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Sleeve Gastrectomy: Procedure and Outcomes

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The Clinician’s Guide to the Treatment of Obesity

Part of the book series: Endocrine Updates ((ENDO))

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Abstract

Sleeve gastrectomy involves dividing the stomach along the lesser curvature, excising the majority of the antrum and body, and leaving the remaining stomach as a long narrow tube. The procedure is purely restrictive, reducing the volume of the stomach by about 90 %. It differs from gastric bypass, in that there is no anastomosis and there is no malabsorptive component to the procedure. It is not reversible.

The sleeve gastrectomy was initially described as the first step in a biliopancreatic diversion with duodenal switch (BPD/DS). In the super-obese, morbidity rates were very high from this procedure, so surgeons experimented with performing the operation in two stages, with sleeve gastrectomy first, followed later by BPD/DS. Early data showed that laparoscopic sleeve gastrectomy resulted in significant weight loss and resolution of comorbidities without the need for further intervention.With this new information, surgeons began to perform sleeve gastrectomy as a stand-alone operation.

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Author information

Authors and Affiliations

  1. Department of Surgery, North Shore-LIJ Hospital System, Manhasset, NY, USA

    Allison M. Barrett MD

  2. Minimally Invasive Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA

    Miguel A. Burch MD

Authors
  1. Allison M. Barrett MD
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  2. Miguel A. Burch MD
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Corresponding author

Correspondence to Miguel A. Burch MD .

Editor information

Editors and Affiliations

  1. Assistant Professor of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA

    Adrienne Youdim

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Barrett, A., Burch, M. (2015). Sleeve Gastrectomy: Procedure and Outcomes. In: Youdim, A. (eds) The Clinician’s Guide to the Treatment of Obesity. Endocrine Updates. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2146-1_8

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  • DOI: https://doi.org/10.1007/978-1-4939-2146-1_8

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  • Publisher Name: Springer, New York, NY

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  • Online ISBN: 978-1-4939-2146-1

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