New intragastric sleeve technique reduces adipose tissue in pig experimental model: tomographic study

In order to implement a new bariatric surgery technique, we verify the efficacy of intragastric sleeve to reduce weight gain and subcutaneous adipose tissue (SAT). Animals were divided into two groups: G1 (single-port intragastric sleeve) and G2 (sham group). The stomach was surgically reduced by si...

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Published in:	Scientific reports Vol. 10; no. 1; p. 18122
Main Authors:	da Silva Ribeiro, Mariana, Paiva Araújo dos Scheiba Zorron, Ricardo, Quina Silva, Saulo José, Ruiz Cadena, Silvia Marcela, Borges dos Santos Junior, Marcelo, Antunes, Fernanda, de Souza Vieira, Guilherme, Quirino, Celia Raquel, Lacerda de Abreu Oliveira, André
Format:	Journal Article
Language:	English
Published:	London Nature Publishing Group UK 22-10-2020 Nature Publishing Group
Subjects:	692/4020/2741/533 692/699/2743/393 Adipose tissue Adipose Tissue - growth & development Adipose Tissue - metabolism Animals Bariatric Surgery - methods Body weight Body weight gain Correlation coefficient Gastrectomy Gastrointestinal surgery Humanities and Social Sciences Laparoscopy Models, Animal multidisciplinary Obesity, Morbid - pathology Obesity, Morbid - surgery Reconstructive Surgical Procedures - methods Science Science (multidisciplinary) Stomach - pathology Stomach - surgery Surgery Swine Tomography, X-Ray Computed Weight Loss
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Abstract	In order to implement a new bariatric surgery technique, we verify the efficacy of intragastric sleeve to reduce weight gain and subcutaneous adipose tissue (SAT). Animals were divided into two groups: G1 (single-port intragastric sleeve) and G2 (sham group). The stomach was surgically reduced by single-port intragastric sutures to fo a gastric sleeve. Animals were submitted to computer tomography (CT) before the surgical procedure and after 18 weeks. Images were analyzed and measurements of the thickness of SAT, depth and width of the longissimus dorsi muscle and the rib eye area were made. Body weight and CT measurements were analyzed using the GLM PROC. The correlation coefficients were calculated among weight, moments and measures. There was a significant difference in weight gain, in which G1 had an average of 42.803 ± 3.206 kg, lower than G2 (45.966 ± 4.767 kg). The mean values for SAT and muscle measurements differed significantly between groups, in which G1 achieved the lowest values. All variables had significant correlations and high magnitude. Intragastric sleeve surgery induced a significant decrease of SAT. The new intragastric sleeve technique is feasible, safe and effective, mainly in reducing fat deposition, making it an important alternative in bariatric surgical treatment.
AbstractList	In order to implement a new bariatric surgery technique, we verify the efficacy of intragastric sleeve to reduce weight gain and subcutaneous adipose tissue (SAT). Animals were divided into two groups: G1 (single-port intragastric sleeve) and G2 (sham group). The stomach was surgically reduced by single-port intragastric sutures to fo a gastric sleeve. Animals were submitted to computer tomography (CT) before the surgical procedure and after 18 weeks. Images were analyzed and measurements of the thickness of SAT, depth and width of the longissimus dorsi muscle and the rib eye area were made. Body weight and CT measurements were analyzed using the GLM PROC. The correlation coefficients were calculated among weight, moments and measures. There was a significant difference in weight gain, in which G1 had an average of 42.803 ± 3.206 kg, lower than G2 (45.966 ± 4.767 kg). The mean values for SAT and muscle measurements differed significantly between groups, in which G1 achieved the lowest values. All variables had significant correlations and high magnitude. Intragastric sleeve surgery induced a significant decrease of SAT. The new intragastric sleeve technique is feasible, safe