Introducing the Sleeve GastrectomyIntroducing the Sleeve Gastrectomy

Sleeve Gastrectomy as a Bariatric Procedure: Clinical Issues Committee of theAmerican Society for Metabolic and Bariatric Surgery. SOARD 2007:3;573-76.

Sleeve GastrectomySleeve Gastrectomy

Newest of the weight loss surgery optionsNewest of the weight loss surgery options

Selected indications onlySelected indications only

Not covered by Medicare and MedicaidNot covered by Medicare and Medicaid

American Society of Metabolic and American Society of Metabolic and Bariatric Surgery Position Statement Bariatric Surgery Position Statement (2007)(2007)

Studies with follow-up just now reaching 5 Studies with follow-up just now reaching 5 yearsyears

Sleeve GastrectomySleeve Gastrectomy

Viewed as a modification of the Viewed as a modification of the vertical banded gastroplastyvertical banded gastroplasty

Gastric component of the Gastric component of the biliopancreatic diversion with biliopancreatic diversion with duodenal switchduodenal switch

Resectional form of the Resectional form of the Magenstrasse and Mill procedureMagenstrasse and Mill procedure

The Sleeve GastrectomyThe Sleeve Gastrectomy

1988 - As part of the duodenal switch 1988 - As part of the duodenal switch procedureprocedure

1993 – Open stand1993 – Open stand

alone procedurealone procedure

1999 – Laparoscopic 1999 – Laparoscopic

stand alone procedurestand alone procedure

ResultsResults

Sleeve Gastrectomy as a Bariatric Procedure: Clinical Issues Committee of theAmerican Society for Metabolic and Bariatric Surgery. SOARD 2007:3;573-76.

Results – A SummaryResults – A Summary

Sleeve Gastrectomy as a Bariatric Procedure: Clinical Issues Committee of theAmerican Society for Metabolic and Bariatric Surgery. SOARD 2007:3;573-76.

Comorbidity ResolutionComorbidity Resolution

Sleeve Gastrectomy as a Bariatric Procedure: Clinical Issues Committee of theAmerican Society for Metabolic and Bariatric Surgery. SOARD 2007:3;573-76.

IndicationsIndications

Aggarwal S, Kini S, Herron D. Laparoscopic Sleeve Gastrectomy for Morbid Obesity:A Review. SOARD 2007:3;187-94.

ComplicationsComplications

Staple line bleeding (0-6.4%)Staple line bleeding (0-6.4%)

Leakage (0-1.4%)Leakage (0-1.4%)

Mortality (0-3.2%)Mortality (0-3.2%)

Aggarwal S, Kini S, Herron D. Laparoscopic Sleeve Gastrectomy for Morbid Obesity:A Review. SOARD 2007:3;187-94.