14 Sleeve Gastrectomy: Technique, Pearls, and Pitfalls

  • Cheguevara Afaneh
  • Alfons PompEmail author


Laparoscopic sleeve gastrectomy (LSG) has become one of the most popular bariatric procedures worldwide. The procedure is technically easier than a laparoscopic Roux-en-Y gastric bypass with good outcomes and excellent weight loss. The LSG maintains the anatomy of the gastrointestinal tract, still allowing for further revisional bariatric procedures if necessary at a later time. Moreover, the entire upper gastrointestinal tract remains available for endoscopic therapies. The purpose of our chapter is to discuss in detail the steps required to properly and safely perform an LSG. Patient positioning, anesthetic considerations, surgical technique, and postoperative management will be reviewed. We will focus on important operative and postoperative pearls to maximize potential for technical success and sustained weight loss.


Bariatric surgery Laparoscopic sleeve gastrectomy Morbid obesity Pearls Technique 



CA: No financial disclosures and no conflicts of interest to declare.

AP: Is a consultant, speaker and receives honoraria from W L Gore & Associates and also Covidien

Supplementary material

Video 1

Afaneh & pomp sleeve gastrectomy (MP4 41574 kb)


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of SurgeryNew York Presbyterian Hospital, Weill Cornell Medical CenterNew YorkUSA

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