Sleeve gastrectomy – a popular bariatric method to treat severe obesity and type 2 diabetes

Czech version

Authors: M. Kasalický ^1,2; E. Koblihová ¹; J. Pažin ¹
Authors‘ workplace: Chirurgická klinika 2. LF UK a ÚVN – VFN Praha ¹; Fakulta zdravotníctva a sociálnej práce, Trnavská univerzita v Trnave ²
Published in: Gastroent Hepatol 2018; 72(2): 158-163
Category:
doi: https://doi.org/10.14735/amgh2018158

Overview

Introduction:
Bariatric and metabolic surgeries are safe and effective methods to treat severe obesity and type 2 diabetes mellitus in morbidly obese patients, resp. Morbidly obese patients have been treated using sleeve gastrectomy (SG) as a single bariatric/metabolic (B/M) procedure since 2003 in other countries and since 2006 in the Czech Republic. Laparoscopic sleeve gastrectomy (LSG) is an effective and feasible B/M procedure with a low rate of complications. This article concerns the use of SG as a bariatric method.

Method:
The main principle of SG is vertical resection of the greater curvature of the stomach. SG is a restrictive method with neurohumoral effects and is usually performed via a laparoscopic minimally invasive approach.

Conclusion:
LSG is a safe bariatric procedure with good long-term results in terms of weight loss and improvement of metabolic co-morbidities as well a low rate of complications, which can be managed laparoscopically. SG is currently the most widely used B/M procedure in the Czech Republic and most other countries.

Key words:
bariatric surgery – sleeve gastrectomy – morbid obesity – diabetes mellitus

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE „uniform requirements“ for biomedical papers.

Submitted:
19. 12. 2017

Accepted:
20. 1. 2018

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