title: Laparoscopic sleeve gastrectomy: More than a restrictive bariatric surgery procedure?
abstract: Sleeve gastrectomy (SG) is a restrictive bariatric surgery technique that was first used as part of restrictive horizontal gastrectomy in the original Scopinaro type biliopancreatic diversion. Its good results as a single technique have led to a rise in its use, and it is currently the second most performed technique worldwide. SG achieves clearly better results than other restrictive techniques and is comparable in some aspects to the Roux-en-Y gastric bypass, the current gold standard in bariatric surgery. These benefits have been associated with different pathophysiologic mechanisms unrelated to weight loss such as increased gastric emptying and intestinal transit, and activation of hormonal mechanisms such as increased GLP-1 hormone and decreased ghrelin. The aim of this review was to highlight the salient aspects of SG regarding its historical evolution, pathophysiologic mechanisms, main results, clinical applications and perioperative complications.
authors.affiliation: David Benaiges, Antonio Más-Lorenzo, Albert Goday, Juan J Chillarón, Juan Pedro-Botet, Juana A Flores-Le Roux, Department of Endocrinology and Nutrition, Hospital del Mar, E-08003 Barcelona, Spain.
authors.forename: David
authors.initials: D
authors.lastname: Benaiges
authors.affiliation: David Benaiges, Antonio Más-Lorenzo, Albert Goday, Juan J Chillarón, Juan Pedro-Botet, Juana A Flores-Le Roux, Department of Endocrinology and Nutrition, Hospital del Mar, E-08003 Barcelona, Spain.
authors.forename: Antonio
authors.initials: A
authors.lastname: Más-Lorenzo
authors.affiliation: David Benaiges, Antonio Más-Lorenzo, Albert Goday, Juan J Chillarón, Juan Pedro-Botet, Juana A Flores-Le Roux, Department of Endocrinology and Nutrition, Hospital del Mar, E-08003 Barcelona, Spain.
authors.forename: Albert
authors.initials: A
authors.lastname: Goday
authors.affiliation: David Benaiges, Antonio Más-Lorenzo, Albert Goday, Juan J Chillarón, Juan Pedro-Botet, Juana A Flores-Le Roux, Department of Endocrinology and Nutrition, Hospital del Mar, E-08003 Barcelona, Spain.
authors.forename: José M
authors.initials: JM
authors.lastname: Ramon
authors.affiliation: David Benaiges, Antonio Más-Lorenzo, Albert Goday, Juan J Chillarón, Juan Pedro-Botet, Juana A Flores-Le Roux, Department of Endocrinology and Nutrition, Hospital del Mar, E-08003 Barcelona, Spain.
authors.forename: Juan J
authors.initials: JJ
authors.lastname: Chillarón
authors.affiliation: David Benaiges, Antonio Más-Lorenzo, Albert Goday, Juan J Chillarón, Juan Pedro-Botet, Juana A Flores-Le Roux, Department of Endocrinology and Nutrition, Hospital del Mar, E-08003 Barcelona, Spain.
authors.forename: Juan
authors.initials: J
authors.lastname: Pedro-Botet
authors.affiliation: David Benaiges, Antonio Más-Lorenzo, Albert Goday, Juan J Chillarón, Juan Pedro-Botet, Juana A Flores-Le Roux, Department of Endocrinology and Nutrition, Hospital del Mar, E-08003 Barcelona, Spain.
authors.forename: Juana A
authors.initials: JA
authors.lastname: Flores-Le Roux
mesh_terms: D000818:Animals; D050110:Bariatric Surgery / Q000009:adverse effects / Q000266:history / Q000379:methods*; D005743:Gastrectomy / Q000009:adverse effects / Q000266:history / Q000379:methods*; D005746:Gastric Emptying; D005753:Gastric Mucosa / Q000378:metabolism; D005768:Gastrointestinal Hormones / Q000378:metabolism; D005772:Gastrointestinal Transit; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D009767:Obesity, Morbid / Q000378:metabolism / Q000503:physiopathology / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology; D020127:Recovery of Function; D013270:Stomach / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome; D015431:Weight Loss
chemical_list: D005768:Gastrointestinal Hormones
keywords: Bariatric surgery; Dyslipidemia; Hypertension; Severe obesity; Sleeve gastrectomy; Type 2 diabetes mellitus