Advertisement

Sleeve Gastrectomy

  • Blake R. Movitz
  • Arsalan Salamat
  • Rami Lutfi
Chapter

Abstract

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.

Keywords

Sleeve gastrectomy Vertical sleeve Bariatric surgery Morbid obesity Omentopexy Bougie 

References

  1. 1.
    Ponce J, DeMaria EJ, Nguyen NT, et al. American Society for Metabolic and Bariatric Surgery estimation of bariatric surgery procedures in 2015 and surgeon workforce in the United States. Surg Obes Relat Dis. 2016;12(9):1637–9.CrossRefPubMedGoogle Scholar
  2. 2.
    Tretbar LL, Taylor TL, Sifer EC. Weight reduction. Gastric plication for morbid obesity. J Kans Med Soc. 1976;77(11):488–90.PubMedGoogle Scholar
  3. 3.
    Johnston D, Dachtler J, Sue-Ling HM, et al. The magenstrasse and mill operation for morbid obesity. Obes Surg. 2003;13(1):10–6.CrossRefPubMedGoogle Scholar
  4. 4.
    Marceau P, Biron S, St Georges R, et al. Biliopancreatic diversion with gastrectomy as surgical treatment of morbid obesity. Obes Surg. 1991:1381–7.Google Scholar
  5. 5.
    Hess DS, Hess DW. Biliopancreatic diversion with a duodenal switch. Obes Surg. 1998;8:267–82.CrossRefPubMedGoogle Scholar
  6. 6.
    Ren CJ, Patterson E, Gagner M. Early results of laparoscopic bilio-pancreatic diversion with duodenal switch: a case series of 40 consecutive patients. Obes Surg. 2000;10:514–23.CrossRefPubMedGoogle Scholar
  7. 7.
    Kim WW, Gagner M, Kini S, et al. Laparoscopic vs. open biliopancreatic diversion with duodenal switch: a comparative study. J Gastrointest Surg. 2003;7:552–7.CrossRefPubMedGoogle Scholar
  8. 8.
    Chu CA, Gagner M, Quinn T, et al. Two-stage laparoscopic bilio-pancreatic diversion with duodenal switch: an alternative approach to super-super morbid obesity. Surg Endosc. 2002;16:S069.Google Scholar
  9. 9.
    Regan JP, Inabnet WB, Gagner M, et al. Early experience with two stage laparoscopic Roux-en-Y gastric bypass as an alternative in the super-super obese patient. Obes Surg. 2003;13:861–4.CrossRefPubMedGoogle Scholar
  10. 10.
    Alexandrou A, Felekouras E, Giannopoulos A, et al. What is the actual fate of super-morbid-obese patients who undergo laparoscopic sleeve gastrectomy as the first step of a two-stage weight-reduction operative strategy? Obes Surg. 2012;22(10):1623–8.CrossRefPubMedGoogle Scholar
  11. 11.
    Gomberwalla A, Lutfi R. Early outcomes of helicobacter pylori and its treatment after laparoscopic sleeve gastrectomy. Bariatr Surg Pract Patient Care. 2015;10(1):12–4.CrossRefGoogle Scholar
  12. 12.
    Berch BR, Torquati A, Lutfi RE, et al. Experience with the optical access trocar for safe and rapid entry in the performance of laparoscopic gastric bypass. Surg Endosc. 2006;20(8):1238–41.CrossRefPubMedGoogle Scholar
  13. 13.
    Himpens J, Dobbeleir J, Peeters J. Long-term results of laparoscopic sleeve gastrectomy for obesity. Ann Surg. 2010;252(2):319–24.CrossRefPubMedGoogle Scholar
  14. 14.
    Laffin M, Chau J, Gill RS, et al. Sleeve gastrectomy and gastroesophageal reflux disease. J Obes. 2013;2013:741097.CrossRefPubMedPubMedCentralGoogle Scholar
  15. 15.
    Silecchia G, De Angelis F, Rizzello M, et al. Residual fundus or neofundus after laparoscopic sleeve gastrectomy: is fundectomy safe and effective as revision surgery? Surg Endosc. 2015;29(19):2899–903.CrossRefPubMedGoogle Scholar
  16. 16.
