Abstract
The laparoscopic sleeve gastrectomy has emerged over the last decade as a widely accepted bariatric surgical procedure. It is a purely restrictive stapling procedure that eliminates the foreign body risks seen with adjustable gastric banding and the risks associated with intestinal bypass procedures. It is indicated as a lower risk, staged option in complex or higher BMI patients and as a primary procedure in lower BMI patients. The gastric resection may offer a unique hormonal benefit that modifies satiation to yield a more durable weight loss than anticipated. Currently, the main controversy surrounding this procedure is the lack of standardization of pouch size and the limited weight loss results beyond 5 years.
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The author gratefully acknowledge support from: Sutter Pacific Medical Foundation.
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© 2012 Springer Science+Business Media, LLC
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Jossart, G.H. (2012). 4. Laparoscopic Sleeve Gastrectomy. In: Nguyen, N., Scott-Conner, C. (eds) The SAGES Manual. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-2347-8_4
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DOI: https://doi.org/10.1007/978-1-4614-2347-8_4
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