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KMID : 1033120120010010038
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대한비만대사외과학회지
2012 Volume.1 No. 1 p.38 ~ p.43
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Sleeve Gastrectomy
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Lee Joo-Ho
Park Do-Joong
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Abstract
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The morbid obesity is causing major health problems, worsens quality of life, and reduces life expectancy. Current evidence suggests that only bariatric surgical treatments have been able to achieve substantial and durable weight loss, with a resultant reduction in morbidity and mortality. Bariatric surgery began in the 1950s with jejuno-ileal bypass. It was superseded in the 1970s by gastric stapling procedures, such as Roux Y gastric bypass, various forms of gastroplasty, and by the malabsorptive procedure of biliopancreatic diversion. Recently, the application of a laparoscopic approach to bariatric surgery has led a surge of interest in bariatric surgery. Gastric banding and gastric bypass are mainly used in bariatric operations. However, laparoscopic sleeve gastrectomy is world-widely becoming popular as a primary bariatric surgery as well as a first-stage operation for super-obese and high risk patients. Regarding surgical technique of laparoscopic sleeve gastrectomy, sizing of the sleeve, staple heights, and locations of the first and last firing are important points to consider. Recently, several prospective randomized controlled trials and 5 years or more long-term results about laparoscopic sleeve gastrectomy proved this procedure is safe, effective and durable. Laparoscopic sleeve gastrectomy is especially recommended for Korean morbidly obese patients in that screening gastroscopy for the diagnosis of gastric cancer can be easily performed and a revisional surgery also effectively done for the patients with weight regain after sleeve gastrectomy.
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KEYWORD
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Obesity, Bariatric surgery, Sleeve gastrectomy
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