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European Surgery

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01.11.2014 | Review

What is the role of the sleeve gastrectomy in the surgical treatment of morbid obesity?

verfasst von: Dr. Ahmed Guirat, Martino Guenzi, Paulo Pereira, Ioan Bachner

Erschienen in: European Surgery | Ausgabe 5/2014

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Abstract

Background

Laparoscopic sleeve gastrectomy (SG) is a relatively new procedure that is gaining wide acceptance and represents an innovative new approach to the surgical management of morbid obesity. Our purpose is to evaluate the SG as a surgical bariatric procedure.

Methods

We conducted a literature review on “PubMed” based on all publications related to SG since 2000 to July 30, 2014.

Results

The complication rate after SG varies in the literature, ranging from 0 to 29 %. The most feared complication after SG is leakage on the staple line, occurring in 0–7 % of cases. The mortality rate reported varies between 0 and 3.3 %. No consensus has developed on the types of stapling used or the methods of strengthening the staple line. SG may aggravate and be responsible for gastroesophageal reflux disease (GERD). SG improves comorbidities in more than 50 % after 5 years.

Conclusions

SG can be proposed as a surgical technique at first intension in patients not having GERD.

Vorheriger Artikel Surgery today: How to keep the golden mean within our academy?

Nächster Artikel The effects of sleeve gastrectomy on hormonal regulation of glucose metabolism in Goto–Kakizaki rats

World Health Organisation. Overweight and Obesity. http://www.who.int/mediacentre/factsheets/fs311/en. Fact sheet N°311. Updated August 2014.

Hess DS, Hess DW. Biliopancreatic diversion with duodenal switch. Obes Surg. 1988;8:267–82.CrossRef

Marceau P, Hould FS, Simard S, et al. Biliopancreatic diversion with duodenal switch. World J Surg. 1998;22:947–54.PubMedCrossRef

Johnson D, Dachtler J, Sue-Ling HM, King RF, Martin G. The magenstrasse and Mill operation for morbid obesity. Obes Surg. 2003;13:10–6.CrossRef

Cottam D, Qureshi FG, Mattar SG, et al. Laparoscopic sleeve gastrectomy as an initial weight-loss procedure for high-risk patients with morbid obesity. Surg Endosc. 2006;20(6):859–63.PubMedCrossRef

Tucker ON, Szomstein S, Rosenthal RJ. Indications for sleeve gastrectomy as a primary procedure for weight loss in themorbidly obese. J Gastrointest Surg. 2008;12:662–7.PubMedCrossRef

Hamoui N, Anthone GJ, Kaufman HS, Crookes PF. Sleeve gastrectomy in the high-risk patient. Obes Surg. 2006;16:1445–9.PubMedCrossRef

Boza C, Salinas J, Salgado N, et al. Laparoscopic sleeve gastrectomy as a stand-alone procedure for morbid obesity: report of 1,000 Cases and 3-year follow-up. Obes Surg. 2012;22:866–7.PubMedCrossRef

Deitel M, Gagner M, Erickson AL, Crosby RD. Third International Summit: current status of sleeve gastrectomy. Surg Obes Relat Dis. 2011;6:7749–59.

10.

Helmiö M, Victorzon M, Ovaska J, Leivonen M, Juuti A, Jaser N, Peromaa P, Tolonen P, Hurme S, Salminen P. Sleevepass: a randomized prospective multicenter study comparing laparoscopic sleeve gastrectomy and gastric bypass in the treatment of morbid obesity: preliminary results. Surg Endosc. 2012;26(9):2521–6.PubMedCrossRef

11.

Basso N, Casella G, Rizzello M, Abbatini F, Soricelli E, Alessandri G, Maglio C, Fantini A. Laparoscopic sleeve gastrectomy as first stage or definitive intent in 300 consecutive cases. Surg Endosc. 2011;25(2):444–9.PubMedCrossRef

12.

Gentileschi P, Camperchioli I, D’Ugo S, Benavoli D, Gaspari AL. Staple-line reinforcement during laparoscopic sleeve gastrectomy using three different techniques: a randomized trial. Surg Endosc. 2012;26(9):2623–9.PubMedCrossRef

13.

Fournier P, De Courville G, Upex P, Marmuse JP. Les fistules après Sleeve gastrectomie: étude expérimentale de la théorie mécanique portant sur la résistance de l’agrafage linéaire gastrique. Journal de Chirurgie Viscérale. 2013;150:9.