and effective, mainly in reducing fat deposition, making it an important alternative in bariatric surgical treatment. In order to implement a new bariatric surgery technique, we verify the efficacy of intragastric sleeve to reduce weight gain and subcutaneous adipose tissue (SAT). Animals were divided into two groups: G1 (single-port intragastric sleeve) and G2 (sham group). The stomach was surgically reduced by single-port intragastric sutures to fo a gastric sleeve. Animals were submitted to computer tomography (CT) before the surgical procedure and after 18 weeks. Images were analyzed and measurements of the thickness of SAT, depth and width of the longissimus dorsi muscle and the rib eye area were made. Body weight and CT measurements were analyzed using the GLM PROC. The correlation coefficients were calculated among weight, moments and measures. There was a significant difference in weight gain, in which G1 had an average of 42.803 ± 3.206 kg, lower than G2 (45.966 ± 4.767 kg). The mean values for SAT and muscle measurements differed significantly between groups, in which G1 achieved the lowest values. All variables had significant correlations and high magnitude. Intragastric sleeve surgery induced a significant decrease of SAT. The new intragastric sleeve technique is feasible, safe and effective, mainly in reducing fat deposition, making it an important alternative in bariatric surgical treatment. In order to implement a new bariatric surgery technique, we verify the efficacy of intragastric sleeve to reduce weight gain and subcutaneous adipose tissue (SAT). Animals were divided into two groups: G1 (single-port intragastric sleeve) and G2 (sham group). The stomach was surgically reduced by single-port intragastric sutures to fo a gastric sleeve. Animals were submitted to computer tomography (CT) before the surgical procedure and after 18 weeks. Images were analyzed and measurements of the thickness of SAT, depth and width of the longissimus dorsi muscle and the rib eye area were made. Body weight and CT measurements were analyzed using the GLM PROC. The correlation coefficients were calculated among weight, moments and measures. There was a significant difference in weight gain, in which G1 had an average of 42.803 ± 3.206 kg, lower than G2 (45.966 ± 4.767 kg). The mean values for SAT and muscle measurements differed significantly between groups, in which G1 achieved the lowest values. All variables had significant correlations and high magnitude. Intragastric sleeve surgery induced a significant decrease of SAT. The new intragastric sleeve technique is feasible, safe and effective, mainly in reducing fat deposition, making it an important alternative in bariatric surgical treatment. In order to implement a new bariatric surgery technique, we verify the efficacy of intragastric sleeve to reduce weight gain and subcutaneous adipose tissue (SAT). Animals were divided into two groups: G1 (single-port intragastric sleeve) and G2 (sham group). The stomach was surgically reduced by single-port intragastric sutures to fo a gastric sleeve. Animals were submitted to computer tomography (CT) before the surgical procedure and after 18 weeks. Images were analyzed and measurements of the thickness of SAT, depth and width of the longissimus dorsi muscle and the rib eye area were made. Body weight and CT measurements were analyzed using the GLM PROC. The correlation coefficients were calculated among weight, moments and measures. There was a significant difference in weight gain, in which G1 had an average of 42.803 ± 3.206 kg, lower than G2 (45.966 ± 4.767 kg). The mean values for SAT and muscle measurements differed significantly between groups, in which G1 achieved the lowest values. All variables had significant correlations and high magnitude. Intragastric sleeve surgery induced a significant decrease of SAT. The new intragastric sleeve technique is feasible, safe and effective, mainly in reducing fat deposition, making it an important alternative in bariatric surgical treatment.
