The First International Consensus Summit for Sleeve Gastrectomy (SG), New York City, October 25–27, 2007

Abstract

Sleeve gastrectomy is a rapid and less traumatic operation, which thus far is showing good resolution of comorbidities and good weight loss if a narrower channel is constructed than for the duodenal switch. There are potential intraoperative complications, which must be recognized and treated promptly. Like other bariatric operations, there are variations in the technique used. The laparoscopic sleeve gastrectomy (LSG) is being performed for super-obese and high-risk patients, but its indications have been increasing. A second-stage bariatric operation may be performed if necessary, with increased safety. Long-term results of LSG and further networking are anxiously awaited.

Splenic infarction as a complication of laparoscopic sleeve gastrectomy

“…To date, the following complications of LSG have been described in the available literature [6,8,10,[14][15][16][17][18] The perioperative mortality after LSG is reported at levels of up to 0.6% [14,15].…”

“…This was developed in the 1990s and was first described by Hess and Marceau et al [3,4]. In 1999 Ganger performed the first laparoscopic sleeve gastrectomy (LSG) and a year later he sugges -ted this procedure to be the first stage in treatment of patients with a body mass index (BMI) higher than 60 kg/m 2 [5,6]. Laparoscopic sleeve gastrectomy was adopted in 2003 as an initial surgical intervention of choice for patients with super morbid obesity (BMI greater than 50 kg/m 2 ).…”

A gastroplastia em manga (sleeve gastrectomy) e o diabetes mellitus

“…Faz-se, então, o grampeamento e secção gástrica paralela a pequena curvatura. A técnica é mais rápida e segura se comparada com outras operações em que se tem de utilizar alça de delgado e maior número de anastomoses, diminuindo o risco de deiscência de anastomose, fístula, e maior aceitabilidade do paciente devido a maiores complicações disabsortivas no pós-operatório 2,3,4,8,9 .…”

Outcomes after Sleeve Gastrostomy: Influence of the Calibrating Bougie

“…At the beginning, it was introduced as a first-stage restrictive operation in super obese patients with a body mass index (BMI) greater than 60 kg/m2 or in high-risk patients before a more complex definitive procedure [1][2][3][4].…”