Laparoscopic sleeve gastrectomy:More than a restrictive bariatric surgery procedure?
Sleeve gastrectomy(SG) is a restrictive bariatric surgery technique that was first used as part of restrictive horizontal gastrectomy in the original Scopinaro type biliopancreatic diversion. Its good results as a single technique have led to a rise in its use, and it is currently the second most pe...
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Veröffentlicht in: | World journal of gastroenterology : WJG 2015-11, Vol.21 (41), p.11804-11814 |
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description | Sleeve gastrectomy(SG) is a restrictive bariatric surgery technique that was first used as part of restrictive horizontal gastrectomy in the original Scopinaro type biliopancreatic diversion. Its good results as a single technique have led to a rise in its use, and it is currently the second most performed technique worldwide. SG achieves clearly better results than other restrictive techniques and is comparable in some aspects to the Roux-en-Y gastric bypass, the current gold standard in bariatric surgery. These benefits have been associated with different pathophysiologic mechanisms unrelated to weight loss such as increased gastric emptying and intestinal transit, and activation of hormonal mechanisms such as increased GLP-1 hormone and decreased ghrelin. The aim of this review was to highlight the salient aspects of SG regarding its historical evolution, pathophysiologic mechanisms, main results, clinical applications and perioperative complications. |
doi_str_mv | 10.3748/wjg.v21.i41.11804 |
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Its good results as a single technique have led to a rise in its use, and it is currently the second most performed technique worldwide. SG achieves clearly better results than other restrictive techniques and is comparable in some aspects to the Roux-en-Y gastric bypass, the current gold standard in bariatric surgery. These benefits have been associated with different pathophysiologic mechanisms unrelated to weight loss such as increased gastric emptying and intestinal transit, and activation of hormonal mechanisms such as increased GLP-1 hormone and decreased ghrelin. The aim of this review was to highlight the salient aspects of SG regarding its historical evolution, pathophysiologic mechanisms, main results, clinical applications and perioperative complications.</description><identifier>ISSN: 1007-9327</identifier><identifier>EISSN: 2219-2840</identifier><identifier>DOI: 10.3748/wjg.v21.i41.11804</identifier><identifier>PMID: 26557004</identifier><language>eng</language><publisher>United States: Baishideng Publishing Group Inc</publisher><subject>Animals ; Bariatric ; Bariatric Surgery - adverse effects ; Bariatric Surgery - history ; Bariatric Surgery - methods ; Gastrectomy - adverse effects ; Gastrectomy - history ; Gastrectomy - methods ; gastrectomy;Severe ; Gastric Emptying ; Gastrointestinal Hormones - metabolism ; Gastrointestinal Transit ; History, 20th Century ; History, 21st Century ; Humans ; obesit ; Obesity, Morbid - metabolism ; Obesity, Morbid - physiopathology ; Obesity, Morbid - surgery ; Postoperative Complications - etiology ; Recovery of Function ; Review ; Stomach - metabolism ; Stomach - physiopathology ; Stomach - surgery ; surgery;Sleeve ; Treatment Outcome ; Weight Loss</subject><ispartof>World journal of gastroenterology : WJG, 2015-11, Vol.21 (41), p.11804-11814</ispartof><rights>The Author(s) 2015. 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All rights reserved. 2015</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c509t-61988696ba799c9e9a564ca43c828c41543e123a5e84c4720ee10aba9ca1eebd3</citedby><cites>FETCH-LOGICAL-c509t-61988696ba799c9e9a564ca43c828c41543e123a5e84c4720ee10aba9ca1eebd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://image.cqvip.com/vip1000/qk/84123X/84123X.jpg</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4631978/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4631978/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26557004$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Benaiges, David</creatorcontrib><title>Laparoscopic sleeve gastrectomy:More than a restrictive bariatric surgery procedure?