    Noel P, Nedelcu M, Nocca D, et al. Revised sleeve gastrectomy: another option for weight loss failure after sleeve gastrectomy. Surg Endosc. 2013;28(4):1096–102.CrossRefPubMedGoogle Scholar
  17. 17.
    Parikh M, Gagner M, Heacock L, et al. Laparoscopic sleeve gastrectomy: does bougie size affect mean %EWL? Short-term outcomes. Surg Obes Relat Dis. 2008;4(4):528–33.CrossRefPubMedGoogle Scholar
  18. 18.
    Afaneh C, Costa R, Pomp A, et al. A prospective randomized controlled trial assessing the efficacy of omentopexy during laparoscopic sleeve gastrectomy in reducing postoperative gastrointestinal symptoms. Surg Endosc. 2015;29(1):41–7.CrossRefPubMedGoogle Scholar
  19. 19.
    Rosenthal R. International Sleeve Gastrectomy Expert Panel Consensus Statement: best practice guidelines based on experience of >12,000 cases. Surg Obes Relat Dis. 2012;8(1):8–19.CrossRefPubMedGoogle Scholar
  20. 20.
    Parikh M, Issa R, McCrillis A, et al. Surgical strategies that may decrease leak after laparoscopic sleeve gastrectomy: a systematic review and meta-analysis of 9991 cases. Ann Surg. 2013;257(2):231–7.CrossRefPubMedGoogle Scholar
  21. 21.
    Berger E, Clements R, Morton J, et al. The impact of different surgical techniques on outcomes in laparoscopic sleeve gastrectomies: the first report from the metabolic and bariatric surgery accreditation and quality improvement program (MBSAQIP). Ann Surg. 2016;264(3):464–73.CrossRefPubMedGoogle Scholar
  22. 22.
    Sethi M, Zagzag J, Patel K, et al. Intraoperative leak testing has no correlation with leak after laparoscopic sleeve gastrectomy. Surg Endosc. 2016;30:883–91.CrossRefPubMedGoogle Scholar
  23. 23.
    Bingham J, Kaufman J, Hata K, et al. A multicenter study of routine versus selective intraoperative leak testing for sleeve gastrectomy. Surg Obes Relat Dis. 2017;13(9):1469–75.CrossRefPubMedGoogle Scholar
  24. 24.
    Alaedeen D, Madan A, Ro C, et al. Intraoperative endoscopy and leaks after laparoscopic Roux-en-Y gastric bypass. Am Surg. 2009;75(6):485–8.PubMedGoogle Scholar
  25. 25.
    Terterov D, Leung P, Twells L, et al. The usefulness and costs of routine contrast studies after laparoscopic sleeve gastrectomy for detecting staple line leaks. Can J Surg. 2017;60(5):335–41.CrossRefPubMedPubMedCentralGoogle Scholar
  26. 26.
    Caron M, Hould FS, Lescelleru O, et al. Long-term nutritional impact of sleeve gastrectomy. Surg Obes Relat Dis. 2017;13(10):1664–73.CrossRefPubMedGoogle Scholar
  27. 27.
    Bohdjalian A, Langer FB, Shakeri-Leidenmuhler S, et al. Sleeve gastrectomy as sole and definitive bariatric procedure: 5-year results for weight loss and ghrelin. Obes Surg. 2010;20:535–40.CrossRefPubMedGoogle Scholar
  28. 28.
    Saif T, Strain GW, Dakin G, Gagner M, Costa R, Pomp A. Evaluation of nutrient status after laparoscopic sleeve gastrectomy 1, 3 and 5 years after surgery. Surg Obes Relat Dis. 2012;8:542–7.CrossRefPubMedPubMedCentralGoogle Scholar
  29. 29.
    Benaiges D, Goday A, Ramon JM, et al. Laparoscopic sleeve gastrectomy and laparoscopic gastric bypass are equally effective for reduction of cardiovascular risk in severely obese patients at one year of follow-up. Surg Obes Relat Dis. 2011;7:575–80.CrossRefPubMedGoogle Scholar
  30. 30.
    Leyba J, Aulestia S, Llopis S. Laparoscopic Roux-en-Y gastric bypass versus laparoscopic sleeve gastrectomy for the treatment of morbid obesity: a prospective study of 117 patients. Obes Surg. 2011;21:212–6.CrossRefPubMedGoogle Scholar
