Bariatric Times

EES Insert/Supp. 2012

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/69664

Contents of this Issue

Navigation

Page 0 of 7

Volume 9 • Number 6 • June 2012 • Supplement B CHECKLIST FOR LAPAROSCOPIC SLEEVE GASTRECTOMY from the 2011 International Sleeve Gastrectomy Expert Consensus Conference An international panel of experts, reached consensus on the best practices to help the surgical community continue to improve patient outcomes, minimize complications, and adoption of standardized techniques in Laparoscopic Sleeve Gastrectomy. The assembly and work of the expert surgeon panel that developed the consensus was supported by an educational grant from Ethicon Endo-Surgery, Inc. Introduction I by RAUL J. ROSENTHAL, MD, FACS, FASMBS Dr. Rosenthal was Chairman for the 2011 International Sleeve Gastrectomy Expert Consensus Conference. He is Program Director of Minimally Invasive Surgery, Director of the Minimally Invasive Fellowship Program, Director of the Bariatric and Metabolic Institute, and Director of the General Surgery Residency Program, Cleveland Clinic Florida—Weston, Fort Lauderdale, Florida. n the quest of developing best treatment options for the obesity pandemic, bariatric surgeons continue to search for a surgical treatment modality that can help patients with morbid obesity lose their excess body weight and resolve the associated conditions with minimal morbidity and negligible mortality. In nearly 50 years of developments in the field of bariatric surgery, sleeve gastrectomy appears to be the surgical option we were looking for. Pioneered by Hess et al1 and Marceau et al2 as a component of the biliopancreatic diversion and duodenal switch, the sleeve gastrectomy was first introduced as a stand-alone treatment modality by Almogy et al,3 an open technique in high-risk patients requiring organ transplantation. Regan et al4 utilized a laparoscopic technique, which has since propelled laparoscopic sleeve gastrectomy as a popular treatment modality for patients with morbid obesity. I would like to acknowledge my Co-Chairs: Drs. Himpens, Ramos, and Lakdawala as well as all panelists who participated in this consensus meeting. They all contributed their time and invaluable expertise to develop these guidelines that review the indications, contraindications, technique, and management of complications when performing laparoscopic sleeve gastrectomy. I welcome you to a new educational resource— "Checklist for LSG;" which has been designed to offer quick reference for surgeons and integrated health professionals to keep the LSG consensus statement guidelines top of mind during daily practice. Highly trained who used surgeons, with tremendous experience in LSG, have been invited to provide their thoughts on key aspects related to techniques utilized during the LSG procedure and the management of potential complications. Please note that although the comments of several surgeons relate back to the consensus statement,5 comments are based on their opinion and personal experience and may not mirror consensus results. Whether you have been performing LSG for years or if you are just beginning training, I hope the Checklist is beneficial to your practice. At the end of the supplement, you will find a link to the original research article of the consensus statement as well as a link to a video of the procedure for further reference. Together, we can continue to standardize LSG as a primary procedure for the treatment of patients with obesity, build further clinical evidence, and enhance patient outcomes. REFERENCES 1. 2. 3. 4. 5. Hess DS, Hess DW. Biliopancreatic diversion with a duodenal switch. Obes Surg. 1998;8(3):267–282. Marceau P, Biron S, St Georges R, et al. Biliopancreatic diversion with gastrectomy as surgical treatment of morbid obesity. Obes Surg. 1991;1(4):381–387. Almogy G, Crookes PF, Anthone GJ. Longitudinal gastrectomy as a treatment for the high-risk super-obese patient. Obes Surg. 2004;14(4):492–497. Regan JP, Inabnet WB, Gagner M, Pomp A. Early experience with two- stage laparoscopic Roux-en-Y gastric bypass as an alternative in the super-super obese patient. Obes Surg. 2003;13(6):861–864. Rosenthal RJ, Diaz AA, Arvidsson D, et al. International Sleeve Gastrectomy Expert Panel Consensus Statement: best practice guidelines based on experience of >12,000 cases. Surg Obes Relat Dis. 2012;8(1):8–19. Epub 2011 Nov 10. Sponsored by:

Articles in this issue

Archives of this issue

view archives of Bariatric Times - EES Insert/Supp. 2012