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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.
The first laparoscopic implantation of the LAP-BAND was performed by Belachew and Favretti in September 1993 [7] [8] and since then, approximately 400,000 implants have been performed worldwide. Until now, the laparoscopic technique required 5 incisions (4 × 5 mm and 1 × 5 mm), with visible scars. SILS is the next logical step in the ...
This procedure is similar to the sleeve gastrectomy surgery, but a sleeve is created by suturing, rather than physically removing stomach tissue. [70] This allows for the natural ability of the stomach to absorb nutrients to remain intact. [70] This procedure is reversible, is a less invasive procedure, and does not use hardware or staples. [71]
In medicine, endoscopic sleeve gastroplasty (ESG) is a minimally-invasive, non-surgical (incisionless), endoscopic weight loss procedure that is part of the field of endoscopic bariatric therapies. To perform ESG, a physician sutures a patient’s stomach into a narrower, smaller tube-like configuration. [ 1 ]
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.
Combined restrictive and malabsorptive techniques are called gastric bypass techniques, of which Roux-en-Y gastric bypass surgery (RGB) is the most common. In this technique, staples are used to form a pouch that is connected to the small intestine , bypassing the lower stomach, the duodenum , and the first portion of the jejunum .
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