Skip to main content
SpringerLink
Log in
Book cover

Foregut Surgery pp 255–264Cite as

Sleeve Gastrectomy

  • Chapter
  • First Online:

  • 639 Accesses

Abstract

Morbid obesity remains a population health crisis in the United States and in countries around the world. Options for treatment include lifestyle modification with dietary counseling and physical activity, endoscopic therapies, and bariatric/metabolic surgery. Bariatric surgery is well established as the most durable and effective treatment for the chronic disease that is obesity. Surgical options include Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG), among other less commonly performed procedures such as adjustable gastric banding or biliopancreatic diversion with duodenal switch.

Laparoscopic sleeve gastrectomy is currently the most commonly performed bariatric procedure in the United States, while the number of gastric bypasses has decreased substantially.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Center for Disease Control and Prevention. Prevalence of obesity among adults and youth: United States, 2015–2016. 2017. Access Dec 2018 from https://www.cdc.gov/nchs/products/databriefs/db288.htm.

  2. Chang SH, Stoll CR, Song J, Varela JE, Eagon CJ, Colditz GA. The effectiveness and risks of bariatric surgery: an updated systematic review and meta-analysis, 2003–2012. JAMA Surg. 2014;149(3):275–87.

    Article  PubMed  PubMed Central  Google Scholar 

  3. American Society for Metabolic and Bariatric Surgery. Estimate of bariatric surgery numbers, 2011–2017. 2018. Access Dec 2018 from https://asmbs.org/resources/estimate-of-bariatric-surgery-numbers.

  4. Chousleb E, Rodriguez JA, O’Leary JP. Chapter 3 – History of bariatric surgery. In: The ASMBS textbook of bariatric surgery, vol. 1. New York: Springer; 2015. p. 44.

    Google Scholar 

  5. Talebpour M, Amoli BS. Laparoscopic total gastric placation in morbid obesity. J Laparoendosc Adv Surg Tech A. 2007;17(6):793–8.

    Article  PubMed  Google Scholar 

  6. D’Silva M, Bhasker AG, Kantharia NS, Lakdawala M. High-percentage pathological findings in obese patients suggest that esophago-gastro-duodenoscopy should be made mandatory prior to bariatric surgery. Obes Surg. 2018;28:2753–9.

    Article  PubMed  Google Scholar 

  7. Carabotti M, Avallone M, Cereatti F, Paganini A, Greco F, Scirocco A, et al. Usefulness of upper gastrointestinal symptoms as a driver to prescribe gastroscopy in obese patients candidate to bariatric surgery. A prospective study. Obes Surg. 2016;26(5):1075–80.

    Article  PubMed  Google Scholar 

  8. Tolone S, Limongelli P, del Genio G, Brusciano L, Rossetti G, Amoroso V, et al. Gastroesophageal reflux disease and obesity: do we need to perform reflux testing in all candidates to bariatric surgery? Int J Surg. 2014;12(Suppl 1):S173–7.

    Article  PubMed  Google Scholar 

  9. Tolone S, Savarino E, de Bortoli N, Frazzoni M, Furnari M, d’Alessandro A, et al. Esophagogastric junction morphology assessment by high resolution manometry in obese patients candidate to bariatric surgery. Int J Surg. 2016;28(Suppl 1):S109–13.

    Article  PubMed  Google Scholar 

  10. Georgia D, Stamatina T, Maria N, Konstantinos A, Konstantinos F, Emmanouil L, et al. 24-h multichannel intraluminal impedance PH-metry 1 year after laparocopic sleeve gastrectomy: an objective assessment of gastroesophageal reflux disease. Obes Surg. 2017;27(3):749–53.

    Article  PubMed  Google Scholar 

  11. Pilone V, Tramontano S, Renzulli M, Romano M, Cobellis L, Berselli T, et al. Metabolic effects, safety, and acceptability of very low-calorie ketogenic dietetic scheme on candidates for bariatric surgery. Surg Obes Relat Dis. 2018;14:1013.

