ISSN: 1755-5191

Imaging in Medicine

Laparoscopic-sleeve-gastrectomy-scholarly-peerreview-journal.php

The apparent technical simplicity of the sleeve gastrectomy (SG) is due to the fact that the technical steps are based on only one organ, approach in supramesocolic abdominal quadrant, and without conducting endosutures or anastomoses between different organs. There are however several technical details among bariatric surgeons that are not yet in consensus, even the most experienced. Constant discussions are taking place on the calibration of the remaining gastric tube, conducting oversuture reinforcing the staple line, distance from the pylorus to begin clipping, and resulting gastric amount in antrectomy. Sleeve gastrectomy (SG) is a restrictive technique of bariatric surgery, first used in the original Scopinaro type biliopancreatic diversion as part of restrictive horizontal gastrectomy. As a single technique, its good results have led to an increase in its use, and it is currently the second most accomplished technique worldwide. The purpose of this review was to highlight the prominent aspects of SG with respect to its historical evolution, pathophysiological mechanisms, main results, clinical applications and perioperative complications.    

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