Abstract
Laparoscopic sleeve gastrectomy has become the most commonly performed procedure for weight loss, employing a combination of volume restriction and hormonal changes as a means of treating morbid obesity. Despite widespread use, the procedure is not without its complications, including gastric leaks from the staple line, strictures and stenoses, gastroesophageal reflux, insufficient weight loss, and progressive weight regain. Many of these complications necessitate surgical revision of the sleeve, and although many published studies describe options for revision, there has been no definitive road map in determining which procedure best addresses the given complication. In an effort to discuss the current literature regarding complications of sleeve gastrectomy and provide direction to the bariatric surgeon, this chapter will focus on the technical basics of laparoscopic sleeve gastrectomy and management options for the aforementioned complications, including preoperative evaluation prior to revision and surgical techniques for revision, specifically conversion to Roux-en-Y gastric bypass (RYGB), re-sleeve gastrectomy (Re-SG), and biliopancreatic diversion with duodenal switch (BPD-DS).
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Binenbaum, S.J., Paulin, E.T. (2020). Revisional Surgery for Sleeve Gastrectomy. In: Borao, F., Binenbaum, S., Matharoo, G. (eds) Revisional Foregut Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-28273-8_2
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