WATCH A VIDEO

 

 

(Courtesy of YouTube)


Read a Research Article (courtesy of MELiSA) on Laparoscopic Sleeve Gastrectomy with Minimal Morbidity Early Results in 120 Morbidly Obese Patients, written by Moshe Rubin, Roni Tzioni Yehoshua et al

 

ENTRY CRITERIA FOR A BARIATRIC PROCEDURE:

 

The International criteria are:

  1. BMI of 35-40 with co-morbid factors
  2. BMI > 40, no co-morbid factors needed

 

Co-morbid factors are:

  1. Diabetes
  2. Hypertension
  3. Cardiac Disease
  4. Sleep Apnea
  5. Diseased joints
  6. Raised cholesterol

 

 

 


 

 

 

 

 

TECHNIQUE FOR THE LAPAROSCOPIC SLEEVE GASTRECTOMY (LSG)

 

Diagram

 

The LSG  just like the LAGB is an operation which is both restrictive but importantly retains normal physiology. There is no bypass of the normal anatomy with malabsorbtive issues post operatively. It can be used primarily as the first operation but in our series is being used for failed or previously eroded LAGB’s.

 

How it works: the stomach is reduced to 15 % of its original volume (that is, it is 85% smaller).  The open edges of the stomach are then stapled together to form a banana-shaped pouch. Patients, as a result of the smaller stomach, feel full after a small amount of food.

 

The operation preserves the pylorus (see diagram). The pylorus is the region of the stomach that connects to the duodenum and the fact that is preserved is relevant because it is the valve that regulates the emptying of the stomach.


More information on the procedure: Read a Research Article (courtesy of MELiSA) on Laparoscopic Sleeve Gastrectomy with Minimal Morbidity Early Results in 120 Morbidly Obese Patients, written by Moshe Rubin, Roni Tzioni Yehoshua et al

 

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