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Technical Controversies in Laparoscopic Sleeve Gastrectomy

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Abstract

Laparoscopic sleeve gastrectomy is a recently developed technique for treating morbid obesity. Since it is a simple procedure, many bariatric surgeons have adopted it in recent years with good results. However, there is still no standard procedure across different surgical teams. We will discuss the more controversial aspects of the surgical technique: the size of the bougie, the beginning of the distal section, the section shape at the gastroesophageal junction, the necessity and manner of reinforcing the staple line, and the routine use of intraoperative leak testing.

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Acknowledgements

We would like to thank Dr. Aniceto Baltasar and Manuel Miras for their help.

Conflict of Interest

The authors (Manuel Ferrer-Márquez, Ricardo Belda-Lozano, and Manuel Ferrer-Ayza) declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Bariatric Surgery, Torrecárdenas Hospital, Almería, Spain

    Manuel Ferrer-Márquez, Ricardo Belda-Lozano & Manuel Ferrer-Ayza

  2. Department of General Surgery, Torrecárdenas Hospital, Almería, Spain

    Manuel Ferrer-Márquez, Ricardo Belda-Lozano & Manuel Ferrer-Ayza

Authors
  1. Manuel Ferrer-Márquez
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  2. Ricardo Belda-Lozano
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  3. Manuel Ferrer-Ayza
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Correspondence to Manuel Ferrer-Márquez.

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Ferrer-Márquez, M., Belda-Lozano, R. & Ferrer-Ayza, M. Technical Controversies in Laparoscopic Sleeve Gastrectomy. OBES SURG 22, 182–187 (2012). https://doi.org/10.1007/s11695-011-0492-0

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