title: Technical controversies in laparoscopic sleeve gastrectomy.
abstract: Laparoscopic sleeve gastrectomy is a recently developed technique for treating morbid obesity. Since it is a simple procedure, many bariatric surgeons have adopted it in recent years with good results. However, there is still no standard procedure across different surgical teams. We will discuss the more controversial aspects of the surgical technique: the size of the bougie, the beginning of the distal section, the section shape at the gastroesophageal junction, the necessity and manner of reinforcing the staple line, and the routine use of intraoperative leak testing.
authors.affiliation: Department of Bariatric Surgery, Torrecárdenas Hospital, Almería, Spain. manuferrer78@hotmail.com
authors.forename: Manuel
authors.initials: M
authors.lastname: Ferrer-Márquez
authors.forename: Ricardo
authors.initials: R
authors.lastname: Belda-Lozano
authors.forename: Manuel
authors.initials: M
authors.lastname: Ferrer-Ayza
mesh_terms: D004943:Esophagogastric Junction / Q000601:surgery*; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D015203:Reproducibility of Results; D017792:Surgical Stapling / Q000379:methods*; D016896:Treatment Outcome; D015431:Weight Loss