RT Book, Section A1 Hunter, John G. A1 Spight, Donn H. A1 Sandone, Corinne A1 Fairman, Jennifer E. SR Print(0) ID 1162530748 T1 “Sleeve” Gastrectomy and Duodenal Switch T2 Atlas of Minimally Invasive Surgical Operations YR 2018 FD 2018 PB McGraw-Hill Education PP New York, NY SN 9780071449052 LK accesssurgery.mhmedical.com/content.aspx?aid=1162530748 RD 2024/03/29 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.