Original articleInternational Sleeve Gastrectomy Expert Panel Consensus Statement: best practice guidelines based on experience of >12,000 cases
Section snippets
Panel data
A questionnaire was sent to all panelists before the consensus meeting to compile various data on the total number of LSG cases performed by the group (Table 1). These data comprise a total of 12,799 LSG cases. The data are reported as the mean ± SD, where appropriate. In addition to providing a rich source of information from which insights and conclusions could be drawn beyond the confines of the present consensus report, it reflects the panel's breadth and depth of experience with both the
Methods
Four chairpersons, who are surgeons with vast experience in LSG, convened and set the goals and panel inclusion criteria for this consensus endeavor. These 4 have collectively performed almost 2500 LSG cases and represent 4 different regional surgical societies (United States, Latin America, Europe, and Asia Pacific). The chairpersons determined the makeup of the expert international panel of surgeons, whom they invited to participate in this consensus meeting because of their individual level
Results
The consensus statements determined from the question responses are detailed in the following sections, and those statements of consensus considered the most critical by the expert panel are listed in Table 2. Consensus was obtained for the essential aspects of indications and contraindications, proper surgical technique, and the prevention and management of perioperative and postoperative complications (Table 3, Table 4, Table 5). In addition, consensus was achieved on certain points
Conclusions
The present consensus report was predicated on the collective knowledge and proficiency of a select group of very experienced surgeons performing LSG, case data collected from the expert panel, and a review of existing published data. As such, the present report can serve as a summary of consensus statements that can be used as best practice guidelines in the performance of LSG.
The durability of this procedure is evidenced in the 3- and 5-year data [2], and the number of procedures is expected
Disclosures
The authors have no commercial associations that might be a conflict of interest in relation to this article.
References (31)
- et al.
Systematic review of sleeve gastrectomy as a staging and primary bariatric operation
Surg Obes Relat Dis
(2009) - et al.
Laparoscopic repeat sleeve gastrectomy versus duodenal switch after isolated sleeve gastrectomy for obesity
Surg Obes Relat Dis
(2011) - et al.
Results of laparoscopic sleeve gastrectomy: a prospective study in 135 patients with morbid obesity
Surgery
(2009) - et al.
Laparoscopic sleeve gastrectomy: does bougie size affect mean %EWL?Short-term outcomes
Surg Obes Relat Dis
(2008) - et al.
Human hybrid NOTES transvaginal sleeve gastrectomy: initial experience
Surg Obes Relat Dis
(2008) - et al.
Effectiveness of laparoscopic sleeve gastrectomy on glycemic control in obese Indians with type 2 diabetes mellitus
Surg Obes Relat Dis
(2010) - et al.
Long-term effects of laparoscopic sleeve gastrectomy in morbidly obese subjects with type 2 diabetes mellitus
Surg Obes Relat Dis
(2010) - et al.
Indications for sleeve gastrectomy as a primary procedure for weight loss in the morbidly obese
J Gastrointest Surg
(2008) - et al.
Laparoscopic sleeve gastrectomy, 529 cases without a leak: short-term results and technical considerations
Obes Surg
(2011) - et al.
Gastrobronchial fistula after sleeve gastrectomy and gastric bypass: endoscopic management and prevention
Obes Surg
(2011)
Clinical Issues Committee of the American Society for Metabolic and Bariatric Surgery: updated position statement on sleeve gastrectomy as a bariatric procedure
Surg Obes Relat Dis
Reinforcing the staple line during laparoscopic sleeve gastrectomy: prospective randomized clinical study comparing three different techniques
Obes Surg
Laparoscopic sleeve gastrectomy as an isolated bariatric procedure: intermediate-term results from a large series in three Austrian Centers
Obes Surg
Laparoscopic sleeve gastrectomy for the super-super-obese (body mass index >60 kg/m(2))
Surg Today
Laparoscopic conversion of adjustable gastric banding to sleeve gastrectomy: a feasibility study
Surg Laparosc Endosc Percutan Tech
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A complete list of the International Sleeve Gastrectomy Expert Panel can found in Appendix A.
Support provided by an educational grant from Ethicon Endo-Surgery, Cincinnati, Ohio.