Laparoscopic Sleeve Gastrectomy: Surgical Technique, Indications and Clinical Results

Braghetto, Italo; Korn, Owen; Valladares, H; Gutiérrez, Luís; Csendes, Attila; Debandi, Aníbal; Castillo, Jaime; Rodríguez, Alberto González; Burgos, Ana María; Brunet, Luís

doi:10.1007/s11695-008-9421-2

Cited by 138 publications

(77 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…As a restrictive procedure, it limits food intake and leads to early satiety. 13 There is compelling evidence of accelerated gastric emptying and increased small bowel transit time, leading to decreased nutrient absorption. 14 Metabolic effects are attributed primarily to reduced production of ghrelin.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic sleeve gastrectomy: perioperative outcomes, weight loss and impact on type 2 diabetes mellitus over 2 years

Hoogerboord

Wiebe

Klassen

et al. 2014

cjs

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Laparoscopic sleeve gastrectomy: perioperative outcomes, weight loss and impact on type 2 diabetes mellitus over 2 years

Hoogerboord

Wiebe

Klassen

et al. 2014

cjs

View full text Add to dashboard Cite

“…LSG has demonstrated weight-loss results comparable to LRYGB and LBPD-DS but with a lower morbidity profile, associated with improvement of health status and resolution of co-morbidities such as diabetes, hypertension, OSA and dyslipidemia [16,18,38,41,44,45,47,48]. Silecchia et al [44] showed that in 41 super-obese patients (9 patients with BMI > 60 kg/m ) following LSG, 60% of major comorbidities were resolved and 24% improved, 57.8% of patients were co-morbidity-free and 31.5% had only one major co-morbidity.…”

Section: Discussionmentioning

confidence: 99%

Updated Review of Sleeve Gastrectomy

Trelles¹,

Gautier²

2008

TOGASJ

View full text Add to dashboard Cite

There is a bariatric explosion worldwide to deal with the rising prevalence of morbid obesity. In 1988, Hess and Hess first added the sleeve gastrectomy (SG) and the duodenal switch (DS) as a modification to the biliopancreatic diversion (BPD) to improve clinical outcomes. But the increased morbidity and mortality observed in super-super-obese patients (BMI > 60 kg/m ) who underwent BPD with DS (BPD-DS) made Gagner and co-workers propose SG as a bridge to gastric bypass or BPD-DS to reduce complications and mortality. The excellent short-term weight-loss outcomes after SG have increased the enthusiasm among surgeons to use it as a definitive treatment for morbidly obese and super-obese patients (BMI > 50 kg/m ). Neurohormonal and gastric emptying changes may account for its superiority over other restrictive procedures. Recent reports on mid-term weight-loss outcomes make this procedure a viable option for bariatric surgeons; nonetheless, long-term studies are still required.

show abstract

“…22,24 The other complications reported in the LSG studies include early leak (1.7%), 17 gastric fistula (1.7-5.1%). 13,14,19,26 Gastric prolapse (20%), incisional hernia (0.6%), reconnection of catheter (0.6%) and wound infection (4%) were also reported as complications resulting from LASGB. 21,25 Other life-threatening complications reported by Chevallier et al and accounting for 1.2% of their study population of 1,000 LASGB patients include gastric perforation (0.4%), acute respiratory distress (0.2%), pulmonary embolism (0.2%), migration (0.3%), and gastric necrosis (0.1%).…”

Section: Blood Loss Complications Conversion To Open Surgery and Rementioning

confidence: 99%

“…[14][15][16][17] It is now becoming more common as a single-stage operation for the treatment of morbid obesity. It however appears that the volume of gastric tissue excised greatly affects weight loss.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Adjustable Silicon Gastric Banding versus Sleeve Gastrectomy

Akpo¹

2009

WJOLS

View full text Add to dashboard Cite

Background and purpose: Obesity now forms one of the leading public health concerns globally. Several surgical options including sleeve gastrectomy exist for its treatment. Recently, laparoscopic gastric banding has been developed with the aim of providing a laparoscopically placed device that is safe and effective in generating substantial weight loss. The goal of this review is to compare the effectiveness and safety of laparoscopic adjustable silicon gastric banding (LASGB) and laparoscopic sleeve gastrectomy (LSG) in the treatment of morbid obesity by reviewing the methods of patient selection, operative time, conversion rate, complications, blood loss, postoperative morbidity and mortality, hospital stay, and quality of life. Material and methods:A systematic literature search was performed using Highwire press, Springer link, Medline, Medscape and Google, and article bibliographies to identify relevant evidence. Included studies must have reported outcome data for more than 40 patients aged 20 years and above with a minimum of one 1-year follow-up. The operating time, complications, blood loss, hospital stay, morbidity and mortality, and quality of life were reviewed. Results:The total number of patients enrolled was 4,519; the specific procedure totals were 3,714 for LAGB and 805 for LSG. The age range of the population studied was 13-79 years for LSG and 18-65 years for LAGB. The sex distribution had a male:female ratio of 1:4 for LAGB and 1:3 for LSG. The overall complication rate in this review varied from 1.7-11. 80% for LSG and 0.2-24% for LAGB. Conclusion:Laparoscopic sleeve gastrectomy though, forms a safe surgical option for weight loss treatment particularly in the veryvery-obese patients (BMI > 60 kg/m 2 ). LASGB gives satisfactory results and coupled with reversibility and low cost, it is an important tool in the long-term management of patients with morbid obesity.

show abstract

Laparoscopic Sleeve Gastrectomy: Surgical Technique, Indications and Clinical Results

Abstract: LSG may be an acceptable operation. It is easy to perform, safe, and has a lower complication rate than other bariatric operations. Further studies are necessary for the clinical results at long-term follow-up.

Cited by 138 publications

References 30 publications

Laparoscopic sleeve gastrectomy: perioperative outcomes, weight loss and impact on type 2 diabetes mellitus over 2 years

Laparoscopic sleeve gastrectomy: perioperative outcomes, weight loss and impact on type 2 diabetes mellitus over 2 years

Updated Review of Sleeve Gastrectomy

Laparoscopic Adjustable Silicon Gastric Banding versus Sleeve Gastrectomy

Contact Info

Product

Resources

About