14.

Weiner RA, Weiner S, Pomhoff I, Jacobi C, Makarewicz W, Weigand G. Laparoscopic sleeve gastrectomy—influence of sleeve size and resected gastric volume. Obes Surg. 2007;17:1297–305.PubMedCrossRef

15.

Saber AA, Elgamal MH, Itawi EA, Rao AJ. Single-incision laparoscopic sleeve gastrectomy (SILS): a novel technique. Obes Surg. 2008;18:1338–42.PubMedCrossRef

16.

Gentileschi P, Camperchioli I, Benavoli D, et al. Laparoscopic single-port sleeve gastrectomy for morbid obesity: preliminary series. Surg Obes Relat Dis. 2010;6:65–9.CrossRef

17.

Lakdawala MA, Muda NH, Goel S, Bhasker A. Single-incision sleeve gastrectomy versus conventional laparoscopic sleeve gastrectomy—a randomised pilot study. Obes Surg. 2011;11:1664–70.CrossRef

18.

Huang CK, Tsai JC, Lo CH, et al. Preliminary surgical results of ingle-incision transumbilical laparoscopic bariatric surgery. Obes Surg. 2011;21(3):391–6.PubMedPubMedCentralCrossRef

19.

Fernández JI, Ovalle C, Farias C, et al. Transumbilical laparoscopic Roux-en-Ygastric bypass with hand-sewn gastrojejunal anastomosis. Obes Surg. 2013;23(1):140–4.PubMedCrossRef

20.

Nguyen NT, Smith BR, Reavis KM, et al. Strategic laparoscopic surgery for improved cosmesis in general and bariatric surgery: analysis of initial 127 cases. J Laparoendosc Adv Surg Tech A. 2012;22(4):355–61.PubMedCrossRef

21.

Delgado S, Ibarzabal A, Adelsdorfer C, Adelsdorfer W, Corcelles R, Momblán D, Lacy AM. Transumbilical single-port sleeve gastrectomy: initial experience and comparative study. Surg Endosc. 2012;26(5):1247–53.PubMedCrossRef

22.

Rogula T, Daigle C, Dua M, Shimizu H, Davis J, Lavryk O, Aminian A, Schauer P. Laparoscopic bariatric surgery can be performed through a single incision: a comparative study. Obes Surg. 2014;24(7):1102–8.PubMedCrossRef

23.

Park K, Afthinos JN, Lee D, Koshy N, McGinty JJ, Teixeira JA. Single port sleeve gastrectomy: strategic use of technology to re-establish fundamental tenets of multiport laparoscopy. Surg Obes Relat Dis. 2012;8(4):450–7.PubMedCrossRef

24.

Alevizos L, Lirici MM. Laparo-endoscopic single-site sleeve gastrectomy: results from a preliminary series of selected patients. Minim Invasive Ther Allied Technol. 2012;21(1):40–5.PubMedCrossRef

25.

Mittermair R, Pratschke J, Sucher R. Single-incision laparoscopic sleeve gastrectomy. Am Surg. 2013;79(4):393–7.PubMed

26.

Ikramuddin S, Buchwald H. How bariatric and metabolic operations control metabolic syndrome. Br J Surg. 2007;98:1339–41.CrossRef

27.

Karamanakos N, Vagenas K, Kalfarentzos F, Alexandrides TK. Weight loss, appetite suppression, and changes in fasting and postprandial ghrelin and peptide-YY levels after Roux-en-Y gastric bypass and sleeve gastrectomy: a prospective, double blind study. Ann Surg. 2008;247:401–7.PubMedCrossRef

28.

Brethauer SA, Hammel JP, Schauer PR. Systematic review of sleeve gastrectomy as staging and primary bariatric procedure. Surg Obes Relat Dis. 2009;5:469–75.PubMedCrossRef

29.

Shi X, Karmali S, Sharma AM, Birch DW. A review of Laparoscopic sleeve gastrectomy for morbid obesity. Obes Surg. 2010;20:1171–7.PubMedCrossRef

30.

Catheline JM, Fysekidis M, Bachner I, Bihan H, Kassem A, Dbouk R, Bdeoui N, Boschetto A, Cohen R. Five-year results of sleeve gastrectomy. J Visc Surg. 2013;150(5):307–12.PubMedCrossRef

31.

