Laparoscopic Sleeve Gastrectomy: How Do I Do It

Abstract

Background:

Laparoscopic sleeve gastrectomy (LSG) is the most commonly performed bariatric procedure in the world. LSG is a safe and effective primary bariatric procedure with durable weight loss. We believe LSG should not be called “easy” and should be performed only by surgeons trained in bariatric surgery.

Method:

We describe the technique, step by step, we use to perform a sleeve gastrectomy (SG).

Results:

The highlights of a safer SG systematization are based on minimum 36Fr bougie calibration, starting 4–5 cm from the pylorus, keeping ∼1 cm distance from esophagus. We routinely use staple line reinforcement by continuous suture.

Conclusions:

LSG is a safe and effective primary bariatric procedure with durable weight loss. It should be performed only by surgeons trained in bariatric surgery.