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Gastroenterologie
a hepatologie

Gastroenterology and Hepatology

Gastroent Hepatol 2018; 72(2): 158–163. doi:10.14735/amgh2018158.

Sleeve gastrectomy – a popular bariatric method to treat severe obesity and type 2 diabetes

Mojmír Kasalický Orcid.org  1,2, Eva Koblihová Orcid.org  3, Jaroslav Pažin3

+ Affiliation

Summary

Introduction: Bariatric and metabolic surgeries are safe and effective methods to treat severe obesity and type 2 diabetes mellitus in morbidly obese patients, resp. Morbidly obese patients have been treated using sleeve gastrectomy (SG) as a single bariatric/metabolic (B/M) procedure since 2003 in other countries and since 2006 in the Czech Republic. Laparoscopic sleeve gastrectomy (LSG) is an effective and feasible B/M procedure with a low rate of complications. This article concerns the use of SG as a bariatric method. Method: The main principle of SG is vertical resection of the greater curvature of the stomach. SG is a restrictive method with neurohumoral effects and is usually performed via a laparoscopic minimally invasive approach. Conclusion: LSG is a safe bariatric procedure with good long-term results in terms of weight loss and improvement of metabolic co-morbidities as well a low rate of complications, which can be managed laparoscopically. SG is currently the most widely used B/M procedure in the Czech Republic and most other countries.

Keywords

bariatriv surgery, diabetes mellitus, sleeve gastrectomy

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Literature

1. Frühbeck G. Bariatric and metabolic surgery: a shift in eligibility and success criteria. Nat Rev Endocrinol 2015; 11 (8): 465–477. doi: 10.1038/nrendo.2015.84.
2. Li F, Sheng Ch, Song K et al. Preventative sleeve gastrectomy contributes to maintaining β cell function in db/db diabetic mouse. Obes Surg 2016; 26 (10): 2402–2410. doi: 10.1007/s11695-016-2112-5.
3. Angrisani L. Bariatric surgery worldwide 2014. Obes Surg 2015; 25 (10): 1822–1832. doi: 10.1007/s11695-015-1657-z.
4. Kasalický M. Česká bariatrie v roce 2010. Rozhl Chir 2011; 90 (4): 222–225.
5. Gagner M, Hutchinson C, Rosenthal R. Fifth International Consensus Conference: current status of sleeve gastrectomy. Surg Obes Relat Dis 2016; 12 (4): 750–756. doi: 10.1016/j.soard.2016. 01.022.
6. Kasalicky M, Michalsky D, Housova J et al. Laparoscopic sleeve gastrectomy without an over-sewing of the staple line. Obes Surg 2008; 18 (10): 1257−1262. doi: 10.1007/s11695-008-9635-3.
7. Switzer NJ, Prasad S, Debru E et al. Sleeve gastrectomy and type 2 diabetes mellitus: a systematic review of long-term outcomes. Obes Surg 2016; 26 (7): 1616–1621. doi: 10.1007/ s11695-016-2188-y.
8. Kasalický M. Tubulizace žaludku chirurgická léčba obezity. Praha: Triton 2007.
9. Fried M, Gryga A, Herlesová J et al. Obecné indikace a kontraindikace k bariatrii. Rozhl Chir 2013; 92 (1): 41–44.
10. Fried M, Hainer V, Basdevand A et al. Interdisciplinary European guidelines for surgery of severe (morbid) obesity. Obes Surg 2007; 17 (2): 260–270.
11. Alvarenga ES, Lo Menzo E, Szomstein S et al. Safety and efficacy of 1020 consecutive laparoscopic sleeve gastrectomies performed as a primary treatment modality for morbid obesity. A single-center experience from the metabolic and bariatric surgical accreditation quality and improvement program. Surg Endosc 2016; 30 (7): 2673–2678. doi: 10.1007/s00464-015-4548-4.
12. Kasalický M, Bařinka A, Čierny M et al. 10 let sleeve gastrectomy – tubulizace žaludku v České republice z hlediska operačního výkonu. Rozhl Chir 2016; 95 (12): 425–431.
13. Brethauer SA, Hammel JP, Schauer PR. Systematic review of sleeve gastrectomy as staging and primary bariatric procedure. Surg Obes Relat Dis 2009; 5 (4): 469–475. doi: 10.1016/j.soard.2009.05.011.
14. Gill RS, Birch DW, Shi X et al. Sleeve gastrectomy and type 2 diabetes mellitus: a systematic review. Surg Obes Relat Dis 2010; 6 (6): 707–713. doi: 10.1016/j.soard.2010.07.011.
15. Buchwald H, Avidor Y, Braunwald E et al. Bariatric surgery: a systematic review and meta-analysis. JAMA 2004; 292 (14): 1724–1737.
16. Puzziferri N, Roshek 3rd TB, Mayo HG et al. Long-term follow-up after bariatric surgery: a systematic review. JAMA 2014; 312 (9): 934–942. doi: 10.1001/jama.2014.10706.
17. Li J, Lai D, Wu D. Laparoscopic Roux-en-Y gastric bypass versus laparoscopic sleeve gastrectomy to treat morbid obesity-related comorbidities: a systematic review and meta-analysis. Obes Surg 2016; 26 (2): 429–442. doi: 10.1007/s11695-015-1996-9.
18. Schauer PR, Bhatt DL, Kirwan JP et al. Bariatric surgery versus intensive medical therapy for diabetes – 5-year outcomes. N Engl J Med 2017; 376 (7): 641–651. doi: 10.1056/NEJMoa1600 869.
19. Bohdjalian A, Langer FB, Shakeri-Leidenmühler S et al. Sleeve gastrectomy as sole and definitive bariatric procedure: 5-year results for weight loss and ghrelin. Obes Surg 2010; 20 (5): 535–540. doi: 10.1007/s11695-009-00 66-6.
20. Wang GF, Yan YX, Xu N et al. Predictive factors of type 2 diabetes mellitus remission following bariatric surgery: a meta-analysis. Obes Surg 2015; 25 (2): 199–208. doi: 10.1007/ s11695-014-1391-y.

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