Bohdjalian A, Langer FB, Shakeri-Leidenmühler S, Gfrerer L, Ludvik B, Zacherl J, Prager G. Sleeve gastrectomy as sole and definitive bariatric procedure: 5-year results for weight loss and ghrelin. Obes Surg. 2010;20(5):535–40.PubMedCrossRef

32.

Diamantis T, Apostolou KG, Alexandrou A, Griniatsos J, Felekouras E, Tsigris C. Review of long-term weight loss results after laparoscopic sleeve gastrectomy. Surg Obes Relat Dis. 2014;10(1):177–83.PubMedCrossRef

33.

Himpens J, Dobbeleir J, Peeters G. Long-term results of laparoscopic sleeve gastrectomy for obesity. Ann Surg. 2010;252(2):319–24.PubMedCrossRef

34.

Trastulli S, Desiderio J, Guarino S, Cirocchi R, Scalercio V, Noya G, Parisi A. Laparoscopic sleeve gastrectomy compared with other bariatric surgical procedures: a systematic review of randomized trials. Surg Obes Relat Dis. 2013;9(5):816–29.PubMedCrossRef

35.

Kehagias I, Karamanakos SN, Argentou M, Kalfarentzos F. Randomized clinical trial of laparoscopic Roux-en-Y gastric bypass versus laparoscopic sleeve gastrectomy for the management of patients with BMI < 50 kg/m2. Obes Surg. 2011;21(11):1650–6.PubMedCrossRef

36.

Leyba JL, Aulestia SN, Llopis SN. Laparoscopic Roux-en-Y gastric bypass versus laparoscopic sleeve gastrectomy for the treatment of morbid obesity. A prospective study of 117 patients. Obes Surg. 2011;21(2):212–6.PubMedCrossRef

37.

Woelnerhanssen B, Peterli R, Steinert RE, Peters T, Borbély Y, Beglinger C. Effects of postbariatric surgery weight loss on adipokines and metabolic parameters: comparison of laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy–a prospective randomized trial. Surg Obes Relat Dis. 2011;7(5):561–8.PubMedCrossRef

38.

Lee WJ, Chong K, Ser KH, Lee YC, Chen SC, Chen JC, Tsai MH, Chuang LM. Gastric bypass vs sleeve gastrectomy for type 2 diabetes mellitus: a randomized controlled trial. Arch Surg. 2011;146(2):143–8.PubMedCrossRef

39.

Boza C, Gamboa C, Salinas J, Achurra P, Vega A, Perez G. Laparoscopic Roux-en-Y gastric bypass versus laparoscopic sleeve gastrectomy: a case-control study and 3 years of follow-up. Surg Obes Relat Dis. 2012;8:243–9.PubMedCrossRef

40.

Vidal P, Ramón JM, Goday A, Benaiges D, Trillo L, Parri A, González S, Pera M, Grande L. Laparoscopic gastric bypass versus laparoscopic sleeve gastrectomy as a definitive surgical procedure for morbid obesity. Mid-term results. Obes Surg. 2013;23(3):292–9.PubMedCrossRef

41.

Albeladi B, Bourbao-Tournois C, Huten N. Short- and midterm results between laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy for the treatment of morbid obesity. J Obes. 2013;2013:934653.PubMedPubMedCentralCrossRef

42.

Leonetti F, Capoccia D, Coccia F, Casella G, Baglio G, Paradiso F, Abbatini F, Iossa A, Soricelli E, Basso N. Obesity, type 2 diabetes mellitus, and other comorbidities: a prospective cohort study of laparoscopic sleeve gastrectomy vs medical treatment. Arch Surg. 2012;147(8):694–700.PubMedCrossRef

43.

Schauer PR, Kashyap SR, Wolski K, Brethauer SA, Kirwan JP, Pothier CE, Thomas S, Abood B, Nissen SE, Bhatt DL. Bariatric surgery versus intensive medical therapy in obese patients with diabetes. N Engl J Med. 2012;366:1567–76.PubMedPubMedCentralCrossRef

44.

Van Rutte PW, Luyer MD, de Hingh IH, Nienhuijs SW. To Sleeve or not to Sleeve in Bariatric Surgery? ISRN Surg. 2012;2012:674042. doi:10.5402/2012/674042.PubMedPubMedCentralCrossRef

45.

Gill RS, Birch DW, Shi X, Sharma AM, Karmali S. Sleeve gastrectomy and type 2 diabetes mellitus: a systematic review. Surg Obes Relat Dis. 2010;6(6):707–13.PubMedCrossRef

46.

