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Updated: Jun 25, 2026
10:05
Techniques of Sleeve Gastrectomy and Modified Roux-en-Y Gastric Bypass in Mice
Published on: March 20, 2017
[Operative techniques and outcomes in metabolic surgery: sleeve gastrectomy].
T P Hüttl1, F W F Obeidat, K G Parhofer
1Chirurgische Klinik und Poliklinik, Klinikum der Universität München-Grosshadern, Munchen, Germany. thomas.huettl@med.uni-muenchen.de
Zentralblatt Fur Chirurgie
|February 27, 2009
Summary
Laparoscopic sleeve gastrectomy (LSG) is now a proven, effective standard procedure for morbid obesity. It offers comparable weight loss to gastric bypass and better appetite control than gastric banding.
Area of Science:
- Bariatric Surgery
- Gastroenterology
- Obesity Medicine
Background:
- Laparoscopic sleeve gastrectomy (LSG) was initially developed for super-obese patients to minimize perioperative risks.
- A similar procedure, the Magenstrasse and Mill (M & M) operation, predates LSG and aimed for a more physiological approach with fewer side effects.
- Common bariatric procedures like gastric bypass (RYGB) can lead to side effects such as vomiting, dumping, and diarrhea.
Purpose of the Study:
- To analyze current literature and preliminary results regarding Laparoscopic Sleeve Gastrectomy (LSG).
- To compare LSG with other bariatric procedures like Magenstrasse and Mill (M & M), gastric banding, and Roux-en-Y gastric bypass (RYGB).
- To evaluate the efficacy and safety of LSG as a standard treatment for morbid obesity.
Main Methods:
- Literature review of current studies on Laparoscopic Sleeve Gastrectomy (LSG).
- Analysis of preliminary results from the authors' own cases.
- Comparison of LSG outcomes with historical and contemporary bariatric procedures.
Main Results:
- Laparoscopic sleeve gastrectomy (LSG) has demonstrated effectiveness comparable to Roux-en-Y gastric bypass (RYGB) for weight loss over three years.
- Reported morbidity and mortality rates for LSG are similar to those of gastric banding and RYGB.
- LSG shows superior control of hunger and improved feelings of fullness compared to gastric banding.
Conclusions:
- Laparoscopic sleeve gastrectomy (LSG) is no longer considered experimental and is an effective standard procedure for surgical treatment of morbid obesity.
- LSG offers significant weight loss and improved satiety, making it a valuable option in bariatric surgery.
- The procedure's safety profile and efficacy support its widespread adoption.
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