Masters Program Bariatric Pathway: Laparoscopic Sleeve Gastrectomy
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.
KeywordsSleeve gastrectomy Vertical gastrectomy Morbid obesity Metabolic surgery Weight loss surgery Type 2 diabetes Duodenal switch
- 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
- 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.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