    Article  PubMed  Google Scholar 

  12. Holderbaum M, Casagrande DS, Sussenbach S, Buss C. Effects of very low calorie diets on liver size and weight loss in the preoperative period of bariatric surgery: a systematic review. Surg Obes Relat Dis. 2018;14(2):237–44.

    Article  PubMed  Google Scholar 

  13. 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):231–7.

    Article  PubMed  Google Scholar 

  14. Yuval JB, Mintz Y, Cohen MJ, Rivkind AI, Elazary R. The effects of bougie caliber on leaks and excess weight loss following laparoscopic sleeve gastrectomy. Is there an ideal bougie size? Obes Surg. 2013;23(10):1685–91.

    Article  PubMed  Google Scholar 

  15. Demeusy A, Sill A, Averbach A. Current role of staple line reinforcement in 30-day outcomes of primary laparoscopic sleeve gastrectomy: an analysis of MBSAQIP data, 2015–2016 PUF. Surg Obes Relat Dis. 2018;14(10):1454–61.

    Article  PubMed  Google Scholar 

  16. Barreca M, Renzi C, Tankel J, Shalhoub J, Sengupta N. Is there a role for enhanced recovery after laparoscopic bariatric surgery? Preliminary results from a specialist obesity treatment center. Surg Obes Relat Dis. 2016;12(1):119–26.

    Article  PubMed  Google Scholar 

  17. Bevilacqua LA, Obeid NR, Spaniolas K, Bates A, Docimo S Jr, Pryor A. Early postoperative diet after bariatric surgery: impact on length of stay and 30-day events. Surg Endosc. 2018;33:2475–8. https://doi.org/10.1007/s00464-018-6533-1.

    Article  PubMed  Google Scholar 

  18. Benevides ML, Oliveira SS, de Aguilar-Nascimento JE. The combination of haloperidol, dexamethasone, and ondansetron for prevention of postoperative nausea and vomiting in laparoscopic sleeve gastrectomy: a randomized double-blind trial. Obes Surg. 2013;23(9):1389–96.

    Article  PubMed  Google Scholar 

  19. Antor MA, Uribe AA, Erminy-Falcon N, Werner JG, Candiotti KA, Pergolizzi JV, et al. The effect of transdermal scopolamine for the prevention of postoperative nausea and vomiting. Front Pharmacol. 2014;5:55.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  20. Telem DA, Gould J, Pesta C, Powers K, Majid S, Greenberg JA, Teixeira A, Brounts L, Lin H, DeMaria E, Rosenthal R. American Society for Metabolic and Bariatric Surgery: care pathway for laparoscopic sleeve gastrectomy. Surg Obes Relat Dis. 2017;13(5):742–9.

    Article  PubMed  Google Scholar 

  21. Sethi M, Magrath M, Somoza E, Parikh M, Saunders J, Ude-Welcome A, Schwack B, Kurian M, Fielding G, Ren-Fielding C. The utility of radiological upper gastrointestinal series and clinical indicators in detecting leaks after laparoscopic sleeve gastrectomy: a case-controlled study. Surg Endosc. 2016;30(6):2266–75.

    Article  PubMed  Google Scholar 

  22. Diamantis T, Apostolou KG, Alexandrou A, Griniatsos J, Felekouras E, Tsigris C. Review of long-term weight loss results after laparoscopic sleeve gastrectomy. Surg Obes Relat Dis. 2014;10(1):177–83.

    Article  PubMed  Google Scholar 

  23. Pekkarinen T, Mustonen H, Sane T, Jaser N, Juuti A, Leivonen M. Long-term effect of gastric bypass and sleeve gastrectomy on severe obesity: do preoperative weight loss and binge eating behavior predict the outcome of bariatric surgery? Obes Surg. 2016;26(9):2161–7.

    Article  PubMed  Google Scholar 

  24. Juodeikis Ž, Brimas G. Long-term results after sleeve gastrectomy: a systematic review. Surg Obes Relat Dis. 2017;13(4):693–9.

