The Sleeve Gastrectomy and How and Why it can Fail?
- *Corresponding Author:
- Shahzeer Karmali
Center for the Advancement of Minimally Invasive Surgery (CAMIS)
Royal Alexandra Hospital, 10240 Kingsway
Edmonton, Alberta, T5H 3V9, Canada
Received date: January 03, 2013; Accepted date: February 11, 2014; Published date: February 20, 2014
Citation: Switzer NJ, Karmali S (2014) The Sleeve Gastrectomy and How and Why it can Fail? Surgery Curr Res 4:180. doi:10.4172/2161-1076.1000180
Copyright: © 2014 Switzer NJ, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Long-term weight regain is a fearedcomplicationof restrictive bariatric operation. The Sleeve Gastrectomy (SG) is still in its early stages as a primary bariatric surgery and long-term data about its efficacy remains limited. From the long term studies available it seems that approximately one-fifth of SG patients might be at risk for long-term weight regain and about 5-10% of total SG patients will require surgical management forit. The possible mechanism behind this weight regain is slowly being addressed. Patient noncompliance with dietary and lifestyle regimens is the most practical factor that needs to be considered and can be prevented with a multidisciplinary team. Long-term gastric pouch dilatation and gut hormone modulation are other theories that have been proposed to explain this weight regain. Successful management strategies to combat weight recidivism include revisional bariatric surgery, performing a resleeve gastrectomy or the addition of an adjustable band in the primary banded sleeve gastrectomy. However, the safety of revisional bariatric surgery is a concern and should be performed only by an experienced bariatric surgeon. It remains that as the SG continues to grow as a popular choice for the management of morbid obesity, more concrete long term information will become available to address the how and why weight regain occurs.