Abstract
Laparoscopic sleeve gastrectomy (LSG) has become one of the most popular bariatric procedures worldwide. The procedure is technically easier than a laparoscopic Roux-en-Y gastric bypass with good outcomes and excellent weight loss. The LSG maintains the anatomy of the gastrointestinal tract, still allowing for further revisional bariatric procedures if necessary at a later time. Moreover, the entire upper gastrointestinal tract remains available for endoscopic therapies. The purpose of our chapter is to discuss in detail the steps required to properly and safely perform an LSG. Patient positioning, anesthetic considerations, surgical technique, and postoperative management will be reviewed. We will focus on important operative and postoperative pearls to maximize potential for technical success and sustained weight loss.
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References
Marceau P, Hould FS, Simard S, et al. Biliopancreatic diversion with duodenal switch. World J Surg. 1998;22:947–54.
Gumbs AA, Gagner M, Dakin G, Pomp A. Sleeve gastrectomy for morbid obesity. Obes Surg. 2007;17(7):962–9.
Clinical Issues Committee of the American Society for Metabolic and Bariatric Surgery. Updated position statement on sleeve gastrectomy as a bariatric procedure. Surg Obes Relat Dis. 2010;6(1):1–5.
Klok MD, Jakobsdottir S, Drent ML. The role of leptin and ghrelin in the regulation of food intake and body weight in humans: a review. Obes Rev. 2007;8:21–34.
Frezza EE, Chiriva-Internati M, Wachtel MS. Analysis of the results of sleeve gastrectomy for morbid obesity and the role of ghrelin. Surg Today. 2008;38:481–3.
Parikh M, Issa R, McCrillis A, Saunders JK, Ude-Welcome A, Gagner M. 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.
Rosenthal RJ, International Sleeve Gastrectomy Expert Panel, Diaz AA, Arvidsson D, Baker RS, Basso N, et al. 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.
Vilallonga R, Himpens J, van de Vrande S. Laparoscopic management of persistent strictures after laparoscopic sleeve gastrectomy. Obes Surg. 2013;23(10):1655–61.
Knapps J, Ghanem M, Clements J, Merchant AM. A systematic review of staple-line reinforcement in laparoscopic sleeve gastrectomy. JSLS. 2013;17(3):390–9.
Acknowledgements
CA: No financial disclosures and no conflicts of interest to declare.
AP: Is a consultant, speaker and receives honoraria from W L Gore & Associates and also Covidien
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Afaneh, C., Pomp, A. (2015). 14 Sleeve Gastrectomy: Technique, Pearls, and Pitfalls. In: Brethauer, S., Schauer, P., Schirmer, B. (eds) Minimally Invasive Bariatric Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1637-5_14
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DOI: https://doi.org/10.1007/978-1-4939-1637-5_14
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