    Article  PubMed  Google Scholar 

  25. Noel P, Nedelcu M, Eddbali I, Manos T, Gagner M. What are the long-term results 8 years after sleeve gastrectomy? Surg Obes Relat Dis. 2017;13(7):1110–5.

    Article  PubMed  Google Scholar 

  26. Himpens J, Dobbeleir J, Peeters G. Long-term results of laparoscopic sleeve gastrectomy for obesity. Ann Surg. 2010;252(2):319–24.

    Article  PubMed  Google Scholar 

  27. Boza C, Daroch D, Barros D, León F, Funke R, Crovari F. Long-term outcomes of laparoscopic sleeve gastrectomy as a primary bariatric procedure. Surg Obes Relat Dis. 2014;10(6):1129–33.

    Article  PubMed  Google Scholar 

  28. Cottam S, Cottam D, Cottam A, Zaveri H, Surve A, Richards C. The use of predictive markers for the development of a model to predict weight loss following vertical sleeve gastrectomy. Obes Surg. 2018;28(12):3769–74.

    Article  PubMed  Google Scholar 

  29. Clapp B, Wynn M, Martyn C, Foster C, O’Dell M, Tyroch A. Long term (7 or more years) outcomes of the sleeve gastrectomy: a meta-analysis. Surg Obes Relat Dis. 2018;14(6):741–7.

    Article  PubMed  Google Scholar 

  30. Lauti M, Lemanu D, Zeng ISL, Su’a B, Hill AG, MacCormick AD. Definition determines weight regain outcomes after sleeve gastrectomy. Surg Obes Relat Dis. 2017;13(7):1123–9.

    Article  PubMed  Google Scholar 

  31. Panunzi S, De Gaetano A, Carnicelli A, Mingrone G. Predictors of remission of diabetes mellitus in severely obese individuals undergoing bariatric surgery: do BMI or procedure choice matter? A meta-analysis. Ann Surg. 2015;261(3):459–67.

    Article  PubMed  Google Scholar 

  32. Schauer PR, Bhatt DL, Kirwan JP, Wolski K, Aminian A, Brethauer SA, Navaneethan SD, Singh RP, Pothier CE, Nissen SE, Kashyap SR, STAMPEDE Investigators. Bariatric surgery versus intensive medical therapy for diabetes – 5-year outcomes. N Engl J Med. 2017;376(7):641–51.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Pucci A, Tymoszuk U, Cheung WH, Makaronidis JM, Scholes S, Tharakan G, Elkalaawy M, Guimaraes M, Nora M, Hashemi M, Jenkinson A, Adamo M, Monteiro MP, Finer N, Batterham RL. Type 2 diabetes remission 2 years post Roux-en-Y gastric bypass and sleeve gastrectomy: the role of the weight loss and comparison of DiaRem and DiaBetter scores. Diabet Med. 2018;35(3):360–7.

    Article  CAS  PubMed  Google Scholar 

  34. Aminian A, Brethauer SA, Andalib A, Nowacki AS, Jimenez A, Corcelles R, Hanipah ZN, Punchai S, Bhatt DL, Kashyap SR, Burguera B, Lacy AM, Vidal J, Schauer PR. Individualized metabolic surgery score: procedure selection based on diabetes severity. Ann Surg. 2017;266(4):650–7.

    Article  PubMed  Google Scholar 

  35. Del Genio G, Limongelli P, Del Genio F, Motta G, Docimo L, Testa D. Sleeve gastrectomy improves obstructive sleep apnea syndrome (OSAS): 5 year longitudinal study. Surg Obes Relat Dis. 2016;12(1):70–4.

    Article  PubMed  Google Scholar 

  36. Perysinakis I, Pappis HC, Margaris E. Current controversies in metabolic surgery for nonalcoholic fatty liver disease. Obes Surg. 2019;29:1058. https://doi.org/10.1007/s11695-019-03705-x.

