Laparoscopic-sleeve-gastrectomy-journals.php
The apparent functional simplicity of the sleeve
gastrectomy (SG) is due to the fact that the technical measures are based on one organ only, approaching in the supramesocolic abdominal quadrant and without endosutures or anastomoses between separate organs. However, there are several technical details that are not yet in consensus among bariatric surgeons, even the most experienced. Constant discussions are taking place on the configuration of the remaining gastric thread, performing oversuture reinforcing the staple line, distance from the pylorus to begin clipping, and subsequent gastric antrectomy. Besides the technical aspects, there is also no consensus on the indications, the metabolic effects and the long-term results. Regarding complications, although with an incidence rate similar to Roux-en-Y gastric bypass, fistula in the staple line generally carries higher morbidity and healing time; based on this, it is of great concern among surgeons.
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surgery now, obesity,
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