bougie
Pronunciation: boo-zhee
A calibrating tube inserted during sleeve gastrectomy to standardize the size of the gastric remnant.
Full Definition
A bougie is a flexible, graduated tube inserted through the mouth into the stomach during laparoscopic sleeve gastrectomy to provide consistent sizing of the gastric sleeve. Common sizes range from 32-50 French (Fr), with 36-38 Fr being most frequently used. The bougie serves as a guide along the lesser curvature to ensure uniform sleeve diameter and prevent stenosis or excessive restriction. Proper bougie sizing is crucial for optimal postoperative outcomes, balancing adequate restriction with prevention of complications like strictures or inadequate weight loss.
Usage
Usage note: Size is measured in French units (Fr). Common editorial error is spelling as 'boogie'.
In Context
- "A 38 French bougie was placed along the lesser curvature for sleeve calibration." — Operative report
- "Bougie size selection influences postoperative restriction and weight loss outcomes." — Surgical technique article