    Article  PubMed  Google Scholar 

  37. Shouhed D, Steggerda J, Burch M, Noureddin M. The role of bariatric surgery in nonalcoholic fatty liver disease and nonalcoholic steatohepatitis. Expert Rev Gastroenterol Hepatol. 2017;11(9):797–811.

    Article  CAS  PubMed  Google Scholar 

  38. Esquivel CM, Garcia M, Armando L, Ortiz G, Lascano FM, Foscarini JM. Laparoscopic sleeve gastrectomy resolves NAFLD: another formal indication for bariatric surgery? Obes Surg. 2018;28(12):4022–33.

    Article  PubMed  Google Scholar 

  39. von Schönfels W, Beckmann JH, Ahrens M, Hendricks A, Röcken C, Szymczak S, Hampe J, Schafmayer C. Histologic improvement of NAFLD in patients with obesity after bariatric surgery based on standardized NAS (NAFLD activity score). Surg Obes Relat Dis. 2018;14(10):1607–16.

    Article  Google Scholar 

  40. Hanipah ZN, Mulcahy MJ, Sharma G, Punchai S, Steckner K, Dweik R, Aminian A, Schauer PR, Brethauer SA. Bariatric surgery in patients with pulmonary hypertension. Surg Obes Relat Dis. 2018;14(10):1581–6.

    Article  PubMed  Google Scholar 

  41. Ardila-Gatas J, Sharma G, Nor Hanipah Z, Tu C, Brethauer SA, Aminian A, Tolle L, Schauer PR. Bariatric surgery in patients with interstitial lung disease. Surg Endosc. 2019;33:1952. https://doi.org/10.1007/s00464-018-6475-7.

    Article  PubMed  Google Scholar 

  42. Arterburn D, Wellman R, Emiliano A, Smith SR, Odegaard AO, Murali S, Williams N, Coleman KJ, Courcoulas A, Coley RY, Anau J, Pardee R, Toh S, Janning C, Cook A, Sturtevant J, Horgan C, McTigue KM, PCORnet Bariatric Study Collaborative. Comparative effectiveness and safety of bariatric procedures for weight loss: a PCORnet cohort study. Ann Intern Med. 2018;169(11):741–50.

    Article  PubMed  PubMed Central  Google Scholar 

  43. Osland E, Yunus RM, Khan S, Alodat T, Memon B, Memon MA. Postoperative early major and minor complications in laparoscopic vertical sleeve gastrectomy (LVSG) versus laparoscopic Roux-en-Y gastric bypass (LRYGB) procedures: a meta-analysis and systematic review. Obes Surg. 2016;26(10):2273–84.

    Article  PubMed  Google Scholar 

  44. Sippey M, Kasten KR, Chapman WH, Pories WJ, Spaniolas K. 30-day readmissions after sleeve gastrectomy versus Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2016;12(5):991–6.

    Article  PubMed  Google Scholar 

  45. Osland E, Yunus RM, Khan S, Memon B, Memon MA. Late postoperative complications in laparoscopic sleeve gastrectomy (LVSG) versus laparoscopic Roux-en-y Gastric Bypass (LRYGB): meta-analysis and systematic review. Surg Laparosc Endosc Percutan Tech. 2016;26(3):193–201.

    Article  PubMed  Google Scholar 

  46. Spaniolas K, Bates AT, Docimo S Jr, Obeid NR, Talamini MA, Pryor AD. Single stage conversion from adjustable gastric banding to sleeve gastrectomy or Roux-en-Y gastric bypass: an analysis of 4875 patients. Surg Obes Relat Dis. 2017;13(11):1880–4.

    Article  PubMed  Google Scholar 

  47. Chaar ME, Lundberg P, Stoltzfus J. Thirty-day outcomes of sleeve gastrectomy versus Roux-en-Y gastric bypass: first report based on Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database. Surg Obes Relat Dis. 2018;14(5):545–51.