  31. 31.
    Nocca D, Guillaume F, Noel P, et al. Impact of laparoscopic sleeve gastrectomy and laparoscopic gastric bypass on HbA1c blood level and pharmacological treatment of type 2 diabetes mellitus in severe or morbidly obese patients: results of a multicenter prospective study at 1 year. Updated position statement on sleeve gastrectomy. Surg Obes Relat Dis. 2012;2:21026.Google Scholar
  32. 32.
    O’Keefe K, Kemmeter P, Kemmeter K. Bariatric surgery outcomes in patients aged 65 years and older at an American Society for Metabolic and Bariatric Surgery center of excellence. Obes Surg. 2010;20:1199–205.CrossRefPubMedGoogle Scholar
  33. 33.
    Kafri N, Valfer R, Nativ O, et al. Health behavior, food tolerance, and satisfaction after laparoscopic sleeve gastrectomy. Surg Obes Relat Dis. 2011;7:82–8.CrossRefPubMedGoogle Scholar
  34. 34.
    Alley J, Fenton S, Harnisch M, et al. Quality of life after sleeve gastrectomy and adjustable gastric banding. Surg Obes Relat Dis. 2012;8:31–40.CrossRefPubMedGoogle Scholar
  35. 35.
    Brunault P, Jacobi D, Leger J, et al. Observations regarding “quality of life” and “comfort with food” after bariatric surgery: comparison between laparoscopic adjustable gastric banding and sleeve gastrectomy. Obes Surg. 2011;21:1225–31.CrossRefPubMedGoogle Scholar
  36. 36.
    D’Hondt M, Vanneste S, Pottel H, et al. Laparoscopic sleeve gastrectomy as a single-stage procedure for the treatment of morbid obesity and the resulting quality of life, resolution of comorbidities, food tolerance, and 6-year weight loss. Surg Endosc. 2011;25:2498–504.CrossRefPubMedGoogle Scholar
  37. 37.
    Nedelcu M, Manos T, Cotirlet A, et al. Outcome of leaks after sleeve gastrectomy based on a new algorithm addressing leak size and gastric stenosis. Obes Surg. 2015;25(3):559–63.CrossRefPubMedGoogle Scholar
  38. 38.
    Perez M, Brunaud L, Kedaifa S, et al. Does anatomy explain the origin of a leak after sleeve gastrectomy. Obes Surg. 2014;24(10):1717–23.CrossRefPubMedGoogle Scholar
  39. 39.
    Warner D, Sasse K. Technical details of laparoscopic sleeve gastrectomy leading to lowered leak rate: discussion of 1070 consecutive cases. Minim Invasive Surg. 2017;2:4367059.Google Scholar
  40. 40.
    Aurora A, Khaitan L, Saber A. Sleeve gastrectomy and the risk of leak: a systematic analysis of 4,888 patients. Surg Endosc. 2012;26(6):1509–15.CrossRefPubMedGoogle Scholar
  41. 41.
    Dakwar A, Assalia A, Khamaysi I, et al. Late complication of laparoscopic sleeve gastrectomy. Case Rep Gastrointest Med. 2013;2013:13153.Google Scholar
  42. 42.
    Zundel N, Hernandez J, Galvao Neto MG, et al. Strictures after laparoscopic sleeve gastrectomy. Surg Laparosc Endosc Percut Tech. 2010;20:154–8.CrossRefGoogle Scholar
  43. 43.
    Carter P, LeBlanc K, Hausmann M, et al. Association between gastroesophageal reflux disease and laparoscopic sleeve gastrectomy. Surg Obes Relat Dis. 2011;7(5):569–72.CrossRefPubMedGoogle Scholar
  44. 44.
    DuPree C, Blair K, Steele S, et al. Laparoscopic sleeve gastrectomy in patients with preexisting gastroesophageal reflux disease: a national analysis. JAMA Surg. 2014;149(4):328–34.CrossRefPubMedGoogle Scholar

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

Personalised recommendations