Laparoscopic Sleeve Gastrectomy as a Single-Stage Bariatric Procedure

Sammour, Tarik; Hill, Andrew G.; Singh, Pushpendra; Ranasinghe, Anudini; Babor, Richard; Rahman, Habib

doi:10.1007/s11695-009-0038-x

Cited by 92 publications

(47 citation statements)

References 16 publications

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“…Based on these results, some scientists have postulated that LSG should be the first choice in the treatment of superobesity [47,48]. Based on our own experience and on the results from other centers, we can assume that the reduction in ghrelin levels may influence weight loss, but it is not the only factor which can determine the effectiveness of LSG in the treatment of obesity [49].…”

Section: Discussionmentioning

confidence: 86%

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The influence of laparoscopic adjustable gastric banding and laparoscopic sleeve gastrectomy on weight loss, plasma ghrelin, insulin, glucose and lipids

Hady

Gołaszewski

Zbucki

et al. 2012

Folia Histochem Cytobiol.

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Abstract:The aim of this study was to assess the impact of laparoscopic gastric banding and laparoscopic sleeve gastrectomy on the concentration of ghrelin, insulin, glucose, triglycerides, total and HDL-cholesterol, as well as AST and ALT levels in plasma in patients with obesity. The research includes 200 patients operated using LAGB (34 men average age 37.0 ± 12.6 years and 66 women average age 39.18 ± 12.17 years) and LSG (48 men average age 47.93 ± 9.24 years and 52 women, 19 ± 9.33 years). The percentage of effective weight loss, effective BMI loss, concentration of ghrelin, insulin, glucose, triglycerides, total cholesterol, HDL-cholesterol, LDL-cholesterol, ALT, AST and HOMA IR values was taken preoperatively and at 7 th day, 1 month, 3 and 6 months after surgery. Both after LSG and after LAGB, statistically significant reduction in BMI, serum insulin, glucose and HOMA IR was noticed in comparison to the preoperative values. Post LAGB, patients showed an increase of ghrelin, while LSG proved ghrelin decreased. Correlations between glucose and BMI loss, and between insulin and BMI loss in both cases are more favorable in the LSG group. Lipid parameters, AST and ALT have undergone declines or increases in the particular time points. Both techniques cause weight loss and this way lead to changes in the concentration of ghrelin, as well as to the improvement of insulin, glucose, cholesterol and triglycerides metabolism. They reduce metabolic syndrome and multiple comorbidities of obesity.

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Section: Discussionmentioning

confidence: 86%

“…The application of SG as a sole and definitive treatment can be regarded as a significant development. Gastric resection was so for an integral part of one-step procedure [47].…”

Section: Discussionmentioning

confidence: 99%

The influence of laparoscopic adjustable gastric banding and laparoscopic sleeve gastrectomy on weight loss, plasma ghrelin, insulin, glucose and lipids

Hady

Gołaszewski

Zbucki

et al. 2012

Folia Histochem Cytobiol.

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“…This surgical technique aims to decrease operation risks for super-obese or high-risk patients; however, it has been validated as a stand-alone bariatric surgery nowadays [79]. Furthermore, LSG has gained increasing popularity with both bariatric surgeons and patients, mainly due to its relative operative ease and lower risk profile [80].…”

Section: Resultsmentioning

confidence: 99%

Resolving of diabetes mellitus post laparoscopic sleeve gastrectomy

Arrowaili¹

2017

IJMDC

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The prevalence of type 2 diabetes mellitus (T2DM) is increasing globally with obesity as a risk factor for T2DM. Non-surgical and surgical methods are used to treat morbid obesity. Laparoscopic Sleeve Gastrectomy (LSG) is being recognized as an effective independent procedure for treating morbidly obese patients with T2DM by removing the gastric fundus and transforming the stomach into a narrow gastric tube. This paper discusses effects of LSG in T2DM resolution and remission, and its short-term and long-term influence on obese patients with T2DM with making comparison with other types of surgeries to resolve T2DM. LSG seems to have a substantial beneficial influence on T2DM, producing resolution in the majority of patients included in the studies. LSG has gained popularity for its relative operative ease and lower risk profile.

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“…Postoperative complications of laparoscopic sleeve gastrectomy are relatively rare and vary from 0 % to 29 % (mean 11 %) with 0.3 % mortality (1,7,8,9). Perioperative minor complications have an overall incidence of 11 % and major surgical complications 5% in large series (10).…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic sleeve gastrectomy for morbid obesity with natural orifice specimen extraction (NOSE)

Guňková¹,

Guňka²,

Zonča³

et al. 2015

BLL

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OBJECTIVE: An experience with laparoscopic sleeve gastrectomy using the natural orifi ce specimen extraction (NOSE) technique. BACKGROUND: Bariatric surgery is nowadays the only long term effective obesity treatment method. METHODS: Twenty one consecutive patients underwent laparoscopic sleeve gastrectomy with the use of natural orifi ce specimen extraction (NOSE) in the Surgical Clinic of Faculty Hospital Ostrava between May 2012 and August 2012. Inclusion criteria were the body mass index (BMI) higher than 35 kg/m 2 or higher than 32 kg/m 2 accompanied with relevant comorbidities. RESULTS: Among 21 patients in this series, there were three men (14.3 %) and 18 women (85.7 %). Their mean age was 40.9 ± 10.2 years. Their mean preoperative BMI was 40.4 ± 4.6 kg/m 2 . No patient had previous bariatric surgery, one patient had laparoscopic fundoplication. All operations were completed laparoscopically with no conversions to an open procedure. In two cases, laparoscopic cholecystectomy was performed and the gallbladder was extracted along with the gastric specimen by transgastric approach. CONCLUSION: Laparoscopic sleeve gastrectomy is a safe and effective bariatric procedure with low morbidity and mortality. Based on our initial experiences it could be an indication for NOSE with transgastric approach. Obese patients would benefi t from this approach due to the elimination of wound complications (Tab. 2, Fig. 3, Ref. 22). Text in PDF www.elis.sk. KEY WORDS: laparoscopic sleeve gastrectomy-morbid obesity-bariatric surgery-natural orifi ce specimen extraction

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Laparoscopic Sleeve Gastrectomy as a Single-Stage Bariatric Procedure

Abstract: In this public hospital setting, laparoscopic sleeve gastrectomy has achieved satisfactory weight loss results with an acceptable complication rate in the medium-term.

Cited by 92 publications

References 16 publications

The influence of laparoscopic adjustable gastric banding and laparoscopic sleeve gastrectomy on weight loss, plasma ghrelin, insulin, glucose and lipids

The influence of laparoscopic adjustable gastric banding and laparoscopic sleeve gastrectomy on weight loss, plasma ghrelin, insulin, glucose and lipids

Resolving of diabetes mellitus post laparoscopic sleeve gastrectomy

Laparoscopic sleeve gastrectomy for morbid obesity with natural orifice specimen extraction (NOSE)

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