    Article  PubMed  Google Scholar 

  48. Reges O, Greenland P, Dicker D, Leibowitz M, Hoshen M, Gofer I, Rasmussen-Torvik LJ, Balicer RD. Association of bariatric surgery using laparoscopic banding, Roux-en-Y gastric bypass, or laparoscopic sleeve gastrectomy vs usual care obesity management with all-cause mortality. JAMA. 2018;319(3):279–90.

    Article  PubMed  PubMed Central  Google Scholar 

  49. Khoursheed M, Al-Bader I, Mouzannar A, Ashraf A, Bahzad Y, Al-Haddad A, Sayed A, Fingerhut A. Postoperative bleeding and leakage after sleeve gastrectomy: a single-center experience. Obes Surg. 2016;26(12):2944–51.

    Article  PubMed  Google Scholar 

  50. El Chaar M, Stoltzfus J. Assessment of sleeve gastrectomy surgical technique: first look at 30-day outcomes based on the MBSAQIP database. J Am Coll Surg. 2018;227(6):564–72.

    Article  PubMed  Google Scholar 

  51. Debs T, Petrucciani N, Kassir R, Sejor E, Karam S, Ben Amor I, Gugenheim J. Complications after laparoscopic sleeve gastrectomy: can we approach a 0% rate using the largest staple height with reinforcement all along the staple line? Short-term results and technical considerations. Surg Obes Relat Dis. 2018;14(12):1804–10.

    Article  PubMed  Google Scholar 

  52. Varban OA, Sheetz KH, Cassidy RB, Stricklen A, Carlin AM, Dimick JB, Finks JF. Evaluating the effect of operative technique on leaks after laparoscopic sleeve gastrectomy: a case-control study. Surg Obes Relat Dis. 2017;13(4):560–7.

    Article  PubMed  Google Scholar 

  53. Gagner M, Buchwald JN. Comparison of laparoscopic sleeve gastrectomy leak rates in four staple-line reinforcement options: a systematic review. Surg Obes Relat Dis. 2014;10(4):713–23.

    Article  PubMed  Google Scholar 

  54. Ageno W, Becattini C, Brighton T, Selby R, Kamphuisen PW. Cardiovascular risk factors and venous thromboembolism: a meta-analysis. Circulation. 2008;117(1):93–102.

    Article  PubMed  Google Scholar 

  55. Stein PD, Matta F. Pulmonary embolism and deep venous thrombosis following bariatric surgery. Obes Surg. 2013;23(5):663–8.

    Article  PubMed  Google Scholar 

  56. Jamal MH, Corcelles R, Shimizu H, Kroh M, Safdie FM, Rosenthal R, et al. Thromboembolic events in bariatric surgery: a large multi-institutional referral center experience. Surg Endosc. 2015;29(2):376–80.

    Article  PubMed  Google Scholar 

  57. Morino M, Toppino M, Forestieri P, Angrisani L, Allaix ME, Scopinaro N. Mortality after bariatric surgery: analysis of 13,871 morbidly obese patients from a national registry. Ann Surg. 2007;246(6):1002–7; discussion 7–9.

    Article  PubMed  Google Scholar 

  58. Winegar DA, Sherif B, Pate V, DeMaria EJ. Venous thromboembolism after bariatric surgery performed by Bariatric Surgery Center of Excellence Participants: analysis of the Bariatric Outcomes Longitudinal Database. Surg Obes Relat Dis. 2011;7(2):181–8.

    Article  PubMed  Google Scholar 

  59. Shoar S, Saber AA, Rubenstein R, Safari S, Brethauer SA, Al-Thani H, et al. Portomesentric and splenic vein thrombosis (PMSVT) after bariatric surgery: a systematic review of 110 patients. Surg Obes Relat Dis. 2018;14(1):47–59.

