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Sleeve gastrectomy

April 12, 2024

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.[1][2] Weight loss is effected not only through the reduction of the organ's size, but by the removal of the portion of it that produces ghrelin, the hormone that stimulates appetite. Patients can lose 50-70 percent of excess weight over the course of the two years that follow the surgery.[2] The procedure is irreversible,[4] though in some uncommon cases, patients can regain the lost weight, via resumption of poor dietary habits, or dilation of the stomach over time, which can require gastric sleeve revision surgery to either repair the sleeve or convert it to another type of weight loss method that may produce better results, such as a gastric bypass or duodenal switch.[5]

Sleeve gastrectomy
Diagram of a gastric sleeve
ICD-9-CM43.89
[edit on Wikidata]

A meta-analysis of 174,772 participants published in The Lancet in 2021 found that bariatric surgery was associated with 59% and 30% reduction in all-cause mortality among obese adults with and without type 2 diabetes, respectively.[6] This meta-analysis also found that median life-expectancy was 9.3 years longer for obese adults with diabetes who received bariatric surgery as compared to routine (non-surgical) care, whereas the life expectancy gain was 5.1 years longer for obese adults without diabetes.[6]

Procedure edit

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 successful it began to be investigated as a stand-alone procedure.[7]

Sleeve gastrectomy is the most commonly performed bariatric surgery worldwide.[8][9] In many cases, sleeve gastrectomy is as effective as gastric bypass surgery, including improvements in glucose homeostasis before substantial weight loss has occurred. This weight-loss independent benefit is related to the decrease in gastric volume, changes in gut peptides, and expression of genes involved in glucose absorption.[10][11]

 
Sleeve gastrectomy surgery

The procedure involves a longitudinal resection of the stomach starting from the antrum at the point 5–6 cm from the pylorus and finishing at the fundus close to the cardia.[12] The remaining gastric sleeve is calibrated with a bougie. Most surgeons prefer to use a bougie between 36 and 40 Fr with the procedure and the ideal approximate remaining size of the stomach after the procedure is about 150 mL.[13]

Use in children and adolescents edit

Endorsed by the International Federation for the Surgery of Obesity and Metabolic Disorders[14] and the American Society for Metabolic and Bariatric Surgery,[15] sleeve gastrectomy is gaining popularity in children and adolescents. Studies by Alqahtani and colleagues have found that sleeve gastrectomy causes large weight loss in children and adolescents aged 5 to 21 years.[16] Moreover, they compared weight loss with adults and found comparable weight loss.[17] A study published in 2016 showed that growth progresses were unaffected after sleeve gastrectomy in children younger than 14 years of age.[18] Depression following the procedure has been noted in some individuals. Another side effect is insomnia. After this surgery many people can only sleep when they take melatonin or sleeping medications.[19]

Complications edit

Sleeve gastrectomy may cause complications; some of them are listed below:

