The Open Gastroenterology Journal

2008, 2 : 41-49
Published online 2008 July 25. DOI: 10.2174/1874259900802010041
Publisher ID: TOGASJ-2-41

Updated Review of Sleeve Gastrectomy

Nelson Trelles and Michel Gagner
Department of Surgery, Mount Sinai Medical Center, Miami Beach, FL, USA.

ABSTRACT

There is a bariatric explosion worldwide to deal with the rising prevalence of morbid obesity. In 1988, Hess and Hess first added the sleeve gastrectomy (SG) and the duodenal switch (DS) as a modification to the biliopancreatic diversion (BPD) to improve clinical outcomes. But the increased morbidity and mortality observed in super-super-obese patients (BMI > 60 kg/m2) who underwent BPD with DS (BPD-DS) made Gagner and co-workers propose SG as a bridge to gastric bypass or BPD-DS to reduce complications and mortality. The excellent short-term weight-loss outcomes after SG have increased the enthusiasm among surgeons to use it as a definitive treatment for morbidly obese and super-obese patients (BMI > 50 kg/m2). Neurohormonal and gastric emptying changes may account for its superiority over other restrictive procedures. Recent reports on mid-term weight-loss outcomes make this procedure a viable option for bariatric surgeons; nonetheless, long-term studies are still required.

Keywords:

Morbid obesity, laparoscopy, sleeve gastrectomy, vertical gastrectomy, greater-curvature gastrectomy, longitudinal gastrectomy, parietal gastrectomy, Magentrasse and Mill procedure, ghrelin.