Bariatric Times

Covidien Supplement 2012

A peer-reviewed, evidence-based journal that promotes clinical development and metabolic insights in total bariatric patient care for the healthcare professional

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Article 4 THIRD INTERNATIONAL SUMMIT: CURRENT STATUS OF SLEEVE GASTRECTOMY CITATION Deitel M, Gagner M, Erickson AL, Crosby RD. Third International Summit: current status of sleeve gastrectomy. Surg Obes Relat Dis. 2011;7:749–759. PURPOSE OF THE STUDY The purpose of this article is to present the experiences of bariatric surgeons around the world who have performed sleeve gastrectomy procedures. METHODS This meeting included 475 attendees from 35 countries. The first day consisted of 15 live surgeries via the internet. The second and third days consisted of presentations, a questionnaire, and a consensus. The questionnaire was completed by surgeons who had performed laparoscopic sleeve gastrectomy (LSG) procedures for at least one year, and their responses on techniques, effects, and outcomes were recorded during the consensus. RESULTS Based on 88 completed questionnaires (19,605 LSG procedures), results were as follows: • The average number of LSG procedures performed per surgeon was 222.8 ± 275.0. • 86.4% of procedures were intended to be the sole operation; 2.2% of these required a second- stage procedure. • 99.7% of procedures were performed without conversion from laparoscopic to open LSG. • The size of the bougie used was 36F±4.8Fr: 70% were blunt tipped; 19% were tapered; 6% used a gastroscope. 10S Bariatric Times • June 2012 • Supplement TABLE 2 reproduced with permission. Deitel M, Gagner M, Erickson AL, Crosby RD. Third International Summit: current status of sleeve gastrectomy. Surg Obes Relat Dis. 2011;7:749–759. • Resection of the antrum began 4.8cm ±1.2cm proximal to the pylorus. • 44.1±24.5% of the antrum was removed. • 92.9±8.0% of fundus was removed. • 67.1% of surgeons reported that TABLE 1 reproduced with permission. Deitel M, Gagner M, Erickson AL, Crosby RD. Third International Summit: current status of sleeve gastrectomy. Surg Obes Relat Dis. 2011;7:749–759.

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