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Retrospective Study
Copyright ©The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jan 27, 2026; 18(1): 112251
Published online Jan 27, 2026. doi: 10.4240/wjgs.v18.i1.112251
Early gastric dilation after laparoscopic sleeve gastrectomy: Insights from a three-dimensional computed tomography reconstruction study
Zhao Li, Wen-Zhi Wu, Yi Song, Zhao-Peng Li, Dong Guo, Yu Li
Zhao Li, Wen-Zhi Wu, Yi Song, Dong Guo, Yu Li, Department of Gastrointestinal Surgery, The Affiliated Hospital of Qingdao University, Qingdao 266003, Shandong Province, China
Zhao-Peng Li, Department of Hepatobiliary Surgery, Shandong Second Provincial General Hospital, Jinan 250022, Shandong Province, China
Co-first authors: Zhao Li and Wen-Zhi Wu.
Author contributions: Li Z contributed to the conceptualization, design, and data analysis of the study; Wu WZ was responsible for data acquisition and manuscript editing; Li Z and Wu WZ contributed equally to this article, they are the co-first authors of this manuscript; Song Y handled the data and statistical analysis; Li ZP contributed to data acquisition and manuscript review; Guo D conducted clinical studies and participated in manuscript review; Li Y performed the literature review and contributed to writing, reviewing, and editing the manuscript; and all authors thoroughly reviewed and endorsed the final manuscript.
Institutional review board statement: This study was approved by the Medical Ethics Committee of the Affiliated Hospital of Qingdao University, approval No. QYFY WZLL 28969.
Informed consent statement: Informed consent was obtained from all individual participants included in the study.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: The datasets used and/or analyzed during the current study available from the corresponding author on reasonable request.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yu Li, Chief Physician, Professor, Department of Gastrointestinal Surgery, The Affiliated Hospital of Qingdao University, No. 16 Jiangsu Road, Qingdao 266003, Shandong Province, China. liyu11920@qdu.edu.cn
Received: July 22, 2025
Revised: September 15, 2025
Accepted: November 20, 2025
Published online: January 27, 2026
Processing time: 183 Days and 19.9 Hours
Core Tip

Core Tip: This study leverages three-dimensional computed tomography reconstruction to analyze the early dilation of the residual stomach post-laparoscopic sleeve gastrectomy. It identifies significant factors influencing gastric dilation, including preoperative type 2 diabetes, initial postoperative residual gastric volume, and Gastroesophageal Reflux Disease Questionnaire scores, underlining their impact on long-term weight loss efficacy. These insights could enhance patient selection and postoperative management strategies, potentially improving surgical outcomes.