References edit

  1. ^ a b "Sleeve gastrectomy". Mayo Clinic. from the original on April 14, 2023. Retrieved April 21, 2023.
  2. ^ a b c "What is Sleeve Gastrectomy?". Hackensack Meridian Health. from the original on March 7, 2023. Retrieved April 21, 2023.
  3. ^ Seeras, Kevin; Sankararaman, Senthikumar; Lopez, Peter P. (May 1, 2022). "Sleeve Gastrectomy". National Library of Medicine. PMID 30085577. from the original on February 15, 2023. Retrieved April 21, 2023.{{cite web}}: CS1 maint: multiple names: authors list (link)
  4. ^ "Sleeve Gastrectomy". Columbia University Department of Surgery. Archived from the original on April 22, 2023. Retrieved April 21, 2023.
  5. ^ "Gastric Sleeve Surgery (Gastrectomy)". Cleveland Clinic. Retrieved April 21, 2023.
  6. ^ a b Syn, Nicholas L; Cummings, David E; Wang, Louis Z; Lin, Daryl J; Zhao, Joseph J; Loh, Marie; Koh, Zong Jie; Chew, Claire Alexandra; Loo, Ying Ern; Tai, Bee Choo; Kim, Guowei; So, Jimmy Bok-Yan; Kaplan, Lee M; Dixon, John B; Shabbir, Asim (May 2021). "Association of metabolic–bariatric surgery with long-term survival in adults with and without diabetes: a one-stage meta-analysis of matched cohort and prospective controlled studies with 174 772 participants". The Lancet. 397 (10287): 1830–1841. doi:10.1016/S0140-6736(21)00591-2. PMID 33965067. S2CID 234345414.
  7. ^ "The History of Sleeve Gastrectomy: Bariatric Times". from the original on 2020-11-01. Retrieved 2020-10-09.
  8. ^ Chung AY, Thompson R, Overby DW, Duke MC, Farrell TM (August 2018). "Sleeve Gastrectomy: Surgical Tips". Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A. 28 (8): 930–937. doi:10.1089/lap.2018.0392. PMID 30004814. S2CID 51625639.
  9. ^ Spiegel HU, Skawran S (January 2011). "From longitudinal gastric resection to sleeve gastrectomy--revival of a previously established surgical procedure". Journal of Gastrointestinal Surgery. 15 (1): 219–28. doi:10.1007/s11605-010-1293-9. PMC 3023025. PMID 20725800.
  10. ^ Hutch CR, Sandoval D (December 2017). "The Role of GLP-1 in the Metabolic Success of Bariatric Surgery". Endocrinology. 158 (12): 4139–4151. doi:10.1210/en.2017-00564. PMC 5711387. PMID 29040429.
  11. ^ Cavin JB, Couvelard A, Lebtahi R, Ducroc R, Arapis K, Voitellier E, Cluzeaud F, Gillard L, Hourseau M, Mikail N, Ribeiro-Parenti L, Kapel N, Marmuse JP, Bado A, Le Gall M (February 2016). "Differences in Alimentary Glucose Absorption and Intestinal Disposal of Blood Glucose After Roux-en-Y Gastric Bypass vs Sleeve Gastrectomy". Gastroenterology. 150 (2): 454–64.e9. doi:10.1053/j.gastro.2015.10.009. PMID 26481855. S2CID 5214667.
  12. ^ Paluszkiewicz R, Kalinowski P, Wróblewski T, Bartoszewicz Z, Białobrzeska-Paluszkiewicz J, Ziarkiewicz-Wróblewska B, Remiszewski P, Grodzicki M, Krawczyk M (December 2012). "Prospective randomized clinical trial of laparoscopic sleeve gastrectomy versus open Roux-en-Y gastric bypass for the management of patients with morbid obesity". Wideochirurgia I Inne Techniki Maloinwazyjne = Videosurgery and Other Miniinvasive Techniques. 7 (4): 225–32. doi:10.5114/wiitm.2012.32384. PMC 3557743. PMID 23362420.
