TY - CHAP M1 - Book, Section TI - “Sleeve” Gastrectomy and Duodenal Switch A1 - Hunter, John G. A1 - Spight, Donn H. A1 - Sandone, Corinne A1 - Fairman, Jennifer E. PY - 2018 T2 - Atlas of Minimally Invasive Surgical Operations AB - Traditionally, biliopancreatic diversion with lateral “sleeve” gastrectomy and biliopancreatic diversion has been performed as a single or staged procedure for patients categorized as “superobese.” The technical challenges of performing the procedure laparoscopically combined with the associated severe nutritional deficiencies have made this combined procedure less popular in recent years. Initially offered as the first part of the staged procedure prior to weight loss, the sleeve gastrectomy has become increasingly popular as a stand-alone procedure. Reports of excellent weight reduction have become increasingly common in the literature, resulting in the acceptance of the procedure by the American Society of Metabolic and Bariatric Surgery as a surgical option in select patients. Although many minimally invasive surgeons consider it to be technically less challenging to perform, the risk of leak from the long gastric staple line, gastric dysmotility, and treatment failure due to delayed dilation of the stomach should warrant caution among inexperienced bariatric surgeons. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accesssurgery.mhmedical.com/content.aspx?aid=1162530748 ER -