systematic review with meta-analysis according to PRISMA 2020 and AMSTAR 2 guidelines. We included studies that systematically searched electronic databases and compared the O-LSG with the NO-LSG conducted through 1st March 2023. The bibliographic research yielded 13 eligible studies. These studies included 5514 patients. The O-LSG is associated with lower leakage (OR = 0.22; 95% CI [0.08, 0.55], p  = 0.001), bleeding (OR = 0.33; 95% CI [0.19, 0.57], p  
ISSN:2038-131X
2038-3312
2038-3312
DOI:10.1007/s13304-024-01794-7