  13. ^ Karmali S, Schauer P, Birch D, Sharma AM, Sherman V (April 2010). "Laparoscopic sleeve gastrectomy: an innovative new tool in the battle against the obesity epidemic in Canada". Canadian Journal of Surgery. 53 (2): 126–32. PMC 2845949. PMID 20334745. from the original on 2020-02-16. Retrieved 2014-04-11.
  14. ^ "International Federation for the Surgery of Obesity and Metabolic Disorders". from the original on 2020-11-29. Retrieved 2021-01-20.
  15. ^ "Bariatric Surgery Procedures". The American Society for Metabolic and Bariatric Surgery (ASMBS). from the original on 2014-06-10. Retrieved 2014-03-12.
  16. ^ Alqahtani AR, Antonisamy B, Alamri H, Elahmedi M, Zimmerman VA (August 2012). "Laparoscopic sleeve gastrectomy in 108 obese children and adolescents aged 5 to 21 years". Annals of Surgery. 256 (2): 266–73. doi:10.1097/SLA.0b013e318251e92b. PMID 22504281. S2CID 5977126.
  17. ^ Alqahtani A, Alamri H, Elahmedi M, Mohammed R (November 2012). "Laparoscopic sleeve gastrectomy in adult and pediatric obese patients: a comparative study". Surgical Endoscopy. 26 (11): 3094–100. doi:10.1007/s00464-012-2345-x. PMID 22648112. S2CID 22587054.
  18. ^ Alqahtani A, Elahmedi M, Qahtani AR (February 2016). "Laparoscopic Sleeve Gastrectomy in Children Younger Than 14 Years: Refuting the Concerns". Annals of Surgery. 263 (2): 312–9. doi:10.1097/SLA.0000000000001278. PMID 26496081. S2CID 32909515.
  19. ^ "Depression after Gastric Bypass Surgery". Psychology Today. Retrieved 2019-04-18.
  20. ^ "Gastric Sleeve Surgery: Common Risks and Complications". Gastric Sleeve Diet Guide. 2016-10-11. from the original on 2017-03-16. Retrieved 16 March 2017.
  21. ^ "Gastric Sleeve Complications Post Surgery". BSIG. from the original on 23 July 2013. Retrieved 5 August 2013.
  22. ^ Lupoli, Roberta; Lembo, Erminia; Saldalamacchia, Gennaro; Avola, Claudia Kesia; Angrisani, Luigi; Capaldo, Brunella (2017). "Bariatric surgery and long-term nutritional issues". World Journal of Diabetes. 8 (11): 464–474. doi:10.4239/wjd.v8.i11.464. PMC 5700383. PMID 29204255.
  23. ^ "Depression after Gastric Bypass Surgery". Psychology Today. Retrieved 2019-04-18.
  24. ^ Stokar, Joshua; Ben-Porat, Tair; Kaluti, Donia; Abu-Gazala, Mahmud; Weiss, Ram; Mintz, Yoav; Elazari, Ram; Szalat, Auryan (January 2023). "Trabecular Bone Score Preceding and during a 2-Year Follow-Up after Sleeve Gastrectomy: Pitfalls and New Insights". Nutrients. 15 (15): 3481. doi:10.3390/nu15153481. PMC 10421136. PMID 37571418.
  25. ^ Noria, Sabrena F.; Shelby, Rita D.; Atkins, Katelyn D.; Nguyen, Ninh T.; Gadde, Kishore M. (2023). "Weight Regain After Bariatric Surgery: Scope of the Problem, Causes, Prevention, and Treatment". Current Diabetes Reports. 23 (3): 31–42. doi:10.1007/s11892-023-01498-z. PMC 9906605. PMID 36752995.

