A peer-reviewed, evidence-based journal that promotes clinical development and metabolic insights in total bariatric patient care for the healthcare professional
Issue link: https://bariatrictimes.epubxp.com/i/130204
4th INTERNATIONAL CONSENSUS SUMMIT FOR SLEEVE GASTRECTOMY VI: Controversies and Debates 2. Surg Endosc. 2011;25(1):88–97. Stamou KM, Menenakos E, Dardamanis D, et al. Prospective comparative study of the efficacy of staple-line reinforcement in laparoscopic sleeve gastrectomy. Surg Endosc. 2011;25(11):3526–3530. 3. Consten EC, Gagner M, Pomp A, Inabnet WB. Decreased bleeding after laparoscopic sleeve gastrectomy with or without duodenal switch for morbid obesity using a stapled buttressed absorbable polymer membrane. Obes Surg. 2004;14(10):1360–1366. 4. Dapri G, Cadière GB, Himpens J. Reinforcing the staple line during laparoscopic sleeve gastrectomy: prospective randomized clinical study comparing three different techniques. Obes Surg. 2010;20(4):462–467. Summary of the Fourth International Consensus Summit on Sleeve Gastrectomy New York City, December 6–8, 2012 by MICHEL GAGNER, MD, FRCSC, FACS, FASMBS, FICS, AFC (HON.) Bariatric Times. 2013;10(5 Suppl A):A26–A27 AUTHOR AFFILIATIONS: Dr. Gagner is Clinical Professor of Surgery, Herbert Wertheim College of Medicine, Florida International University, Miami, Florida and Department of Surgery, Hopital du Sacre Coeur, Montreal, QC, Canada. ADDRESS FOR CORRESPONDENCE: Dr. Michel Gagner, 315 Place D'Youville, Suite 191,Montreal, QC, Canada H2Y 0A4 FUNDING AND DISCLOSURES: Dr. Gagner has received speaking honoraria from Covidien, Cine-Med, Ethicon, Gore, Transenterix, and MID. T he Fourth International Consensus Summit on Sleeve Gastrectomy (ICSSG-4), held in New York City at the Marriott Marquis Hotel, December 6 to 8, 2012, successfully assembled more than 750 participants. The ICSSG-4 boasted an attendance increase of 67 percent from 2010, which parallels the worldwide explosion of this new operation for weight loss. The ICSSG-4 follows three previous summits—ICSSG-1 held in New York City in 2007, ICSSG-2 held in Miami Beach in 2009, and ICSSG-3 held in New York City in 2010. Recent international numbers of bariatric procedures in 2011 show 340,768 performed by over 6,705 A26 bariatric surgeons.1 Roux-en-Y gastric bypass (RYGB) was the most frequently performed intervention (47%), followed by sleeve gastrectomy (SG) (28%), and adjustable gastric banding (AGB) (18%). It is likely that SG will take over the first position in 1 to 2 years. This current trend transpired by observing the global trends from 2003 to 2008 to 2011, which according to Buchwald and Oien,1 demonstrated a drop in RYGB from 65 to 49 to 47 percent, an increase followed by an abyssal decline in AGB from 24 to 42 to 18 percent, and a steep increase in SG from 0 to 5 to 28 percent, respectively. The first day of the ICSSG-4 was Bariatric Times • May 2013 • Supplement A dedicated to 25 live surgeries transmitted from all continents, some simultaneously, chosen from renown operators, demonstrating their skills at performing SG as a primary or secondary operation, and also showing reinterventions, including repair of a leak performed by Dr. Chouillard from Paris, France. The scientific committee of the consensus meeting has taken responsibility in exposing the good and the bad side of SG and making a strong effort from the beginning to treat its associated complications. The second and third days of the meeting comprised more than 100 oral presentations, including five debates from chosen international