Chouillard EK, Karaa A, Elkhoury M. Greco VJ; Intercontinental Society of Natural Orifice, Endoscopic, and Laparoscopic Surgery (i-NOELS). Laparoscopic Roux-en-Y gastric bypass versus laparoscopic sleeve gastrectomy for morbid obesity: case-control study. Surg Obes Relat Dis. 2011;7(4):500–5.PubMedCrossRef

47.

Benaiges D, Flores Le-Roux JA, Pedro-Botet J, Chillarón JJ, Renard M, Parri A, Ramón JM, Pera M, Goday A. Sleeve gastrectomy and Roux-en-Y gastric bypass are equally effective in correcting insulin resistance. Int J Surg. 2013;11(4):309–13.PubMedCrossRef

48.

Li JF, Lai DD, Ni B, Sun KX. Comparison of laparoscopic Roux-en-Y gastric bypass with laparoscopic sleeve gastrectomy for morbid obesity or type 2 diabetes mellitus: a meta-analysis of randomized controlled trials. Can J Surg. 2013;56(6):158–64.CrossRef

49.

Arterburn DE, Bogart A, Sherwood NE, Sidney S, Coleman KJ, Haneuse S, O’Connor PJ, Theis MK, Campos GM, McCulloch D, Selby J. A multisite study of long-term remission and relapse of type 2 diabetes mellitus following gastric bypass. Obes Surg. 2013;23(1):93–102.PubMedCrossRef

50.

Moon Han S, Kim WW, Oh JH. Results of laparoscopic sleeve gastrectomy (LSG) at 1 year in morbidly obese Korean patients. Obes Surg. 2005;15(10):1469–75.PubMedCrossRef

51.

Silecchia G, Boru C, Pecchia A, et al. Effectiveness of laparoscopic sleeve gastrectomy (first stage of biliopancreatic diversion with duodenal switch) on co-morbidities in super-obese high-risk patients. Obes Surg. 2006;16(9):1138–44.PubMedCrossRef

52.

Zachariah SK, Chang PC, Ooi AS, Hsin MC, Kin Wat JY, Huang CK. Laparoscopic sleeve gastrectomy for morbid obesity: 5 years experience from an Asian center of excellence. Obes Surg. 2013;23(7):939–46.PubMedCrossRef

53.

Iancu M, Copăescu C, Şerban M, Ginghină C. Laparoscopic sleeve gastrectomy reduces the predicted coronary heart disease risk and the vascular age in obese subjects. Chirurgia (Bucur). 2013;108(5):659–65.

54.

Pimenta GP, Moura DD, Adorno Filho ET, Jaudy TR, Jaudy TR, Aguilar-Nascimento JE. Long-term quality of life after vertical sleeve gastroplasty. Rev Col Bras Cir. 2013;40(6):453–7.PubMedCrossRef

55.

Zhang N, Maffei A, Cerabona T, Pahuja A, Omana J, Kaul A. Reduction in obesity-related comorbidities: is gastric bypass better than sleeve gastrectomy? Surg Endosc. 2013;27(4):1273–80.PubMedCrossRef

56.

Chazelet C, Verhaeghe P, Perterli R, Fennich S, Houdart R, Topart R, et al. Longitudinal sleeve gastrectomy as a stand-alone bariatric procedure: results of a multicenter retrospective study. J Chir. 2009;146(4):368–72.CrossRef

57.

Baltasar A, Serra C, Perez N. Laparoscopic sleeve gastrectomy: a multi-purpose bariatric operation. Obes Surg. 2005;15(8):1124–8.PubMedCrossRef

58.

Bennett JMH, Mehta S, Rhodes M. Surgery for morbid obesity. Postgrad Med J. 2007;83:8–15.PubMedPubMedCentralCrossRef

59.

Frezza EE. Reddy S, Gee LL, Wachtel MS. Complications after sleeve gastrectomy for morbid obesity. Obes Surg. 2009;19:684–7.PubMedCrossRef

60.

Moy J, Pomp A, Dakin G, et al. Laparoscopic sleeve gastrectomy for morbid obesity. Am J Surg. 2008;196:56–9.CrossRef

61.

Serra C, Baltasar A, Andreo L, et al. Treatment of gastric leaks with coated self-expanding stents after sleeve gastrectomy. Obes Surg. 2007;17:866–72.PubMedCrossRef

62.

