A Review of Laparoscopic Sleeve Gastrectomy for Morbid Obesity

@article{Shi2010ARO,
  title={A Review of Laparoscopic Sleeve Gastrectomy for Morbid Obesity},
  author={Xinzhe Shi and Shahzeer Karmali and Arya M. Sharma and Daniel W Birch},
  journal={Obesity Surgery},
  year={2010},
  volume={20},
  pages={1171-1177}
}
Laparoscopic sleeve gastrectomy (LSG) is an innovative approach to the surgical management of morbid obesity. [...] Key Method Data from LSG were compared to benchmark clinical data and local operational data from laparoscopic adjustable gastric band (LAGB) and laparoscopic gastric bypass (LRYGB). Fifteen studies (940 patients) were identified following systematic review. The percent excessive weight loss (%EWL) for LSG varied from 33% to 90% and appeared to be sustained up to 3 years. The mortality rate was 0…Expand
Evaluation of the effects of laparoscopic adjustable gastric banding versus laparoscopic sleeve gastrectomy on weight loss
TLDR
When the two surgical operations for morbid obesity are compared LSG is found to be a more successful method in terms of body weight loss, Nevertheless, longer hospitalization can be associated with the technically more complicated nature of the operation and the fact that it requires resection. Expand
Laparoscopic sleeve gastrectomy: its place in bariatric surgery for the severely obese patient.
TLDR
LSG is safe and produces satisfactory weight loss and comorbidity resolution in the early and mid-term period, however, further data are required to assess its long-term effectiveness as well as its effectiveness in super-obese patients. Expand
Is sleeve gastrectomy a therapeutic procedure for all obese patients?
TLDR
The authors' experience indicates that LSG is a safe procedure with satisfactory three-year late weight loss in patients with preoperative BMI <50 kg/m2, which makes LSG one of the most attractive first stage surgical procedure for morbid obesity. Expand
Laparoscopic sleeve gastrectomy compared with other bariatric surgical procedures: a systematic review of randomized trials.
  • S. Trastulli, J. Desiderio, +4 authors A. Parisi
  • Medicine
  • Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery
  • 2013
TLDR
LSG is a well-tolerated, feasible procedure with a relatively short operating time, and its effectiveness in terms of weight loss is confirmed for short-term follow-up (≤ 3 years) and the role of LSG in the treatment of T2DM requires further investigation. Expand
The Metabolic Effects of Laparoscopic Sleeve Gastrectomy: A Review
TLDR
The metabolic effects and outcomes of LSG are explored in producing significant weight loss and improving the factors associated with the metabolic syndrome. Expand
Our Experience with Laparoscopic Sleeve Gastrectomy in the Therapy of Morbid Obesity
Objective: The purpose of this study is to evaluate the results and experience with Laparoscopic sleeve gastrectomy (LSG) in the treatment of morbid obesity. Methods: The authors in theirExpand
Laparoscopic Sleeve Gastrectomy (LSG)—A Good Bariatric Option for Failed Laparoscopic Adjustable Gastric Banding (LAGB): A Review of 90 Patients
TLDR
LSG after LAGB yields a positive outcome with higher complication rates than for primary LSG, and is advocated as a good bariatric option for failed LAGB. Expand
Outcomes of laparoscopic sleeve gastrectomy at a bariatric unit in South Africa
TLDR
LSG was shown to produce an adequate %EBMIL loss at 6 months, resulting in a significant improvement in the quality of life (QoL), coupled with good BAROS outcomes, and the low complication rate supports the use of the procedure and accounts for no observed mortality. Expand
Randomized controlled trial comparing laparoscopic greater curvature plication versus laparoscopic sleeve gastrectomy
TLDR
2-year follow-up showed that LGCP is worse than LSG as a restrictive procedure for weight loss, but the comorbidities including diabetes, sleep apnea and hypertension were markedly improved in the both groups after surgery. Expand
The effect of bougie size on the short-term outcome of laparoscopic sleeve gastrectomy
TLDR
Bougie size does not influence the short-term results of LS, that is, excess weight loss percentage, resolution of comorbidities, improvement of the QOL, and incidence of complications. Expand
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References

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Laparoscopic Sleeve Gastrectomy as Treatment for Morbid Obesity: Technique and Short-Term Outcome
TLDR
In the short-term, LSG is a safe and effective treatment option for weight reduction, and three patients were considered to have mild complications, and one patient had a major complication that necessitated surgical intervention. Expand
Laparoscopic sleeve gastrectomy as an initial weight-loss procedure for high-risk patients with morbid obesity
TLDR
The staging concept of LSG followed by LRYGBP is a safe and effective surgical approach for high-risk patients seeking bariatric surgery. Expand
Does Gastric Dilatation Limit the Success of Sleeve Gastrectomy as a Sole Operation for Morbid Obesity?
TLDR
LSG has been highly effective for weight reduction for morbid obesity even as the sole bariatric operation and gastric dilatation was found in only 1 patient in this short-term follow-up. Expand
Mid-term Follow-up after Sleeve Gastrectomy as a Final Approach for Morbid Obesity
TLDR
LSG is a safe and effective surgical procedure for the morbidly obese up to 2  years postoperatively and excess body weight loss seems to be acceptable at 2 years postoperative. Expand
Laparoscopic Sleeve Gastrectomy as an Initial Bariatric Operation for High-Risk Patients: Initial Results in 10 Patients
TLDR
LSG can be a firststage procedure before gastric bypass or duodenal switch or a one-stage restrictive procedure if longterm results are good, and should be considered as a surgical option in the bariatric field. Expand
Laparoscopic Sleeve Gastrectomy is Superior to Endoscopic Intragastric Balloon as a First Stage Procedure for Super-Obese Patients (BMI ≥50)
TLDR
Although the BIB procedure shows efficacy in reducing weight, the LSG group does so faster and to a greater amount, thus suggesting that this may be a superior procedure as a first stage for super-obesity. Expand
Laparoscopic Sleeve Gastrectomy: A Multi-purpose Bariatric Operation
TLDR
LSG may become the ideal operation for staging in patients with BMI >55, for treating morbidly obese patients with severe medical conditions, as an excellent alternative to adjustable bands in lower BMI patients, or for conversion of gastric banding patients. Expand
Results of Laparoscopic Sleeve Gastrectomy (LSG) at 1 Year in Morbidly Obese Korean Patients
TLDR
LSG without the second-stage duodenal switch operation has been an effective weight loss operation thus far, in most of the Korean patients, although additional studies and follow-up are needed. Expand
Laparoscopic Vertical Sleeve Gastrectomy for Morbid Obesity. The Future Procedure of Choice?
TLDR
The general experience of performing sleeve gastrectomy as a first-stage procedure for morbidly and super-obese people, and its potential as a single procedure evaluating its advantages and disadvantages are reported. Expand
Longitudinal Gastrectomy as a Treatment for the High-Risk Super-Obese Patient
TLDR
Longitudinal gastrectomy is a safe and effective option for high-risk morbidly obese patients as an interim procedure to help decrease perioperative risk before duodenal switch procedure. Expand
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