title: Laparoscopic sleeve gastrectomy: its place in bariatric surgery for the severely obese patient.
abstract: OBJECTIVE
  Laparoscopic sleeve gastrectomy (LSG) was initially used as a staging procedure for high-risk patients undergoing bariatric surgery. However, it is now being increasingly favoured as a single-stage procedure. This article discusses the use of LSG as a single-stage procedure for the treatment of obesity and related comorbidities.
  
  
  METHODS
  A literature review was conducted using specific search terms in multiple medical databases.
  
  
  RESULTS
  Early and mid-term weight loss results show that LSG is comparable to more established bariatric procedures. It also produces satisfactory resolution of obesity related comorbidities such as type two diabetes mellitus (T2DM). There are minimal published outcome data to assess its long-term effectiveness and safety. This is particularly true in super-obese patients with current data suggesting less satisfactory acheivement of a normal BMI in this group of patients.
  
  
  CONCLUSIONS
  LSG is safe and produces satisfactory weight loss and comorbidity resolution in the early and mid-term period. However, further data are required to assess its long-term effectiveness as well as its effectiveness in super-obese patients.
authors.affiliation: Dept of Surgery, South Auckland Clinical School, Middlemore Hospital, Private Bag 93311, Otahuhu, Auckland, New Zealand. Daniel.Lemanu@middlemore.co.nz
authors.forename: Daniel P
authors.initials: DP
authors.lastname: Lemanu
authors.forename: Sanket
authors.initials: S
authors.lastname: Srinivasa
authors.forename: Primla Prima
authors.initials: PP
authors.lastname: Singh
authors.forename: Andrew G
authors.initials: AG
authors.lastname: Hill
authors.forename: Andrew D
authors.initials: AD
authors.lastname: MacCormick
mesh_terms: D050110:Bariatric Surgery / Q000009:adverse effects / Q000379:methods*; D015897:Comorbidity; D005743:Gastrectomy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D018579:Patient Selection; D015431:Weight Loss