Further reading edit

  • Pitombo C (2008). Obesity surgery: principles and practice. McGraw Hill Professional. p. 177. ISBN 978-0-07-149492-2. from the original on 2021-01-20. Retrieved 2020-11-07.
  • Nguyen NT, De Maria EJ, Ikramuddin S, Hutter MM (2008). The SAGES Manual: A Practical Guide to Bariatric Surgery. Springer. p. 131. ISBN 978-0-387-69170-1. from the original on 2021-01-20. Retrieved 2020-11-07.

Micsorare stomac/ gastric sleeve - info related

  •   Media related to Sleeve gastrectomy at Wikimedia Commons

April 12, 2024
sleeve, gastrectomy, vertical, sleeve, gastrectomy, surgical, weight, loss, procedure, typically, performed, laparoscopically, which, approximately, stomach, removed, along, greater, curvature, which, leaves, cylindrical, sleeve, shaped, stomach, size, banana,. 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 1 2 Weight loss is effected not only through the reduction of the organ s size but by the removal of the portion of it that produces ghrelin the hormone that stimulates appetite Patients can lose 50 70 percent of excess weight over the course of the two years that follow the surgery 2 The procedure is irreversible 4 though in some uncommon cases patients can regain the lost weight via resumption of poor dietary habits or dilation of the stomach over time which can require gastric sleeve revision surgery to either repair the sleeve or convert it to another type of weight loss method that may produce better results such as a gastric bypass or duodenal switch 5 Sleeve gastrectomyDiagram of a gastric sleeveICD 9 CM43 89 edit on Wikidata A meta analysis of 174 772 participants published in The Lancet in 2021 found that bariatric surgery was associated with 59 and 30 reduction in all cause mortality among obese adults with and without type 2 diabetes respectively 6 This meta analysis also found that median life expectancy was 9 3 years longer for obese adults with diabetes who received bariatric surgery as compared to routine non surgical care whereas the life expectancy gain was 5 1 years longer for obese adults without diabetes 6 Contents 1 Procedure 2 Use in children and adolescents 3 Complications 4 References 5 Further readingProcedure editSleeve 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 successful it began to be investigated as a stand alone procedure 7 Sleeve gastrectomy is the most commonly performed bariatric surgery worldwide 8 9 In many cases sleeve gastrectomy is as effective as gastric bypass surgery including improvements in glucose homeostasis before substantial weight loss has occurred This weight loss independent benefit is related to the decrease in gastric volume changes in gut peptides and expression of genes involved in glucose absorption 10 11 nbsp Sleeve gastrectomy surgeryThe procedure involves a longitudinal resection of the stomach starting from the antrum at the point 5 6 cm from the pylorus and finishing at the fundus close to the cardia 12 The remaining gastric sleeve is calibrated with a bougie Most surgeons prefer to use a bougie between 36 and 40 Fr with the procedure and the ideal approximate remaining size of the stomach after the procedure is about 150 mL 13 Use in children and adolescents editEndorsed by the International Federation for the Surgery of Obesity and Metabolic Disorders 14 and the American Society for Metabolic and Bariatric Surgery 15 sleeve gastrectomy is gaining popularity in children and adolescents Studies by Alqahtani and colleagues have found that sleeve gastrectomy causes large weight loss in children and adolescents aged 5 to 21 years 16 Moreover they compared weight loss with adults and found comparable weight loss 17 A study published in 2016 showed that growth progresses were unaffected after sleeve gastrectomy in children younger than 14 years of age 18 Depression following the procedure has been noted in some individuals Another side effect is insomnia After this surgery many people can only sleep when they take melatonin or sleeping medications 19 Complications editThis section needs additional citations for verification Please help improve this article by adding citations to reliable sources in this section Unsourced material may be challenged and removed January 2024 Learn how and when to remove this template message Sleeve gastrectomy may cause complications some of them are listed below Sleeve leaking occurs 1 in 200 patients Blood clots happens 1 of the time Wound infections occurs in about 10 to 15 of post op patients Strictures occurs in 3 5 of post op patients 20 Aversion to food and nausea 21 Damage to the vagus nerve which will cause constant nausea Gastroparesis with a delay in moving food from the stomach to the small intestine Vomiting Internal bleeding Esophageal spasm pain Gastroesophageal Reflux Disease GERD Lack of gastric intrinsic factor result in vitamin B12 deficiency 22 Depression after surgery 23 Reduced bone health 24 Weight regain 25 References edit a b Sleeve gastrectomy Mayo Clinic Archived from the original on April 14 2023 Retrieved April 21 2023 a b c What is Sleeve Gastrectomy Hackensack Meridian Health Archived from the original on March 7 2023 Retrieved April 21 2023 Seeras Kevin Sankararaman Senthikumar Lopez Peter P May 1 2022 Sleeve Gastrectomy National Library of Medicine PMID 30085577 Archived from the original on February 15 2023 Retrieved April 21 2023 a href Template Cite web html title Template Cite web cite web a CS1 maint multiple names authors list link Sleeve Gastrectomy Columbia University Department of Surgery