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sleeve gastrectomy

Indications: - morbid obesity Procedure: - laparocopic procedure - partial gastrectomy - most of the stomach's greater curvature is resected - technically easier than gastric bypass Complications: - avoids potential long-term nutritional deficiencies that occur with intestinal bypass - exacerbation of GERD (contrast with gastric bypass) [3] Notes: - more common than gastric bypass [4] - % weight reduction declines from 77% at year 1 to 56% at year 5 [5] - % of partial or complete resolution of type 2 diabetes declines from 93% at year 1 to 80% at year 5 [5] - % of partial or complete resolution of hypertension declines from 78% at year 1 to 55% at year 5 [5] - improvement in comorbidities is not correlated with the amount of weight reduction - sleeve gastrectomy preferred to gastric banding due to complications of band erosion & slippage [8]

General

gastrectomy bariatric surgery

References

  1. Carlin AM et al. The comparative effectiveness of sleeve gastrectomy, gastric bypass, and adjustable gastric banding procedures for the treatment of morbid obesity. Ann Surg 2013 May; 257:791. PMID: 23470577
  2. Peterli R et al. Early results of the Swiss Multicentre Bypass or Sleeve Study (SM-BOSS): A prospective randomized trial comparing laparoscopic sleeve gastrectomy and Roux-en-Y gastric bypass. Ann Surg 2013 Nov; 258:690 PMID: 23989054 http://journals.lww.com/annalsofsurgery/pages/articleviewer.aspx?year=2013&issue=11000&article=00005&type=abstract
  3. DuPree CE et al. Laparoscopic sleeve gastrectomy in patients with preexisting gastroesophageal reflux disease. A National Analysis. JAMA Surg 2014 Feb 5 PMID: 24500799
  4. Reames BN et al Changes in Bariatric Surgery Procedure Use in Michigan, 2006-2013. JAMA. 2014;312(9):959-961. PMID: 25182106
  5. Golomb I et al Long-term Metabolic Effects of Laparoscopic Sleeve Gastrectomy. JAMA Surg. Published online August 05, 2015 PMID: 26244446 http://archsurg.jamanetwork.com/article.aspx?articleid=2422341 - Courcoulas AP No Rush to Judgment for Bariatric Surgery JAMA Surg. Published online August 05, 2015 PMID: 26244542 http://archsurg.jamanetwork.com/article.aspx?articleid=2422335
  6. Lopez-Nava G et al. Endoscopic sleeve gastroplasty with 1-year follow-up: Factors predictive of success. Endosc Int Open 2016 Jan 15 PMID: 26878054 Free PMC Article https://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-110771
  7. Fayad L, Adam A, Dunlap M et al. Endoscopic sleeve gastroplasty versus laparoscopic sleeve gastrectomy: A case-matched study. Gastrointest Endosc 2018 Aug 24; PMID: 30148991 https://www.giejournal.org/article/S0016-5107(18)32988-2/pdf
  8. Medical Knowledge Self Assessment Program (MKSAP) 15, 16, 17, 18, 19. American College of Physicians, Philadelphia 2009, 2012, 2015, 2018, 2022. - Medical Knowledge Self Assessment Program (MKSAP) 19 Board Basics. An Enhancement to MKSAP19. American College of Physicians, Philadelphia 2022 - Arterburn D et al. Comparative effectiveness and safety of bariatric procedures for weight loss: A PCORnet cohort study. Ann Intern Med 2018 Dec 4; 169:741. PMID: 30383139 http://annals.org/aim/fullarticle/2711394/comparative-effectiveness-safety-bariatric-procedures-weight-loss-pcornet-cohort-study - Puzziferri N, Wolfe BM. PCORnet bariatric surgery outcomes: Strength in numbers. Ann Intern Med 2018 Dec 4; 169:806. PMID: 30383123 http://annals.org/aim/article-abstract/2711441/pcornet-bariatric-surgery-outcomes-strength-numbers