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Sleeve gastrectomy was originally performed as a modification to another bariatric procedure, the duodenal switch, and then later as the first part of a two-stage gastric bypass operation on extremely obese patients for whom the risk of performing gastric bypass surgery was deemed too large. The initial weight loss in these patients was so ...
Laparoscopic sleeve gastrectomy (LSG) is one of the most common bariatric surgeries performed worldwide and shares a similar restricted stomach configuration with the ESG. However, it appears to operate with different weight loss mechanisms from the ESG, as it has been shown to reduce the hunger hormone ghrelin , [ 29 ] [ 43 ] as well as ...
This procedure is similar to the sleeve gastrectomy surgery, but a sleeve is created by suturing, rather than physically removing stomach tissue. [69] This allows for the natural ability of the stomach to absorb nutrients to remain intact. [69] This procedure is reversible, is a less invasive procedure, and does not use hardware or staples. [70]
laparoscopic surgery is equally effective and as safe as open surgery; patients should undergo comprehensive preoperative evaluation and have multi-disciplinary support for optimum outcome; In recent comparisons with sleeve gastrectomy, gastric bypass has shown slightly better outcomes in diabetes remission and weight maintenance.
The procedure is normally performed laparoscopically, though in a small minority of instances prior surgery may have resulted in extensive scarring, requiring open surgery. Roux-en-Y gastric bypass is a commonly chosen revision technique, particularly in patients who have not been successful in meeting their weight loss goals after stomach ...
Adjustable gastric band surgery is an example of bariatric surgery designed for obese patients with a body mass index (BMI) of 40 or greater—or between 35 and 40 in cases of patients with certain comorbidities that are known to improve with weight loss, such as sleep apnea, diabetes, osteoarthritis, GERD, hypertension (high blood pressure ...
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