Archived from the original on April 22 2023 Retrieved April 21 2023 Gastric Sleeve Surgery Gastrectomy Cleveland Clinic Retrieved April 21 2023 a b Syn Nicholas L Cummings David E Wang Louis Z Lin Daryl J Zhao Joseph J Loh Marie Koh Zong Jie Chew Claire Alexandra Loo Ying Ern Tai Bee Choo Kim Guowei So Jimmy Bok Yan Kaplan Lee M Dixon John B Shabbir Asim May 2021 Association of metabolic bariatric surgery with long term survival in adults with and without diabetes a one stage meta analysis of matched cohort and prospective controlled studies with 174 772 participants The Lancet 397 10287 1830 1841 doi 10 1016 S0140 6736 21 00591 2 PMID 33965067 S2CID 234345414 The History of Sleeve Gastrectomy Bariatric Times Archived from the original on 2020 11 01 Retrieved 2020 10 09 Chung AY Thompson R Overby DW Duke MC Farrell TM August 2018 Sleeve Gastrectomy Surgical Tips Journal of Laparoendoscopic amp Advanced Surgical Techniques Part A 28 8 930 937 doi 10 1089 lap 2018 0392 PMID 30004814 S2CID 51625639 Spiegel HU Skawran S January 2011 From longitudinal gastric resection to sleeve gastrectomy revival of a previously established surgical procedure Journal of Gastrointestinal Surgery 15 1 219 28 doi 10 1007 s11605 010 1293 9 PMC 3023025 PMID 20725800 Hutch CR Sandoval D December 2017 The Role of GLP 1 in the Metabolic Success of Bariatric Surgery Endocrinology 158 12 4139 4151 doi 10 1210 en 2017 00564 PMC 5711387 PMID 29040429 Cavin JB Couvelard A Lebtahi R Ducroc R Arapis K Voitellier E Cluzeaud F Gillard L Hourseau M Mikail N Ribeiro Parenti L Kapel N Marmuse JP Bado A Le Gall M February 2016 Differences in Alimentary Glucose Absorption and Intestinal Disposal of Blood Glucose After Roux en Y Gastric Bypass vs Sleeve Gastrectomy Gastroenterology 150 2 454 64 e9 doi 10 1053 j gastro 2015 10 009 PMID 26481855 S2CID 5214667 Paluszkiewicz R Kalinowski P Wroblewski T Bartoszewicz Z Bialobrzeska Paluszkiewicz J Ziarkiewicz Wroblewska B Remiszewski P Grodzicki M Krawczyk M December 2012 Prospective randomized clinical trial of laparoscopic sleeve gastrectomy versus open Roux en Y gastric bypass for the management of patients with morbid obesity Wideochirurgia I Inne Techniki Maloinwazyjne Videosurgery and Other Miniinvasive Techniques 7 4 225 32 doi 10 5114 wiitm 2012 32384 PMC 3557743 PMID 23362420 Karmali S Schauer P Birch D Sharma AM Sherman V April 2010 Laparoscopic sleeve gastrectomy an innovative new tool in the battle against the obesity epidemic in Canada Canadian Journal of Surgery 53 2 126 32 PMC 2845949 PMID 20334745 Archived from the original on 2020 02 16 Retrieved 2014 04 11 International Federation for the Surgery of Obesity and Metabolic Disorders Archived from the original on 2020 11 29 Retrieved 2021 01 20 Bariatric Surgery Procedures The American Society for Metabolic and Bariatric Surgery ASMBS Archived from the original on 2014 06 10 Retrieved 2014 03 12 Alqahtani AR Antonisamy B Alamri H Elahmedi M Zimmerman VA August 2012 Laparoscopic sleeve gastrectomy in 108 obese children and adolescents aged 5 to 21 years Annals of Surgery 256 2 266 73 doi 10 1097 SLA 0b013e318251e92b PMID 22504281 S2CID 5977126 Alqahtani A Alamri H Elahmedi M Mohammed R November 2012 Laparoscopic sleeve gastrectomy in adult and pediatric obese patients a comparative study Surgical Endoscopy 26 11 3094 100 doi 10 1007 s00464 012 2345 x PMID 22648112 S2CID 22587054 Alqahtani A Elahmedi M Qahtani AR February 2016 Laparoscopic Sleeve Gastrectomy in Children Younger Than 14 Years Refuting the Concerns Annals of Surgery 263 2 312 9 doi 10 1097 SLA 0000000000001278 PMID 26496081 S2CID 32909515 Depression after Gastric Bypass Surgery Psychology Today Retrieved 2019 04 18 Gastric Sleeve Surgery Common Risks and Complications Gastric Sleeve Diet Guide 2016 10 11 Archived from the original on 2017 03 16 Retrieved 16 March 2017 Gastric Sleeve Complications Post Surgery BSIG Archived from the original on 23 July 2013 Retrieved 5 August 2013 Lupoli Roberta Lembo Erminia Saldalamacchia Gennaro Avola Claudia Kesia Angrisani Luigi Capaldo Brunella 2017 Bariatric surgery and long term nutritional issues World Journal of Diabetes 8 11 464 474 doi 10 4239 wjd v8 i11 464 PMC 5700383 PMID 29204255 Depression after Gastric Bypass Surgery Psychology Today Retrieved 2019 04 18 Stokar Joshua Ben Porat Tair Kaluti Donia Abu Gazala Mahmud Weiss Ram Mintz Yoav Elazari Ram Szalat Auryan January 2023 Trabecular Bone Score Preceding and during a 2 Year Follow Up after Sleeve Gastrectomy Pitfalls and New Insights Nutrients 15 15 3481 doi 10 3390 nu15153481 PMC 10421136 PMID 37571418 Noria Sabrena F Shelby Rita D Atkins Katelyn D Nguyen Ninh T Gadde Kishore M 2023 Weight Regain After Bariatric Surgery Scope of the Problem Causes Prevention and Treatment Current Diabetes Reports 23 3 31 42 doi 10 1007 s11892 023 01498 z PMC 9906605 PMID 36752995 Further reading editPitombo C 2008 Obesity surgery principles and practice McGraw Hill Professional p 177 ISBN 978 0 07 149492 2 Archived from the original on 2021 01 20 Retrieved 2020 11 07 Nguyen NT De Maria EJ Ikramuddin S Hutter MM 2008 The SAGES Manual A Practical Guide to Bariatric Surgery Springer p 131 ISBN 978 0 387 69170 1 Archived from the original on 2021 01 20 Retrieved 2020 11 07 Micsorare stomac gastric sleeve info related nbsp Media related to Sleeve gastrectomy at Wikimedia Commons Retrieved from https en wikipedia org w index php title Sleeve gastrectomy amp oldid 1211120769, wikipedia, wiki, book, books, library,

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