Obesity Surgery

, Volume 17, Issue 7, pp 962–969 | Cite as

Sleeve Gastrectomy for Morbid Obesity

  • Andrew A. Gumbs
  • Michel Gagner
  • Gregory Dakin
  • Alfons Pomp
Review Article

The rising prevalence of morbid obesity and the increased incidence of super-obese patients (BMI >50 kg/m2) seeking surgical treatments has led to the search for surgical techniques that provide adequate EWL with the least possible morbidity. Sleeve gastrectomy (SG) was initially added as a modification to the biliopancreatic diversion (BPD) and then combined with a duodenal switch (DS) in 1988. It was first performed laparoscopically in 1999 as part of a DS and subsequently done alone as a staged procedure in 2000. With the revelation that patients experienced weight loss after SG, interest in using this procedure as a bridge to more definitive surgical treatment has risen. Benefits of SG include the low rate of complications, the avoidance of foreign material, the maintenance of normal gastro-intestinal continuity, the absence of malabsorption and the ability to convert to multiple other operations. Reduction of the ghrelinproducing stomach mass may account for its superiority to other gastric restrictive procedures. SG should be in the armamentarium of all bariatric surgeons. Nonetheless, long-term studies are necessary to see if it is a durable procedure in the treatment of morbid obesity.

Key words

Gastric sleeve Magenstrasse & Mill procedure gastroplasty morbid obesity bariatric surgery 

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Copyright information

© Springer Science + Business Media B.V. 2007

Authors and Affiliations

  • Andrew A. Gumbs
    • 1
  • Michel Gagner
    • 1
    • 2
  • Gregory Dakin
    • 1
  • Alfons Pomp
    • 1
  1. 1.New York-Presbyterian Hospital, Division of Laparoscopy, and Department of SurgeryWeill-Cornell College of MedicineNew YorkUSA
  2. 2.Department of Surgery, Joan and Sanford IWeill Medical College of Cornell University, New York-Presbyterian Hospital-Weill Cornell Medical CenterNew YorkUSA

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