Lalor PF, Tucker ON, Szomstein S, et al. Complications after laparoscopic sleeve gastrectomy. Surg Obes Relat Dis. 2008;1:33–8.CrossRef

63.

Felberbauer FX, Langer F, Shakeri-Manesch S, Schmaldienst E, Kees M, Kriwanek S, Prager M, Prager G. Laparoscopic sleeve gastrectomy as an isolated bariatric procedure: intermediate-term results from a large series in three Austrian centers. Obes Surg. 2008;18(7):814–8.PubMedCrossRef

64.

Casella G, Soricelli E, Rizello M, et al. Nonsurgical treatment of staple line leaks after laparoscopic sleeve gastrectomy. Obes Surg. 2009;19:821–6.PubMedCrossRef

65.

Burgos AM, Braghetto I, Csendes A, et al. Gastric leak after laparoscopic-sleeve gastrectomy for obesity. Obes Surg. 2009;19:1672–7.PubMedCrossRef

66.

Stroh C, Birk D, Flade-Kuthe R, et al. Results of sleeve gastrectomy—data from a nationwide survey on bariatric surgery in Germany. Obes Surg. 2009;19(5):632–40.PubMedCrossRef

67.

Ser KH, Lee WJ, Lee YC, Chen JC, Su YH, Chen SC. Experience in laparoscopic sleeve gastrectomy for morbidly obese Taiwanese: staple-line reinforcement is important for preventing leakage. Surg Endosc. 2010;24(9):2253–9.PubMedCrossRef

68.

Armstrong J, O’Malley S. Outcomes of sleeve gastrectomy for morbid obesity: a safe and effective procedure? Int J Surg. 2010;8:69–71.PubMedCrossRef

69.

Bellanger DE, Greenway FL. Laparoscopic sleeve gastrectomy, 529 cases without a leak: short-term results and technical considerations. Obes Surg. 2011;21:146–50.PubMedCrossRef

70.

Rosenthal RJ, et al. International Sleeve Gastrectomy Expert Panel Consensus Statement: best practice guidelines based on experience of > 12,000 cases. Surg Obes Relat Dis. 2012;8(1):8–19.PubMedCrossRef

71.

Aurora AR, Khaitan L, Saber AA. Sleeve gastrectomy and the risk of leak: a systematic analysis of 4,888 patients. Surg Endosc. 2012;26:1509–15.PubMedCrossRef

72.

Yehoshua RT, Eidelman LA, Stein M, et al. Laparoscopic sleeve gastrectomy—volume and pressure assessment. Obes Surg. 2008;18(9):1083–8.PubMedCrossRef

73.

Baker RS, Foote J, Kemmeter P, et al. The science of stapling and leaks. Obes Surg. 2004;14(10):1290–8.PubMedCrossRef

74.

Sapala JA, Wood MH, Schuhknecht MP. Anastomotic leak prophylaxis using a vapor-heated fibrin sealant: report on 738 gastric bypass patients. Obes Surg. 2004;14(1):35–42.PubMedCrossRef

75.

Liu CD, Glantz GJ, Livingston EH. Fibrin glue as a sealant for high-risk anastomosis in surgery for morbid obesity. Obes Surg. 2003;13(1):45–8.PubMedCrossRef

76.

Gonzalez R, Nelson L, Gallagher S, et al. Anastomotic leaks after laparoscopic gastric bypass. Obes Surg. 2004;14:1299–307.PubMedCrossRef

77.

Fukumoto R, Orlina J, McGinty J, et al. Use of polyflex stents in treatment of acute esophageal and gastric leaks after bariatric surgery. Surg Obes Relat Dis. 2006;2:570–2.CrossRef

78.

Eubanks S, Edwards CA, Fearing NM, et al. Use of endoscopic stents to treat anastomotic complications after bariatric surgery. J Am Coll Surg. 2008;206(5):935–8.PubMedCrossRef

79.

Salinas A, Baptista A, Santiago E, et al. Self-expandable metal stents to treat gastric leaks. Surg Obes Relat Dis. 2006;2(5):570–2.PubMedCrossRef

80.

Blackmon SH, Santora R, Schwarz P, et al. Utility of removable esophageal covered self-expanding metal stents for leak and fistula management. Ann Thorac Surg. 2010;89(3):931–7.PubMedCrossRef

81.

