Digestive Surgery

 

State of the Art: Sleeve Gastrectomy

Wölnerhanssen B.a · Peterli R.b

Author affiliations

aDepartment of Biomedicine, University Hospital, and bDepartment of Surgery, St. Claraspital, Basel, Switzerland

Keywords: Biliopancreatic diversionLaparoscopic sleeve gastrectomy Glycemic metabolism

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Dig Surg 2014;31:40-47
https://doi.org/10.1159/000354320

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Article / Publication Details

First-Page Preview
Abstract of  

Published online: May 08, 2014
Issue release date: May 2014

Number of Print Pages: 8
Number of Figures: 0
Number of Tables: 2

ISSN: 0253-4886 (Print)
eISSN: 1421-9883 (Online)

For additional information: https://www.karger.com/DSU

Abstract

In the biliopancreatic diversion (BPD) type duodenal switch, sleeve gastrectomy was applied as the restrictive part instead of a horizontal gastrectomy in the original Scopinaro type BPD. Laparoscopic sleeve gastrectomy (LSG) was used as a first step in a staged concept for high-risk patients undergoing bariatric surgery. However, it is now being increasingly favored as a stand-alone procedure. This article discusses the history, surgical technique, early results, metabolic effects, mid- to long-term results regarding weight loss, improvement of comorbidities and quality of life, management of complications and indications. LSG is a safe and effective bariatric procedure with satisfying weight loss results and effects on comorbidities. Further data are required to assess long-term effectiveness and safety of LSG. In patients with very high initial BMI, LSG can be used in a staged concept. Other indications are: in cases with dense adhesions of the small bowel, patients with inflammatory bowel disease and patients where repeated endoscopy of the duodenum is necessary.

© 2014 S. Karger AG, Basel



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Article / Publication Details

First-Page Preview
Abstract of  

Published online: May 08, 2014
Issue release date: May 2014

Number of Print Pages: 8
Number of Figures: 0
Number of Tables: 2

ISSN: 0253-4886 (Print)
eISSN: 1421-9883 (Online)

For additional information: https://www.karger.com/DSU

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