ArticleNumber	18122
Author	de Souza Vieira, Guilherme Ruiz Cadena, Silvia Marcela Borges dos Santos Junior, Marcelo Quirino, Celia Raquel Paiva Araújo dos Scheiba Zorron, Ricardo Antunes, Fernanda Lacerda de Abreu Oliveira, André da Silva Ribeiro, Mariana Quina Silva, Saulo José
Author_xml	– sequence: 1 givenname: Mariana surname: da Silva Ribeiro fullname: da Silva Ribeiro, Mariana organization: Laboratory of Animal Medicine and Surgery, State University of Northern Rio de Janeiro – sequence: 2 givenname: Ricardo surname: Paiva Araújo dos Scheiba Zorron fullname: Paiva Araújo dos Scheiba Zorron, Ricardo organization: Division of Innovative Surgery, Department of Surgery, Klinikum Bremerhaven Reinkenheide – sequence: 3 givenname: Saulo José surname: Quina Silva fullname: Quina Silva, Saulo José organization: Laboratory of Animal Medicine and Surgery, State University of Northern Rio de Janeiro – sequence: 4 givenname: Silvia Marcela surname: Ruiz Cadena fullname: Ruiz Cadena, Silvia Marcela organization: Laboratory of Animal Medicine and Surgery, State University of Northern Rio de Janeiro – sequence: 5 givenname: Marcelo surname: Borges dos Santos Junior fullname: Borges dos Santos Junior, Marcelo organization: Laboratory of Animal Medicine and Surgery, State University of Northern Rio de Janeiro – sequence: 6 givenname: Fernanda surname: Antunes fullname: Antunes, Fernanda organization: Laboratory of Animal Medicine and Surgery, State University of Northern Rio de Janeiro – sequence: 7 givenname: Guilherme surname: de Souza Vieira fullname: de Souza Vieira, Guilherme organization: Laboratory of Animal Medicine and Surgery, State University of Northern Rio de Janeiro – sequence: 8 givenname: Celia Raquel surname: Quirino fullname: Quirino, Celia Raquel organization: Laboratory of Animal Reproduction and Genetic Improvement, State University of Northern Rio de Janeiro – sequence: 9 givenname: André surname: Lacerda de Abreu Oliveira fullname: Lacerda de Abreu Oliveira, André email: lacerdavet@uol.com.br organization: Laboratory of Animal Medicine and Surgery, State University of Northern Rio de Janeiro
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Cites_doi	10.1590/0102-6720201700010017 10.3748/wjg.v16.i2.275 10.1177/1535370214567635 10.1381/096089202321019620 10.1016/j.gie.2016.03.702 10.1381/096089206775565230 10.1007/s11605-008-0737-y 10.1001/archsurg.138.4.367 10.1016/j.surg.2012.05.010 10.7326/00034819142720050405000013 10.1007/s00464-007-9685-y 10.1016/j.gie.2005.12.007 10.1007/s00464-009-0389-3 10.2337/db13-0969 10.1007/s00464-009-0626-9 10.5230/jgc.2011.11.4.230 10.1590/0001-3765201820180199 10.1007/s00464-007-9309-6 10.5230/jgc.2011.11.4.225 10.1381/096089206777346637 10.1111/j.1464-410X.2008.08007.x 10.1089/lap.2006.16.146 10.1007/s00464-009-0781-z 10.1016/j.eururo.2008.07.009 10.1007/s00464-014-3654-z 10.1352/0895-8017(2006)111[193:MIPS]2.0.CO;2
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Snippet	In order to implement a new bariatric surgery technique, we verify the efficacy of intragastric sleeve to reduce weight gain and subcutaneous adipose tissue...
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SubjectTerms	692/4020/2741/533 692/699/2743/393 Adipose tissue Adipose Tissue - growth & development Adipose Tissue - metabolism Animals Bariatric Surgery - methods Body weight Body weight gain Correlation coefficient Gastrectomy Gastrointestinal surgery Humanities and Social Sciences Laparoscopy Models, Animal multidisciplinary Obesity, Morbid - pathology Obesity, Morbid - surgery Reconstructive Surgical Procedures - methods Science Science (multidisciplinary) Stomach - pathology Stomach - surgery Surgery Swine Tomography, X-Ray Computed Weight Loss
Title	New intragastric sleeve technique reduces adipose tissue in pig experimental model: tomographic study
URI	https://link.springer.com/article/10.1038/s41598-020-74846-8 https://www.ncbi.nlm.nih.gov/pubmed/33093489 https://www.proquest.com/docview/2471524260 https://search.proquest.com/docview/2454103446 https://pubmed.ncbi.nlm.nih.gov/PMC7581739
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