Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2020 Feb 29;6(2):e03496.
doi: 10.1016/j.heliyon.2020.e03496. eCollection 2020 Feb.

The advantages and disadvantages of sleeve gastrectomy; clinical laboratory to bedside review

Milad Kheirvari  1 , Nikta Dadkhah Nikroo  2 , Habib Jaafarinejad  2 , Marziye Farsimadan  3 , Sahar Eshghjoo  4 , Sara Hosseini  5 , Taha Anbara  5
Affiliations
Review

The advantages and disadvantages of sleeve gastrectomy; clinical laboratory to bedside review

Milad Kheirvari et al. Heliyon. .

Abstract

Sleeve gastrectomy is a surgical technique and a leading method in metabolic surgery. Sleeve gastrectomy gained ever-increasing popularity among laparoscopic surgeons involved in bariatric surgery and has proved to be a successful method in achieving considerable weight loss in a short time. There are some disparate effects that patients may experience after sleeve gastrectomy including a reduction in BMI, weight, blood pressure, stroke, and cancer and also a significant remission in obesity-related diseases including type 2 diabetes (T2D), Non-alcoholic fatty liver (NAFLD), cardiovascular disease, obstructive sleep apnea, and craniopharyngioma-related hypothalamic obesity as well as non-obesity-related diseases such as gout, musculoskeletal problems, ovarian disorders and urinary incontinence. The most common complications of sleeve gastrectomy are bleeding, nutrient deficiencies, and leakage. There are several studies on the impact of gender and ethnic disparities on post-operative complications. This study collects state of the art of reports on sleeve gastrectomy. The aim of this study was to analyze recent studies and review the advantages and disadvantages of sleeve gastrectomy.

Keywords: Advantages of surgery; Biochemistry; Laparoscopic sleeve surgery; Medical education; Obesity; Post-operative remission; Sleeve gastrectomy; Surgery.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Vast part of stomach is resected in sleeve gastrectomy. 1) Stomach of patient with BMI of 42 before operation. 2) Around 80% of stomach fundus area is resected through laparoscopic technique. The figures were taken through the procedures of sleeve gastrectomy under supervision of Dr. Taha Anbara at Erfan Niayesh Hospital and consent was gathered from the patient.
Figure 2
Figure 2
The laparoscopic technique. This procedure has quickly attracted considerable surgical interest because it does not require a gastrointestinal anastomosis or intestinal bypass and thanks to the laparoscopic technique. The figure was taken through the procedures of sleeve gastrectomy at Erfan Niayesh Hospital and consent was gathered from the patient.
Figure 3
Figure 3
The details of changes in clinical markers and summary of the sleeve gastrectomy effects on the majority of physiological parameters.
Figure 4
Figure 4
Clinical marker changes after sleeve gastrectomy.
See this image and copyright information in PMC

References

    1. Parikh N.I., Pencina M.J., Wang T.J., Lanier K.J., Fox C.S., D’Agostino R.B. Increasing trends in incidence of overweight and obesity over 5 decades. Am. J. Med. 2007;120(3):242–250. - PubMed
    1. Marmot M., Atinmo T., Byers T., Chen J., Hirohata T., Jackson A. 2007. Food, Nutrition, Physical Activity, and the Prevention of Cancer: a Global Perspective.
    1. Sinclair P., Brennan D.J., le Roux C.W. Gut adaptation after metabolic surgery and its influences on the brain, liver and cancer. Nat. Rev. Gastroenterol. Hepatol. 2018;1 - PubMed
    1. Bout-Tabaku S., Gupta R., Jenkins T.M., Ryder J.R., Baughcum A.E., Jackson R.D. Musculoskeletal pain, physical function, and quality of life after bariatric surgery. Pediatrics. 2019 - PMC - PubMed
    1. Shi X., Karmali S., Sharma A.M., Birch D.W. A review of laparoscopic sleeve gastrectomy for morbid obesity. Obes. Surg. 2010;20(8):1171–1177. - PubMed

LinkOut - more resources