Laparoscopic sleeve gastrectomy: More than a restrictive bariatric surgery procedure?

被引：181

作者：

Benaiges, David ^{[1
,2
,3
]}

Mas-Lorenzo, Antonio ^{[1
]}

Goday, Albert ^{[1
,2
,3
,4
]}

Ramon, Jose M. ^{[3
,5
]}

Chillaron, Juan J. ^{[1
,2
,3
]}

Pedro-Botet, Juan ^{[1
,2
,3
]}

Roux, Juana A. Flores-Le ^{[1
,2
,3
]}

机构：

[1] Hosp del Mar, Dept Endocrinol & Nutr, E-08003 Barcelona, Spain

[2] Univ Autonoma Barcelona, Dept Med, E-08003 Barcelona, Spain

[3] Inst Hosp del Mar Invest Med IMIM, E-08003 Barcelona, Spain

[4] Inst Salud Carlos III, CiberOBN, E-28029 Madrid, Spain

[5] Hosp del Mar, Dept Gastrointestinal Surg, E-08003 Barcelona, Spain

来源：

WORLD JOURNAL OF GASTROENTEROLOGY | 2015年 / 21卷 / 41期

关键词：

Bariatric surgery; Sleeve gastrectomy; Severe obesity; Dyslipidemia; Hypertension; Type 2 diabetes mellitus; Y GASTRIC BYPASS; TYPE-2; DIABETES-MELLITUS; BILIOPANCREATIC DIVERSION; WEIGHT-LOSS; DUODENAL SWITCH; PLASMA GHRELIN; OBESE-PATIENTS; MORBID-OBESITY; PEPTIDE; INSULIN;

D O I：

10.3748/wjg.v21.i41.11804

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

100201 [内科学];

摘要：

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.

引用

页码：11804 / 11814

页数：11

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