Masters Program Bariatric Pathway: Laparoscopic Sleeve Gastrectomy

Chapter

Abstract

Laparoscopic sleeve gastrectomy (LSG) – a gastrectomy of the fundus, body, and proximal antrum, to create a longitudinal, partly vertical, cylindrical gastric conduit constructed along the lesser curve of the stomach – is presently the most performed bariatric/metabolic intervention in the United States and worldwide. Three years ago, it surpassed standard Roux-en-Y gastric bypass. It is used to treat morbid obesity (BMI > 40 kg/m2), severe obesity (BMI > 35 kg/m2) with associated comorbidities, and type 2 diabetes in lesser degree of obesity (metabolic surgery) and often used as a bridge for high-risk patients before a more malabsorptive surgery or before other types of surgery where weight is a hindrance (transplantation, joint replacements, deep pelvic surgeries among the commonest). In this chapter, we review the technical aspects and controversies related to this new innovative and popular minimally invasive surgery.

Keywords

Sleeve gastrectomy Vertical gastrectomy Morbid obesity Metabolic surgery Weight loss surgery Type 2 diabetes Duodenal switch 

References

  1. 1.
  2. 2.
    Khorgami Z, Shoar S, Andalib A, Aminian A, Brethauer SA, Schauer PR. Trends in utilization of bariatric surgery, 2010-2014: sleeve gastrectomy dominates. Surg Obes Relat Dis. 2017;13(5):774–8.CrossRefPubMedGoogle Scholar
  3. 3.
    Gagner M, Matteotti R. Laparoscopic biliopancreatic diversion with duodenal switch. Surg Clin North Am. 2005;85(1):141–9.CrossRefPubMedGoogle Scholar
  4. 4.
    Ramón JM, Salvans S, Crous X, Puig S, Goday A, Benaiges D, Trillo L, Pera M, Grande L. Effect of roux-en-Y gastric bypass vs sleeve gastrectomy on glucose and gut hormones: a prospective randomised trial. J Gastrointest Surg. 2012;16(6):1116–22.CrossRefPubMedGoogle Scholar
  5. 5.
    Hutter MM, Schirmer BD, Jones DB, et al. First report from the American College of Surgeons bariatric surgery center network: laparoscopic sleeve gastrectomy has morbidity and effectiveness positioned between the band and the bypass. Ann Surg. 2011;254:410–20. discussion 20-2.CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    Fischer L, Hildebrandt C, Bruckner T, et al. Excessive weight loss after sleeve gastrectomy: a systematic review. Obes Surg. 2012;22(5):721–31.CrossRefPubMedGoogle Scholar
  7. 7.
    Parikh M, Issa R, McCrillis A, Saunders JK, Ude-Welcome A, Gagner M. Surgical strategies that may decrease leak after laparoscopic sleeve gastrectomy: a systematic review and meta-analysis of 9991 cases. Ann Surg. 2013;257(2):231–7.CrossRefPubMedGoogle Scholar
  8. 8.
    Osland E, Yunus RM, Khan S, Memon B, Memon MA. Weight loss outcomes in laparoscopic vertical sleeve gastrectomy (LVSG) versus laparoscopic roux-en-Y gastric bypass (LRYGB) procedures: a meta-analysis and systematic review of randomized controlled trials. Surg Laparosc Endosc Percutan Tech. 2017;27(1):8–18.PubMedGoogle Scholar
  9. 9.
    Felsenreich DM, Kefurt R, Schermann M, Beckerhinn P, Kristo I, Krebs M, Prager G, Langer FB. Reflux, sleeve dilation, and Barrett's esophagus after laparoscopic SleeveGastrectomy: long-term follow-up. Obes Surg. 2017.; [Epub ahead of print].Google Scholar
  10. 10.
    Mehaffey JH, LaPar DJ, Clement KC, Turrentine FE, Miller MS, Hallowell PT, Schirmer BD. 10-year outcomes after roux-en-Y gastric bypass. Ann Surg. 2016;264(1):121–6.CrossRefPubMedGoogle Scholar
  11. 11.
    Daes J, Jimenez ME, Said N, Dennis R. Improvement of gastroesophageal reflux symptoms after standardized laparoscopic sleeve gastrectomy. Obes Surg. 2014;24(4):536–40.CrossRefPubMedGoogle Scholar
  12. 12.
    Hawasli A, Tarakji M, Tarboush M. Laparoscopic management of severe reflux after sleeve gastrectomy using theLINX® system: technique and one year follow up case report. Int J Surg Case Rep. 2017;30:148–51.CrossRefPubMedGoogle Scholar
  13. 13.
    Silecchia G, Boru C, Pecchia A, et al. Effectiveness of laparoscopic sleeve gastrectomy (first stage of biliopancreatic diversion with duodenal switch) on co-morbidities in super obese high-risk patients. Obes Surg. 2006;16:1138–44.CrossRefPubMedGoogle Scholar
  14. 14.
    Himpens J, Dapri G, Cadière GBA. Prospective randomized study between laparoscopic gastric banding and laparoscopic isolated sleeve gastrectomy: results after 1 and 3 years. Obes Surg. 2006;16:1450–6.CrossRefPubMedGoogle Scholar
  15. 15.
    Iannelli A, Dainese R, Piche T, Facchiano E, Gugenheim J. Laparoscopic sleeve gastrectomy for morbid obesity. World J Gastroenterol. 2008;14:821–7.CrossRefPubMedPubMedCentralGoogle Scholar
  16. 16.
    Gill RS, Birch DW, Shi X, Sharma AM, Karmali S. Sleeve gastrectomy and type 2 diabetes mellitus: a systematic review. Surg Obes Relat Dis. 2010;6(6):707–13.CrossRefPubMedGoogle Scholar
  17. 17.
    Casella G, Abbatini F, Calì B, Capoccia D, Leonetti F, Basso N. Ten-year duration of type 2 diabetes as prognostic factor for remission after sleeve gastrectomy. Surg Obes Relat Dis. 2011;7(6):697–702.CrossRefPubMedGoogle Scholar
  18. 18.
    Tinoco A, El-Kadre L, Aquiar L, Tinoco R, Savassi-Rocha P. Short-term and mid-term control of type 2 diabetes mellitus by laparoscopic sleeve gastrectomy with ileal interposition. World J Surg. 2011;35(10):2238–44.CrossRefPubMedGoogle Scholar
  19. 19.
    Nedelcu M, Noel P, Iannelli A, Gagner M. Revised sleeve gastrectomy (re-sleeve). Surg Obes Relat Dis. 2015;11(6):1282–8.CrossRefPubMedGoogle Scholar
  20. 20.
    Sánchez-Pernaute A, Rubio MÁ, Conde M, Arrue E, Pérez-Aguirre E, Torres A. Single-anastomosis duodenoileal bypass as a second step after sleeve gastrectomy. Surg Obes Relat Dis. 2015;11(2):351–5.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of surgerySacré-Coeur HospitalMontrealCanada

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