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Morbid Obesity and Sleeve Gastrectomy: How Does It Work?

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Abstract

Laparoscopic sleeve gastrectomy is known to be a safe and effective procedure for treating morbid obesity and is performed with increasing frequency both in Europe and the USA. Despite its broad use, many questions about the remaining gastric tube diameter, its long-term efficacy, its effects on gastric emptying, and the hormones involved still remain to be answered. In order to use such a relatively new surgical procedure wisely, it is essential for every surgeon and physician to understand how sleeve gastrectomy acts in obesity and what its potential benefits on the patients’ metabolism are. This review focuses on the most important pathophysiologic questions referred to sleeve gastrectomy on the literature so far, in an attempt to evaluate the different issues still pending on the subject.

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Conflict of Interest Statement

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. 1st Department of Propaedeutic Surgery, Hippocration Hospital, Athens Medical School, 114 Vas. Sofias Ave, 11527, Athens, Greece

    Joanna Papailiou, Konstantinos Albanopoulos, Konstantinos G. Toutouzas & George Zografos

  2. 1st Department of Surgery, Laikon Hospital, Athens Medical School, 17 Agiou Thoma, 11527, Goudi, Athens, Greece

    Christos Tsigris

  3. 2nd Department of Surgery, Laikon Hospital, Athens Medical School, 17 Agiou Thoma, 11527, Goudi, Athens, Greece

    Nikolaos Nikiteas

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  1. Joanna Papailiou
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  2. Konstantinos Albanopoulos
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  3. Konstantinos G. Toutouzas
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  4. Christos Tsigris
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  5. Nikolaos Nikiteas
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  6. George Zografos
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Correspondence to Konstantinos G. Toutouzas.

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Papailiou, J., Albanopoulos, K., Toutouzas, K.G. et al. Morbid Obesity and Sleeve Gastrectomy: How Does It Work?. OBES SURG 20, 1448–1455 (2010). https://doi.org/10.1007/s11695-010-0148-5

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