2014, Number 6
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Rev Fac Med UNAM 2014; 57 (6)
Laparoscopic sleeve gastrectomy
Pompa GLM, Lepe M, López EG, Torres CJ
Language: Spanish
References: 44
Page: 17-26
PDF size: 352.33 Kb.
ABSTRACT
Bariatric surgery is a medical specialty dedicated to the treatment
of obesity and its comorbidities through surgical procedures.
We present a detailed collection on the history and
evolution of laparoscopic sleeve gastrectomy over the course
of 20 years. The gastric sleeve induces weight loss by several
mechanisms. It significantly reduces gastric chamber size and
decreases the secretion of the hormone called ghrelin, thus
promoting quicker satiety and decreasing appetite.
Karamankos S.N. found a greater percentage of excess-
weight loss with gastric sleeve than with bypass in a
1-year follow-up (69,7% ± 14,6% versus 60,5% ± 10,7%). A 2011
meta-analysis by Padwal R. et al. concluded that there is a
greater decrease in body mass index in patients undergoing
sleeve gastrectomy than with gastric bypass, -10,1 kg/m2 and
-9 kg/m2, respectively.
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