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Survey on laparoscopic sleeve gastrectomy (LSG) at the Fourth International Consensus Summit on Sleeve Gastrectomy
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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“In the Fourth International Consensus Summit survey, bariatric surgeons reported that they resect the antrum at 4–5 cm (32%), 3–4 cm (27%), or 5–6 cm (22%) proximal to the pylorus [99].”
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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
- Venue
- Obesity Surgery
- Published
- 2013-08-04
- Volume
- 23
- Issue
- 12
- Pages
- 2013-2017
- ISSN
- 0960-8923 (ISSN-L)
- 1708-0428
- 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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