Outcomes of sleeve gastrectomy for morbid obesity: A safe and effective procedure?

Abstract

Laparoscopic sleeve gastrectomy can be performed safely and with excellent weight loss. More long term follow up is required.

The influence of laparoscopic adjustable gastric banding and laparoscopic sleeve gastrectomy on weight loss, plasma ghrelin, insulin, glucose and lipids

“…We observed a decrease of %EWL and %EBL which was maintained throughout the whole six-month follow-up. From this perspective, our results in the LSG group are similar to Armstrong and Malley's [32] as well as Karamanakos' [33] and in the LAGB group to Ponce's [34] and Jong's results [35]. Short-term observations of global studies indicate that the efficiency of both techniques is varied.…”

Laparoscopic Sleeve Gastrectomy Improves Olfaction Sensitivity in Morbidly Obese Patients

“…LSG was performed under general anesthesia by the same surgeon using five-port technique [5,8,12,19,20]. The patient was placed in a supine position and five trocars were used, and these trocars (one 10-mm optical trocar for the first entry) were placed to the subxyphoid, right costal margin, left costal margin, lateral border of the left rectus, and a 10-mm trocar for the camera to the midline.…”

“…Significant weight loss by conservative approaches without any medical help requires a total change of lifestyle and behavior, which is usually not practical for obese patients [1,4]. Therefore, the most rational treatment of obese patients is through bariatric surgery such as Roux-en-Y gastric bypass, gastric banding, or sleeve gastrectomy [5][6][7][8][9][10]. Although surgical approaches contain higher risks for morbidly obese patients due to the common association of obesity with other medical conditions like hypertension or diabetes mellitus and high fat content of the body which can be a problem during the operation, there are several benefits of these risky procedures like permanent weight loss and improvement of both lifestyle and medical conditions [6,11,12].…”

Gastric Leak After Laparoscopic Sleeve Gastrectomy

“…When using endostaples, it is advisable to begin tissue compression carefully and sustain this position for enough time to allow the tissue fluids to exit, as well as to carefully place the staples [17]. Some authors advise waiting for around 10 s before beginning stapling [19].…”