Technical Controversies in Laparoscopic Sleeve Gastrectomy

Laparoscopic sleeve gastrectomy is a recently developed technique for treating morbid obesity. Since it is a simple procedure, many bariatric surgeons have adopted it in recent years with good results. However, there is still no standard procedure across different surgical teams. We will discuss the...

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Bibliographic Details
Published in:Obesity surgery 2012, Vol.22 (1), p.182-187
Main Authors: Ferrer-Márquez, Manuel, Belda-Lozano, Ricardo, Ferrer-Ayza, Manuel
Format: Article
Language:English
Subjects:
Esophagogastric Junction - surgery
Gastrectomy - methods
Gastrointestinal surgery
Humans
Laparoscopy - methods
Male
Medicine
Medicine & Public Health
Middle Aged
Obesity
Obesity, Morbid - surgery
Reproducibility of Results
Review
Surgery
Surgical Stapling - methods
Surgical techniques
Treatment Outcome
Weight Loss
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Summary:Laparoscopic sleeve gastrectomy is a recently developed technique for treating morbid obesity. Since it is a simple procedure, many bariatric surgeons have adopted it in recent years with good results. However, there is still no standard procedure across different surgical teams. We will discuss the more controversial aspects of the surgical technique: the size of the bougie, the beginning of the distal section, the section shape at the gastroesophageal junction, the necessity and manner of reinforcing the staple line, and the routine use of intraoperative leak testing.
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-011-0492-0