Deitel M, Crosby RD, Gagner M. The first International Consensus Summit for Sleeve Gastrectomy (SG), New York City, 2007. Obes Surg. 2008;18:487–96.PubMedCrossRef

82.

Baltasar A, Serra C, Bengochea M, et al. Use of Roux limb as remedial surgery for sleeve gastrectomy fistulas. Surg Obes Relat Dis. 2008;4(6):759–63.PubMedCrossRef

83.

Carter PR, Leblanc KA, Hausmann MG, Kleinpeter KP, Debarros SN, Jones SM. Association between gastroesophageal reflux disease and laparoscopic sleeve gastrectomy. Surg Obes Relat Dis. 2011;7:569–72.PubMedCrossRef

84.

Nocca D, Krawczykowsky D, Bomans B, et al. A prospective multicenter study of 163 sleeve gastrectomies: results at 1 and 2 years. Obes Surg. 2008;18:560–5.PubMedCrossRef

85.

Tai CM, Huang CK, Lee YC, Chang CY, Lee Ct, Lin JT. Increase in gastroesophageal reflux disease symptoms and erosive esophagitis 1 year after laparoscopic sleeve gastrectomy among obese adults. Surg Endosc. 2013;27:1260–6.PubMedCrossRef

86.

DuPree CE, Blair K, Steele SR, Martin MJ. Laparoscopic sleeve gastrectomy in patients with preexisting gastroesophageal reflux disease: a national analysis. JAMA Surg. 2014;149(4):328–34.PubMedCrossRef

87.

Braghetto I, Lanzarini e, Korn O, Valladares H, Molina JC, Henriquez A. Manometric changes of the lower esophageal sphincter after sleeve gastrectomy in obese patients. Obes Surg. 2010;20:357–62.PubMedCrossRef

88.

Nahata M, Muto S, Oridate N, et al. Impaired ghrelin signaling is associated with gastrointestinal dysmotility in rats with gastroesophageal reflux disease. Am J Physiol-Gastrointest Liver Physiol. 2012;303:42–53.CrossRef

89.

El-Hadi M, Birch DW, Gill RS, Karmali S. The effect of bariatric surgery on gastroesophageal reflux disease. Can J Surg. 2014;57(2):139–44.PubMedPubMedCentralCrossRef

90.

Chiu S, Birch DW, Shi X, Sharma AM, Karmali S. Effect of sleeve gastrectomy on gastroesophageal reflux disease: a systematic review. Surg Obes Relat Dis. 2011;7:510–15.PubMedCrossRef

91.

Daes J, Jimenez ME, Said N, Daza JC, Dennis R. Laparoscopic sleeve gastrectomy: symptoms of gastroesophageal reflux can be reduced by changes in surgical technique. Obes Surg. 2012;22:1874–9.PubMedPubMedCentralCrossRef

92.

Soricelli E, Iossa A, Casella G, Abbatini F, Cali B, N. Basso. Sleeve gastrectomy and crural repair in obese patients with gastroesophageal reflux disease and/or Hiatal Hernia. Surg Obes Relat Dis. 2013;9:356–61.PubMedCrossRef

93.

Langer FB, Bohdjalian A, Shakeri-Leidenmuhler S, Schoppmann SF, Zacherl J, Prager G. Conversion from sleeve gastrectomy to roux-en-y gastric bypass-indications and outcome. Obes Surg. 2010;20:835–40.PubMedCrossRef

94.

Chopra A, Chao E, Etkin Y, Merklinger L, Lieb J, Delany H. Laparoscopic sleeve gastrectomy for obesity: can it be considered a definitive procedure? Surg Endosc Other Intervent Tech. 2012;26:831–7.CrossRef

95.

Rawlins L, Rawlins MP, Brown CC, Schumacher DL. Sleeve gastrectomy: 5 year outcomes of a single institution. Surg Obes Relat Dis. 2013;9:21–5.PubMedCrossRef

Titel: What is the role of the sleeve gastrectomy in the surgical treatment of morbid obesity?
verfasst von: Dr. Ahmed Guirat
Martino Guenzi
Paulo Pereira
Ioan Bachner
Publikationsdatum: 01.11.2014
Verlag: Springer Vienna
Erschienen in: European Surgery / Ausgabe 5/2014
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016
DOI: https://doi.org/10.1007/s10353-014-0285-5

Springer Medizin Österreich

Abstract

Background

Methods

Results

Conclusions

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