Staged Laparoscopic Sleeve Gastrectomy Followed by Roux-en-Y Gastric Bypass for Morbidly Obese Patients: A Risk Reduction Strategy

Abstract

LSG does minimize postoperative complication rates significantly on high-risk patients and achieves effective short-term weight loss with resolutions in comorbidities. Additional studies are required to evaluate LSG as a stand-lone procedure.

Laparoscopic Gastric Bypass as a Revision Procedure After Transoral Gastroplasty

“…The %EWL achieved is comparable with the expected EWL after primary or revisional LRYGBP [3,5,8,11].…”

“…Sleeve gastrectomy is sometimes proposed as a first step in the treatment of these patients and the second step, LRYGBP, is performed 6 or 12 months later [11,12]. Conversion of TOGA to a LRYGBP appears feasible-if confirmed to be safe, and if weight loss continues to be demonstrated effective, TOGA could be proposed as a first restrictive step in this particular group.…”

Sleeve Gastrectomy as Sole and Definitive Bariatric Procedure: 5-Year Results for Weight Loss and Ghrelin

“…A widening field of indications for sleeve gastrectomy (SG) is available today, from a procedure introduced as first step for high-risk or super-obese patients intended for a second intervention, such as the Roux-en-Y gastric bypass (RYGB) [1,2] or bilio-pancreatic diversion with duodenal switch (BPDDS) [3,4]. In these settings, a significant weight regain in the longer follow-up was of no consequence, as the second intervention was scheduled within a short period of time to benefit from the initial weight loss.…”

Laparoscopic sleeve gastrectomy: Technique and results

“…Cottam et al [24] 2006 126 65.3 12 46 Hamoui et al [5] 2006 118 55 24 47.3 Lee et al [21] 2007 216 49 24 59 Nocca et al [20] 2007 163 45.9 24 61.5 Weiner et al [13] 2007 120 60.7 60 NR Yang O et al [8] 2008 138 50.6 24 46 Parikh et al [12] 2008 135 60.1 12 47.3 Felberbauer et al [18] 2008 126 48.1 19 NR Rubin et al [15] 2008 120 43.5 11 NR Fuks et al [24] 2009 135 48.8 12 49.4 Stroh et al [25] 2009 144 54.5 24 NR Bobowicz et al [26] 2011 112 44.6 22 46.6 Chopra et al [9] 2011 174 48.9 36 58.9 Rawlins et al [27] 2012 49 65 60 86 Catheline et al [28] 2013 45 49.1 60 50.7 Sieber et al [29] 2013 54 43 60 57.4 Zachariah et al [10] 2013 228 37.4 60 63.7 Bellows et al [30] 2014 63 51.8 17 47.2 Boza et al [22] 2014 161 34.9 60 62.9 the size of bougies is one of the important factors contributing to durable weight loss. [11,34] The other important point to the weight loss outcome after LSG might be the changes in the plasma levels of ghrelin.…”