Sleeve gastrectomy

Sleeve gastrectomy
Sleeve gastrectomy
	Diagram of a gastric sleeve
ICD-9-CM	43.89
	[edit on Wikidata]

Sleeve gastrectomy or vertical sleeve gastrectomy, is a

gastric bypass or duodenal switch.^[5]

A meta-analysis of 174,772 participants published in

obese adults with and without type 2 diabetes, respectively. 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

Sleeve gastrectomy was originally performed as a modification to another
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.
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

Endorsed by the International Federation for the Surgery of Obesity and Metabolic Disorders
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

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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

^ ^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.

PMID 30085577. Archived from the original on February 15, 2023. Retrieved April 21, 2023.{{cite web}}: CS1 maint: multiple names: authors list (link
)

Columbia University Department of Surgery. Archived
from the original on April 22, 2023. Retrieved April 21, 2023.

^ "Gastric Sleeve Surgery (Gastrectomy)". Cleveland Clinic. Archived from the original on April 26, 2024. Retrieved April 26, 2024.

S2CID 234345414
.

^ "The History of Sleeve Gastrectomy: Bariatric Times". Archived from the original on 2020-11-01. Retrieved 2020-10-09.

S2CID 51625639
.

PMID 20725800
.

PMID 29040429
.

S2CID 5214667
.

PMID 23362420
.

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.

S2CID 5977126
.

S2CID 22587054
.

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.

PMID 29204255
.

^ "Depression after Gastric Bypass Surgery". Psychology Today. Retrieved 2019-04-18.

PMID 37571418
.

PMID 36752995
.

Further reading

Pitombo 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

Media related to Sleeve gastrectomy at Wikimedia Commons

Retrieved from "https://en.wikipedia.org/w/index.php?title=Sleeve_gastrectomy&oldid=1220915300"

[MayoClinic-1] "Sleeve gastrectomy". Mayo Clinic. Archived from the original on April 14, 2023. Retrieved April 21, 2023.

[HackensackMeridian-2] "What is Sleeve Gastrectomy?". Hackensack Meridian Health. Archived from the original on March 7, 2023. Retrieved April 21, 2023.

[3] PMID 30085577. Archived from the original on February 15, 2023. Retrieved April 21, 2023.{{cite web}}: CS1 maint: multiple names: authors list (link
)

[4] Columbia University Department of Surgery. Archived
from the original on April 22, 2023. Retrieved April 21, 2023.

[5] "Gastric Sleeve Surgery (Gastrectomy)". Cleveland Clinic. Archived from the original on April 26, 2024. Retrieved April 26, 2024.

[6] S2CID 234345414
.

[7] "The History of Sleeve Gastrectomy: Bariatric Times". Archived from the original on 2020-11-01. Retrieved 2020-10-09.

[pmid30004814-8] S2CID 51625639
.

[9] PMID 20725800
.

[10] PMID 29040429
.

[11] S2CID 5214667
.

[12] PMID 23362420
.

[13] PMID 20334745. Archived
from the original on 2020-02-16. Retrieved 2014-04-11.

[14] "International Federation for the Surgery of Obesity and Metabolic Disorders". Archived from the original on 2020-11-29. Retrieved 2021-01-20.

[15] "Bariatric Surgery Procedures". The American Society for Metabolic and Bariatric Surgery (ASMBS). Archived from the original on 2014-06-10. Retrieved 2014-03-12.

[16] S2CID 5977126
.

[17] S2CID 22587054
.

[18] 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. Archived from the original on 2017-03-16. Retrieved 16 March 2017.

[21] "Gastric Sleeve Complications Post Surgery". BSIG. Archived from the original on 23 July 2013. Retrieved 5 August 2013.

[22] PMID 29204255
.

[23] "Depression after Gastric Bypass Surgery". Psychology Today. Retrieved 2019-04-18.

[24] PMID 37571418
.

[25] PMID 36752995
.

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