</title><title>World journal of gastroenterology : WJG</title><addtitle>World Journal of Gastroenterology</addtitle><description>Sleeve gastrectomy(SG) is a restrictive bariatric surgery technique that was first used as part of restrictive horizontal gastrectomy in the original Scopinaro type biliopancreatic diversion. Its good results as a single technique have led to a rise in its use, and it is currently the second most performed technique worldwide. SG achieves clearly better results than other restrictive techniques and is comparable in some aspects to the Roux-en-Y gastric bypass, the current gold standard in bariatric surgery. These benefits have been associated with different pathophysiologic mechanisms unrelated to weight loss such as increased gastric emptying and intestinal transit, and activation of hormonal mechanisms such as increased GLP-1 hormone and decreased ghrelin. The aim of this review was to highlight the salient aspects of SG regarding its historical evolution, pathophysiologic mechanisms, main results, clinical applications and perioperative complications.</description><subject>Animals</subject><subject>Bariatric</subject><subject>Bariatric Surgery - adverse effects</subject><subject>Bariatric Surgery - history</subject><subject>Bariatric Surgery - methods</subject><subject>Gastrectomy - adverse effects</subject><subject>Gastrectomy - history</subject><subject>Gastrectomy - methods</subject><subject>gastrectomy;Severe</subject><subject>Gastric Emptying</subject><subject>Gastrointestinal Hormones - metabolism</subject><subject>Gastrointestinal Transit</subject><subject>History, 20th Century</subject><subject>History, 21st Century</subject><subject>Humans</subject><subject>obesit</subject><subject>Obesity, Morbid - metabolism</subject><subject>Obesity, Morbid - physiopathology</subject><subject>Obesity, Morbid - surgery</subject><subject>Postoperative Complications - etiology</subject><subject>Recovery of Function</subject><subject>Review</subject><subject>Stomach - metabolism</subject><subject>Stomach - physiopathology</subject><subject>Stomach - surgery</subject><subject>surgery;Sleeve</subject><subject>Treatment Outcome</subject><subject>Weight Loss</subject><issn>1007-9327</issn><issn>2219-2840</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkU9P3DAQxa2Kqiy0H4BLlSOXbP03sXsAIURppa24wNmaeIesUTYOdrJovz3esqyoL5btN88z70fIGaNzUUv94-WpnW84m3vJ5oxpKj-RGefMlFxLekRmjNK6NILXx-QkpSdKuRCKfyHHvFKqplTOyP0CBoghuTB4V6QOcYNFC2mM6Maw3v78GyIW4wr6AoqI-d670WdNA9HD7lSkKbYYt8UQg8PlFPHyK_n8CF3Cb_v9lDz8urm__l0u7m7_XF8tSqeoGcuKGa0rUzVQG-MMGlCVdCCF01w7yZQUyLgAhVo6WXOKyCg0YBwwxGYpTsnFm-8wNWtcOuzHCJ0dol9D3NoA3v7_0vuVbcPGykowU-tscL43iOF5ytPZtU8Ouw56DFOyrBa8yiEKmaXsTepyWini4-EbRu2Ohs00bKZhMw37j0au-f6xv0PFe_xZIPamq9C3z75vDxpD9W4ZRaWWRmVu0kitqBLiFSN4mL4</recordid><startdate>20151107</startdate><enddate>20151107</enddate><creator>Benaiges, David</creator><general>Baishideng Publishing Group Inc</general><scope>2RA</scope><scope>92L</scope><scope>CQIGP</scope><scope>W91</scope><scope>~WA</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20151107</creationdate><title>Laparoscopic sleeve gastrectomy:More than a restrictive bariatric surgery procedure?</title><author>Benaiges, David</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c509t-61988696ba799c9e9a564ca43c828c41543e123a5e84c4720ee10aba9ca1eebd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Animals</topic><topic>Bariatric</topic><topic>Bariatric Surgery - 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Its good results as a single technique have led to a rise in its use, and it is currently the second most performed technique worldwide. SG achieves clearly better results than other restrictive techniques and is comparable in some aspects to the Roux-en-Y gastric bypass, the current gold standard in bariatric surgery. These benefits have been associated with different pathophysiologic mechanisms unrelated to weight loss such as increased gastric emptying and intestinal transit, and activation of hormonal mechanisms such as increased GLP-1 hormone and decreased ghrelin. The aim of this review was to highlight the salient aspects of SG regarding its historical evolution, pathophysiologic mechanisms, main results, clinical applications and perioperative complications.</abstract><cop>United States</cop><pub>Baishideng Publishing Group Inc</pub><pmid>26557004</pmid><doi>10.3748/wjg.v21.i41.11804</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Animals Bariatric Bariatric Surgery - adverse effects Bariatric Surgery - history Bariatric Surgery - methods Gastrectomy - adverse effects Gastrectomy - history Gastrectomy - methods gastrectomy Severe Gastric Emptying Gastrointestinal Hormones - metabolism Gastrointestinal Transit History, 20th Century History, 21st Century Humans obesit Obesity, Morbid - metabolism Obesity, Morbid - physiopathology Obesity, Morbid - surgery Postoperative Complications - etiology Recovery of Function Review Stomach - metabolism Stomach - physiopathology Stomach - surgery surgery Sleeve Treatment Outcome Weight Loss |
title | Laparoscopic sleeve gastrectomy:More than a restrictive bariatric surgery procedure? |
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