Laparoscopic sleeve gastrectomy: More than a restrictive bariatric surgery procedure?

Abstract

Sleeve gastrectomy (SG) is a restrictive bariatric surgery technique that was first used as part of restrictive horizontal gastrectomy in the original Scopinaro type biliopancreatic diversion. Its good results as a single technique have led to a rise in its use, and it is currently the second most performed technique worldwide. SG achieves clearly better results than other restrictive techniques and is comparable in some aspects to the Roux-en-Y gastric bypass, the current gold standard in bariatric surgery. These benefits have been associated with different pathophysiologic mechanisms unrelated to weight loss such as increased gastric emptying and intestinal transit, and activation of hormonal mechanisms such as increased GLP-1 hormone and decreased ghrelin. The aim of this review was to highlight the salient aspects of SG regarding its historical evolution, pathophysiologic mechanisms, main results, clinical applications and perioperative complications.

The effects of bariatric surgical procedures on the improvement of metabolic syndrome in morbidly obese patients: Comparison of laparoscopic sleeve gastrectomy versus laparoscopic Roux-en-Y gastric bypass

“…Laparoscopic sleeve gastrectomy has become the most common bariatric surgical method worldwide because of its low complication rate, short learning curve and ease of application (17)(18)(19). The most important complications of LSG are hemorrhage and stapler line leakage.…”

Weight Regain After Sleeve Gastrectomy.

“…Sleeve gastrectomy is one of the surgical procedures performed in obese patients as an approach to limit the gain in weight. It is an effective method with little risk of post-surgical complications (Benaiges et al, 2015). Although sleeve gastrectomy is an affective procedure but it has been observed and reported in some studies that it's affects are short term and patients having a BMI greater than 60kg/m 2 have been reported a failure in maintaining a long term weight loss and weight regain has been the most common complication reported so far in many such cases (Regan et al, 2003).…”

“…The possible downsides of the SG consolidate the irreversibility, extended specialist peril differentiated and other restrictive frameworks, and unproved quality. The explanation behind the present efficient review was to evaluate the current evidence as for weight lessening, trouble rates, postoperative mortality, and co-terribleness a great many SG (Benaiges et al, 2015).Sleeve gastrectomy can be performed safely with commendable entrapment rates and awesome weight decrease. The rate excess weight decrease reported from this course of action of up to 66% at 3 years is engaging.…”

Preoperative Dietary Behaviour as Predictive Factor for Inadequate Weight Loss after Sleeve Gastrectomy

“…Indeed, LSG is gaining popularity because it is technically less demanding, requires less operative time, and may be associated with fewer complications and metabolic deficiencies compared than other procedures [2]. Increasing experience with LSG shows that some patients will have a procedure failure because complications (i.e.…”