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Cited by 362Bariatric Surgery and OutcomesMinimally Invasive Surgical TechniquesBody Contouring and Surgery

The DOI matches its Crossref record; 52 of the 52 references it cites were found in a registry or an index.

Survey on laparoscopic sleeve gastrectomy (LSG) at the Fourth International Consensus Summit on Sleeve Gastrectomy

Gagner, Michel, Deitel, Mervyn, Erickson, Ann L., Crosby, Ross D.·2013·Obesity Surgery
DOI 10.1007/s11695-013-1040-x
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Abstract

Background LSG has been increasingly performed. Long-term follow-up is necessary.Methods During the Fourth International Consensus Summit on LSG in New York Dec. 2012, an online questionnaire (SurveyMonkey®) was filled out by 130 surgeons experienced in LSG. The survey was submitted directly to the statisticians.Results The 130 surgeons performed 354.9 ± SD 453 LSGs/surgeon (median 175), for a total of 46,133 LSGs. The LSGs had been performed over 4.9 ± 2.7 year (range 1-10). Of the 46,133 LSGs, 0.2 ± 1.0 % (median 0, range 0-10 %) were converted to an open operation. LSG was intended as the sole operation in 93.1 ± 14.8 %; in 3.0 ± 6.3 %, a second stage became necessary. Of the 130 surgeons, 40 (32 %) use a 36F bougie, which was most common (range 32-50F). Staple-line is reinforced by 79 %; of these, 57 % use a buttress and 43 % over-sew. Mean %EWL at year 1 was 59.3 %; year 2, 59.0 %; year 3, 54.7 %; year 4, 52.3 %; year 5, 52.4 %; and year 6, 50.6 %. If a second-stage operation becomes necessary, preference was: RYGB 46 %, duodenal switch 24 %, re-sleeve 20 %, single-anastomosis duodenoileal bypass 3 %, sleeve plication 3 %, minigastric bypass 3 %, non-adjustable band 2 %, and side-to-side jejunoileal anastomosis 1 %. Complications were: high leak 1.1 %, hemorrhage 1.8 %, and stenosis at lower sleeve 0.9 %. Postoperative gastroesophageal reflux occurred in 7.9 ± 8.2 % but was variable (0-30 %). Mortality was 0.33 ± 1.6 %, which translates to ≈ 152 deaths. Eighty-nine percent order multivitamins (including vitamin D, calcium, and iron) and 72 % order B12. A PPI is ordered by 29 % for 1 month, 29 % for 3 months, and others for 1-12 months depending on the case.Conclusions LSG was relatively safe. Further long-term surveillance is necessary.

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Research works printed but not linked: 1

  1. Baltasar A, Serra C. Treatment of complications of duodenal switch and sleeve gastrectomy. In: Deitel M, Gagner M, Dixon JB, Himpens J, Madan AK, editors. Handbook of obesity surgery. Toronto: FD-Communications; 2010. p. 156–61.

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Metadata

Authors
Gagner, M., Deitel, M., Erickson, A. L., & Crosby, R. D.
Affiliations
  • Florida International University (US)
  • Neuropsychiatric Research Institute (US)
Corresponding author
Deitel, Mervyn
ORCID
Venue
Obesity Surgery
Publisher
Springer Science and Business Media LLC
Published
2013-08-04
Volume
23
Issue
12
Pages
2013-2017
ISSN
  • 0960-8923 (ISSN-L)
  • 1708-0428
DOI
10.1007/s11695-013-1040-x
OpenAlex
W2065973584
Cited by
362
References
52
Citations by year
2026: 5 · 2025: 14 · 2024: 21 · 2023: 20 · 2022: 20 · 2021: 30 · 2020: 30 · 2019: 24 · 2018: 32 · 2017: 43 · 2016: 45 · 2015: 41 · 2014: 32 · 2013: 3
FWCI
39.73
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Obesity Surgery (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
  • Health Sciences › Medicine › Surgery › Minimally Invasive Surgical Techniques
  • Health Sciences › Medicine › Surgery › Body Contouring and Surgery
Keywords
laparoscopic sleeve gastrectomy, bariatric surgery
MeSH terms
Female, Gastrectomy, Humans, Length of Stay, Male, Obesity, Morbid, Laparoscopy, Surveys and Questionnaires, Reoperation, Weight Loss, Treatment Outcome, Practice Guidelines as Topic

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