Sleeve Gastrectomy

  • Blake R. Movitz
  • Arsalan Salamat
  • Rami Lutfi


Laparoscopic sleeve gastrectomy (LSG) is the most commonly performed bariatric procedure in the United States, accounting for more than half of all bariatric procedures. There are several factors that have led to its rapid traction since its inception. Firstly, in comparison to the laparoscopic adjustable gastric banding, which was still popular at the time, the sleeve was a simple yet a metabolic operation, activating significant hormonal pathways that lead to changes in eating behavior, glycemic control, and gut functions, all without the need for an implant. Secondly, in contrast to Roux-en-Y gastric bypass (RYGB), LSG is less technically complex and therefore more appealing to patients. Being limited to the stomach makes it simpler and evades the risk of internal hernias and malabsorption complications such as micronutrient and protein deficiency. Yet, if needed, it could always be converted to a malabsorptive operation by simply performing the intestinal part of these operations.


Sleeve gastrectomy Vertical sleeve Bariatric surgery Morbid obesity Omentopexy Bougie 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Blake R. Movitz
    • 1
  • Arsalan Salamat
    • 2
  • Rami Lutfi
    • 3
  1. 1.General SurgeryUniversity of Illinois at Chicago – Metropolitan Group HospitalsChicagoUSA
  2. 2.General SurgeryPresence Health St. Joseph HospitalChicagoUSA
  3. 3.University of Illinois at ChicagoChicagoUSA

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