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Indikation, Technik und Ergebnisse der Sleeve Gastrektomie

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Viszeral- und Allgemeinchirurgie

Part of the book series: Springer Reference Medizin ((SRM))

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Zusammenfassung

Die eigenständige Schlauchmagenoperation (LSG: laparoscopic sleeve gastrectomy) wurde zu der häufigsten Operationsart in der Behandlung der krankhaften Adipositas. LSG ist eine sichere und effektive primäre Adipositasoperation mit einem langanhaltenden Gewichtsverlust. Das einfache Konzept der Operation, bei der keine Darmanteile verändert werden müssen, macht die LSG zu der am häufigsten durchgeführten Operation weltweit. Nichtsdestoweniger sind feine Details der Operation entscheidend, um Komplikationen zu vermeiden. Die Kernpunkte einer sicheren LSG bestehen in einer Kalibration einer bis mindestens 36 French-Sonde, einer Resektion beginnend 2-5 cm vom Pylorus entfernt und 1 cm vom Ösophagus im His-Winkel endend mit einer Klammernahtverstärkung. LSG ist im Vergleich zu anderen Verfahren noch jung und zeigt exzellente Ergebnisse hinsichtlich Gewichtsverlust und Verbesserung von Komorbiditäten. Das Maximum an Gewichtsverlust wird 1-2 Jahre nach der OP erreicht und führt zu einem EWL von 50-60%. Langzeitdaten mit einem möglichen Wiederanstieg des Gewichtes und einer Wiederkehr von Erkrankungen fehlen noch immer.

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Authors and Affiliations

  1. Department Metabolic Surgery, Sana Klinikum Offenbach, Offenbach am Main, Deutschland

    Rudolf A. Weiner

  2. Krankenhaus Nordwest, Frankfurt am Main, Deutschland

    Sylvia Weiner

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  1. Rudolf A. Weiner
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Editors and Affiliations

  1. Allgemein- Viszeral- u. Gefäßchirurgie, Charité Universitätsmedizin Berlin, Berlin, Berlin, Deutschland

    Martin Kreis

  2. Klinik für Visceral-, Thorax- und G, Universitätsklinikum Marburg, Marburg, Hessen, Deutschland

    Detlef K. Bartsch

  3. Klinik & Poliklinik Allgemein & Abdomin, Universitätsklinikum Mainz, Mainz, Rheinland-Pfalz, Deutschland

    Hauke Lang

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  1. Klinik für Allgemein-, Viszeral- und Gefäßchirurgie, Charité – Universitätsmedizin Berlin, Berlin, Deutschland

    Katharina Beyer

  2. Charité – Universitätsmedizin Berlin, Berlin, Germany

    Martin Kreis

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Weiner, R.A., Weiner, S. (2022). Indikation, Technik und Ergebnisse der Sleeve Gastrektomie. In: Kreis, M., Bartsch, D.K., Lang, H. (eds) Viszeral- und Allgemeinchirurgie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-61724-3_102-1

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