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Sleeve gastrectomy or vertical sleeve gastrectomy, is a surgical weight-loss procedure, typically performed laparoscopically, in which approximately 75 - 85% of the stomach is removed, [1] [2] along the greater curvature, [3] which leaves a cylindrical, or "sleeve"-shaped stomach the size of a banana.
However, Roux-en-Y patients had a higher likelihood of hospitalization and additional abdominal surgeries compared to sleeve gastrectomy. [61] Though, since 2013, sleeve gastrectomy has overtaken RYGB as the most common bariatric procedure. [18] RYGB remains one of the two most commonly performed bariatric surgeries in the world. [2] [4]
Vertical banded gastroplasty was developed in 1980 by Dr. Edward E. Mason at the University of Iowa. [2] Dr. Mason also developed the original gastric bypass for weight reduction in 1966 and is known for his pioneering work as the "father of obesity surgery".
Unlike the surgical sleeve gastrectomy, the ESG does not appear to affect central appetite signaling through the hunger hormone, ghrelin. [29] This is thought to be because the surgical sleeve removes the fundus, the primary site of ghrelin production, and the relatively thinner-walled fundus is avoided in the ESG for safety concerns.
SADI-S (single anastomosis duodeno–ileal bypass with sleeve gastrectomy) is a bariatric surgical technique to address metabolic disorders and to lose weight. It is a variation on the duodenal switch surgery, incorporating a vertical sleeve gastrectomy with a gastric bypass technique. [1]
Sleeve gastrectomy removes a large portion of the stomach, with the remaining portion reshaped to become tube-like or sleeve-shaped. This creates an increased sense of satiety and decreased hunger in patients, often leading to weight loss and improved health. [ 11 ]
In recent comparisons with sleeve gastrectomy, gastric bypass has shown slightly better outcomes in diabetes remission and weight maintenance. According to a 2021 evidence update, Roux-en-Y gastric bypass (RYGB) patients were more likely to maintain weight loss over five years, with a reduced relapse rate in Type 2 diabetes. However, RYGB was ...
Jejunoileal bypass (JIB) was a surgical weight-loss procedure performed for the relief of morbid obesity from the 1950s through the 1970s in which all but 30 cm (12 in) to 45 cm (18 in) of the small bowel were detached and set to the side.
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