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Related Experiment Video

Updated: Feb 2, 2026

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LAPOROSCOPIC SLEEVE GASTRECTOMY. ROLE AND PLACE IN BARIATRIC SURGERY.

M B Fishman, V M Sedov, Yan Yan

    Vestnik Khirurgii Imeni I. I. Grekova
    |November 21, 2018
    PubMed
    Summary

    Laparoscopic sleeve gastrectomy (LSG) is suitable for patients without metabolic syndrome (MS) and a BMI under 48 kg/m². It can correct metabolic disorders in younger patients or stabilize older patients with high risks.

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    Area of Science:

    • Bariatric Surgery
    • Metabolic Surgery
    • Gastroenterology

    Background:

    • Laparoscopic sleeve gastrectomy (LSG) is a common bariatric procedure.
    • Patient selection criteria for LSG require further clarification, especially concerning metabolic health.

    Purpose of the Study:

    • To evaluate the efficacy and ideal patient profile for Laparoscopic Sleeve Gastrectomy (LSG).
    • To identify limitations and specific indications for LSG in different patient demographics.

    Main Methods:

    • Retrospective analysis of 522 patients undergoing LSG between 2007 and 2015.
    • Comparison of outcomes based on patient characteristics, including body mass index (BMI) and presence of metabolic syndrome (MS).

    Main Results:

    • Ideal candidates for LSG were patients without metabolic syndrome (MS) and a BMI not exceeding 48 kg/m².
    • LSG effectively corrected insulin and cholesterol metabolism disorders in patients younger than 40.
    • LSG served as a viable option for older patients with high risks or as a staged procedure when more effective surgeries were not recommended.

    Conclusions:

    • LSG is most effective for younger patients without MS and with a BMI < 48 kg/m².
    • Patient age and comorbidities like MS significantly influence LSG candidacy.
    • LSG can be a valuable tool for metabolic correction and risk management in carefully selected patient groups.