title: Early effects of bougie size on sleeve gastrectomy outcome.
abstract: BACKGROUND
  When performing sleeve gastrectomy, a bougie (32 to 60 French) is used. We evaluated 2 different bougie sizes on early postoperative outcomes and long-term weight loss.
  
  
  METHODS
  A 1-year prospective study was conducted on patients undergoing sleeve gastrectomy. In the first 6 months, patients had 32-French bougies (Group 1); in the second 6 months, they had 36-French bougies (Group 2).
  
  
  RESULTS
  We evaluated 131 patients. No intraoperative complications or mortality occurred. Postoperatively, Group 1 (n = 72) had a longer hospital stay (1.6 ± .8 vs 1.3 ± .5 days, P = .04) and used more Ondansetron for nausea than Group 2 (n = 59) (6.7 ± 8.0 vs 5.3 ± 4.5 mg, P = .2, respectively). Ten (14%) patients in Group 1 returned to the emergency department compared with 5 (9%) in Group 2. One-year percent excess weight loss was similar (73.0 ± 20.6% vs 71.1 ± 20.9%, P = .73, respectively).
  
  
  CONCLUSIONS
  The smaller bougie resulted in a longer hospital stay, with tendency toward increased nausea, more emergency department visits, and readmissions. Long-term weight loss was not affected.
authors.affiliation: Department of Surgery, St. John Hospital and Medical Center, Detroit, MI, USA; Department of Surgery, Beaumont Hospitals Health System, Grosse Pointe, MI, USA. Electronic address: eastsidesurgical@aol.com.
authors.forename: Abdelkader
authors.initials: A
authors.lastname: Hawasli
authors.affiliation: Department of Surgery, St. John Hospital and Medical Center, Detroit, MI, USA.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Jacquish
authors.affiliation: Department of Surgery, St. John Hospital and Medical Center, Detroit, MI, USA; Department of Surgery, Beaumont Hospitals Health System, Grosse Pointe, MI, USA.
authors.forename: Taghreed
authors.initials: T
authors.lastname: Almahmeed
authors.affiliation: Department of Surgery, St. John Hospital and Medical Center, Detroit, MI, USA.
authors.forename: Jessica
authors.initials: J
authors.lastname: Vavra
authors.affiliation: Department of Surgery, St. John Hospital and Medical Center, Detroit, MI, USA.
authors.forename: Natalie
authors.initials: N
authors.lastname: Roberts
authors.affiliation: Department of Surgery, St. John Hospital and Medical Center, Detroit, MI, USA; Department of Surgery, Beaumont Hospitals Health System, Grosse Pointe, MI, USA.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Meguid
authors.affiliation: Department of Surgery, St. John Hospital and Medical Center, Detroit, MI, USA.
authors.forename: Susan
authors.initials: S
authors.lastname: Szpunar
mesh_terms: D000328:Adult; D015992:Body Mass Index; D004106:Dilatation / Q000295:instrumentation*; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000295:instrumentation*; D006801:Humans; D007902:Length of Stay / Q000639:trends; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D011446:Prospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D015431:Weight Loss
keywords: Bougie; Complications; ED visits; Length of stay; Sleeve gastrectomy