Introducing%20the%20Sleeve%20Gastrectomy

1
Introducing the Sleeve Gastrectomy
Sleeve Gastrectomy as a Bariatric Procedure
Clinical Issues Committee of the American Society
for Metabolic and Bariatric Surgery. SOARD
20073573-76.
2
Sleeve Gastrectomy

• Newest of the weight loss surgery options
• Selected indications only
• Not covered by Medicare and Medicaid
• American Society of Metabolic and Bariatric
  Surgery Position Statement (2007)
• Studies with follow-up just now reaching 5 years

3
Sleeve Gastrectomy

• Viewed as a modification of the vertical banded
  gastroplasty

• Gastric component of the biliopancreatic
  diversion with duodenal switch

• Resectional form of the Magenstrasse and Mill
  procedure

4
The Sleeve Gastrectomy

• 1988 - As part of the duodenal switch procedure

• 1993 Open stand
• alone procedure
• 1999 Laparoscopic
• stand alone procedure

5
Results
Sleeve Gastrectomy as a Bariatric Procedure
Clinical Issues Committee of the American Society
for Metabolic and Bariatric Surgery. SOARD
20073573-76.
6
Results A Summary
Sleeve Gastrectomy as a Bariatric Procedure
Clinical Issues Committee of the American Society
for Metabolic and Bariatric Surgery. SOARD
20073573-76.
7
Comorbidity Resolution
Sleeve Gastrectomy as a Bariatric Procedure
Clinical Issues Committee of the American Society
for Metabolic and Bariatric Surgery. SOARD
20073573-76.
8
Indications
Aggarwal S, Kini S, Herron D. Laparoscopic
Sleeve Gastrectomy for Morbid Obesity A Review.
SOARD 20073187-94.
9
Complications

• Staple line bleeding (0-6.4)
• Leakage (0-1.4)
• Mortality (0-3.2)

Aggarwal S, Kini S, Herron D. Laparoscopic
Sleeve Gastrectomy for Morbid Obesity A Review.
SOARD 20073187-94.