    Article  PubMed  Google Scholar 

  60. American Society for Metabolic and Bariatric Surgery Clinical Issues Committee. ASMBS updated position statement on prophylactic measures to reduce the risk of venousthromboembolism in bariatric surgery patients. Surg Obes Relat Dis. 2013;9(4):493–7.

    Article  Google Scholar 

  61. Althuwaini S, Bamehriz F, Aldohayan A, Alshammari W, Alhaidar S, Alotaibi M, Alanazi A, Alsahabi H, Almadi MA. Prevalence and predictors of gastroesophageal reflux disease after laparoscopic sleeve gastrectomy. Obes Surg. 2018;28(4):916–22.

    Article  PubMed  Google Scholar 

  62. Santonicola A, Angrisani L, Cutolo P, Formisano G, Iovino P. The effect of laparoscopic sleeve gastrectomy with or without hiatal hernia repair on gastroesophageal reflux disease in obese patients. Surg Obes Relat Dis. 2014;10(2):250–5.

    Article  PubMed  Google Scholar 

  63. Burgerhart JS, Schotborgh CA, Schoon EJ, Smulders JF, van de Meeberg PC, Siersema PD, Smout AJ. Effect of sleeve gastrectomy on gastroesophageal reflux. Obes Surg. 2014;24(9):1436–41.

    Article  PubMed  Google Scholar 

  64. Reynolds JL, Zehetner J, Shiraga S, Lipham JC, Katkhouda N. Intraoperative assessment of the effects of laparoscopic sleeve gastrectomy on the distensibility of the lower esophageal sphincter using impedance planimetry. Surg Endosc. 2016;30(11):4904–9.

    Article  PubMed  Google Scholar 

  65. Braghetto I, Csendes A. Prevalence of Barrett’s esophagus in bariatric patients undergoing sleeve gastrectomy. Obes Surg. 2016;26(4):710–4.

    Article  PubMed  Google Scholar 

  66. Ece I, Yilmaz H, Acar F, Colak B, Yormaz S, Sahin M. A new algorithm to reduce the incidence of gastroesophageal reflux symptoms after laparoscopic sleeve gastrectomy. Obes Surg. 2017;27(6):1460–5.

    Article  PubMed  Google Scholar 

  67. Hendricks L, Alvarenga E, Dhanabalsamy N, Lo Menzo E, Szomstein S, Rosenthal R. Impact of sleeve gastrectomy on gastroesophageal reflux disease in a morbidly obese population undergoing bariatric surgery. Surg Obes Relat Dis. 2016;12(3):511–7.

    Article  PubMed  Google Scholar 

  68. Desart K, Rossidis G, Michel M, Lux T, Ben-David K. Gastroesophageal reflux management with the LINX® system for gastroesophageal reflux disease following laparoscopic sleeve gastrectomy. J Gastrointest Surg. 2015;19(10):1782–6.

    Article  PubMed  Google Scholar 

Download references

Conflict of Interest

The authors have no conflict of interest to declare.

Author information

Authors and Affiliations

  1. Department of Surgery, University of Michigan Health System, Ann Arbor, MI, USA

    Nabeel R. Obeid

  2. Health Services Research, Division of Minimally Invasive Surgery, Center for Healthcare Outcomes & Policy, Department of Surgery, University of Michigan Health System, Ann Arbor, MI, USA

    Justin B. Dimick

Authors
  1. Nabeel R. Obeid
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Justin B. Dimick
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Justin B. Dimick .

Editor information

Editors and Affiliations

  1. University of North Carolina, Chapel Hill, NC, USA

    Marco G. Patti

  2. University of North Carolina, Chapel Hill, NC, USA

    Marco Di Corpo

  3. University of Buenos Aires, Buenos Aires, Argentina

    Francisco Schlottmann

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Obeid, N.R., Dimick, J.B. (2020). Sleeve Gastrectomy. In: Patti, M., Di Corpo, M., Schlottmann, F. (eds) Foregut Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-27592-1_27

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-27592-1_27

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-27591-4

  • Online ISBN: 978-3-030-27592-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation