Abstract
After 15 years, laparoscopic sleeve gastrectomy (LSG) has a firm position as a stand-alone procedure to effectively treat morbid obesity. Low morbidity and mortality have been advocated as advantages over more complex procedures such as laparoscopic Roux-en-Y gastric bypass and biliopancreatic diversion with duodenal switch or other restrictive procedures like the laparoscopic adjustable gastric banding that can have serious anatomical complications in the mid- to long-term follow-up. It also avoids intestinal surgery with associated complications such as internal herniation, small bowel obstruction, micronutrient deficiencies, and malnutrition. It has also been argued that the follow-up is less demanding than for the aforementioned procedures. Since long-term reports are starting to appear, some of these facts are now supported in the literature. These are some of the reasons that have made LSG a technique that is growing in popularity and is offered by most bariatric centers.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Marceau P, Biron S, Bourque RA, Potvin M, Hould FS, Simard S. biliopancreatic diversion with a new type of gastrectomy. Obes Surg. 1993;3(1):29–35.
Ren C, Patterson E, Gagner M. Early results of laparoscopic biliopancreatic diversion with duodenal switch: a case series of 40 consecutive patients. Obes Surg. 2000;10:514–23.
Regan J, Inabnet W, Gagner M. Early experience with two-stage laparoscopic Roux-en-Y gastric bypass as an alternative in the super-super obese patient. Obes Surg. 2003;13:861–4.
Kim WW, Gagner M, Kini S, et al. Laparoscopic versus open biliopancreatic diversion with duodenal switch: a comparative study. J Gastrointest Surg. 2003;7:552–7.
Gagner M, Inabnet WB, Pomp A. Laparoscopic sleeve gastrectomy with second stage laparoscopic biliopancreatic diversion and duodenal switch in the superobese. In: Inabnet WB, DeMaria EJ, Ikramuddin S, editors. Laparoscopic bariatric surgery. Philadelphia: Lippincott, Williams & Wilkins; 2005.
Mognol P, Chosidow D, Marmuse JP. Laparoscopic sleeve gastrectomy as an initial bariatric operation for high-risk patients: initial results in ten patients. Obes Surg. 2005;15:1030–3.
Frezza EE, Reddy S, Gee LL, Wachtel MS. Complications after sleeve gastrectomy for morbid obesity. Obes Surg. 2009;19:684–7.
Lalor PF, Tucker ON, Szomstein S, Rosenthal RJ. Complications after laparoscopic sleeve gastrectomy. Surg Obes Relat Dis. 2008;4:33–8.
Gagner M, Deitel M, Erickson AL, Crosby RD. Survey on laparoscopic sleeve gastrectomy (LSG) at the Fourth International Consensus Summit on Sleeve Gastrectomy. OBES SURG, DOI 10.1007/s11695-013-1040-x. Published on-line on 04/08/2013.
Bohdjalian A, Langer FB, Shakeri-Leidenmuhler S, Gfrerer L, Ludvik B, Zacherl J, Prager G. Sleeve gastrectomy as sole and definitive bariatric procedure: 5-year results for weight loss and ghrelin. Obes Surg. 2010;20:535–40.
Saif T, Strain GW, Dakin G, Gagner M, Costa R, Pomp A. Evaluation of nutrient status after laparoscopic sleeve gastrectomy 1, 3 and 5 years alter surgery. Surg Obes Relat Dis. 2012;8:542–7.
Zachariah SK, Chang PC, Ooi AS, et al. Laparoscopic sleeve gastrectomy for morbid obesity: 5 years experience from an Asian center of excellence. Obes Surg. 2013;23:939–46. doi:10.1007/s11695-013-0887-1.
Shelley Yip & Lindsay D. Plank & Rinki Murphy Gastric Bypass and Sleeve Gastrectomy for Type 2 Diabetes:A Systematic Review and Meta-analysis of Outcomes. Obes Surg, DOI 10.1007/s11695-013-1030-z. Published on-line 17/08/2013.
Sanchez-Santos R, Masdevall C, Baltasar A, et al. Short- and mid-term outcomes of sleeve gastrectomy for morbid obesity: the experience of the Spanish National Registry. Obes Surg. 2009;19:1203–10.
Anderson B, Switzer NJ, Almamar A, Shi X, Birch DR, Karmali S. The impact of laparoscopic sleeve gastrectomy on plasma ghrelin levels: a systematic review. Obes Surg. 2013;23:1476–80. doi:10.1007/s11695-013-0999-7.
Gehrer S, Kern B, Peters T, Christofel-Courtin C, Peterli R. Fewer nutrient deficiencies after laparoscopic sleeve gastrectomy (LSG) than after laparoscopic Roux-Y-gastric bypass (LRYGB)-a prospective study. Obes Surg. 2010;20:447–53.
Zundel N, Hernandez J. Revisional surgery after restrictive procedures for morbid obesity. Sur Laparosc Endosc Percutan Tech. 2010;20:338–43.
Zundel N, Hernandez J, Galvao Neto MG, Campos J. Strictures after laparoscopic sleeve gastrectomy. Surg Laparosc Endosc Percut Tech. 2010;20:154–8.
Cottam D, Qureshi F, Mattar S, et al. Laparoscopic sleeve gastrectomy as an initial weight-loss procedure for high-risk patients with morbid obesity. Surg Endosc. 2006;20:859–63.
Gagner M. Leaks after sleeve gastrectomy are associated with smaller bougies: prevention and treatment strategies. Surg Laparosc Endosc Percutan Tech. 2010;20:166–9.
Kakoulidis TP, Karringer A, Gloaguen T, Arvidsson D. Initial results with sleeve gastrectomy for patients with class I obesity (BMI 30–35 kg/m2). SOARD. 2009;5:425–8.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer Science+Business Media New York
About this chapter
Cite this chapter
Zundel, N., Hernandez, J.D., Gagner, M. (2015). Laparoscopic Sleeve Gastrectomy: Technique and Outcomes. In: Nguyen, N., Blackstone, R., Morton, J., Ponce, J., Rosenthal, R. (eds) The ASMBS Textbook of Bariatric Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1206-3_17
Download citation
DOI: https://doi.org/10.1007/978-1-4939-1206-3_17
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4939-1205-6
Online ISBN: 978-1-4939-1206-3
eBook Packages: MedicineMedicine (R0)