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.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Selected References
Brethauer SA, Hammel JP, Schaure PR. Systematic review of sleeve gastrectomy as staging and primary bariatric procedure. Surg Obes Relat Dis. 2009;5(4):469–75.
De Csepel J, Burpee S, Jossart G, Andrei V, Murakami Y, Benavides S, Gagner M. Laparoscopic biliopancreatic diversion with a duodenal switch for morbid obesity: a feasibility study in pigs. J Laparoendosc Adv Surg Tech A. 2001;11(2):79–83.
Gulkarov I, Wetterau M, Ren CJ, Fielding GA. Hiatal hernia repair at the initial Âlaparoscopic adjustable gastric band operation reduces the need for reoperation. Surg Endosc. 2008;22(4):1035–41.
Hess DS, Hess DW. Biliopancreatic diversion with a duodenal switch. Obes Surg. 1998;8(3):267–82.
Himpens J, Dobbeleir J, Peeters G. Long-term results of laparoscopic sleeve gastrectomy for obesity. Ann Surg. 2010;252(2):319–24.
Marceau P, Biron S, Bourque RA, Potvin M, Hould FS, Simard S. Biliopancreatic diversion with a new type of gastrectomy. Obes Surg. 1993;3(1):29–35.
Munoz R, Ibanez L, et al. Importance of routine preoperative upper GI endoscopy: why all patients should be evaluated. Obes Surg. 2009;19(4):427–31.
Read RC. The contribution of Allison and Nissen to the evolution of hiatus herniorrhaphy. Hernia. 2001;5(4):200–3.
Ren CJ, Patterson E, Gagner M. Early results of laparoscopic biliopancreatic diversion with a duodenal switch: a case series of 40 consecutive patients. Obes Surg. 2000;10(6):514–23.
Santoro S. Technical aspects in sleeve gastrectomy. Obes Surg. 2007;17(11):1534–5.
Acknowledgment
The author gratefully acknowledge support from: Sutter Pacific Medical Foundation.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2012 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
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
Download citation
DOI: https://doi.org/10.1007/978-1-4614-2347-8_4
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4614-2346-1
Online ISBN: 978-1-4614-2347-8
eBook Packages: MedicineMedicine (R0)