LSG: Current Controversies

Abstract

Laparoscopic sleeve gastrectomy (LSG) is still a new procedure with many technical variations. Sleeve volume, bougie size, stapling technique and distance from pylorus may affect medium- and long-term weight loss and metabolic outcomes. Further data and larger series will be needed to draw definitive conclusions. The only technical point beyond controversy and now universally accepted is that an orogastric bougie should always be inserted during stapling. he first sleeve gastrectomy was performed in 1988 as a part of duodenal switch procedure by Doug Hess [7]. Ren et al. performed laparoscopic sleeve gastrectomy (LSG) as a component of biliopancreatic diversion with duodenal switch (BPD-DS) in 2000