Outcomes Of Laparoscopic Sleeve Gastrectomy with The Application of Antireflux Mechanisms in Patients with Obesity
Keywords:
Bariatric surgery, Laparoscopic sleeve gastrectomy, Obesity, Triple-balloon orogastric tube Trocar placement, Weight loss outcomesAbstract
Obesity is a rapidly escalating global health crisis, with prevalence rates rising across all income levels and geographical regions. According to the World Health Organization (WHO), Obesity has been estimated that 1 billion people globally will be living with obesity by 2030. Countries will not only miss the 2025 World Health Organization (WHO) target to halt the rise in obesity at 2010 levels, but the number of people with obesity is expected to double across the globe by 2035. However, optimal surgical technique, complication prevention, and individualized patient selection remain critical determinants of success.
References
1. Auge, M., Menahem, B., Savey, V., Lee Bion, A., & Alves, A. (2022). Long-term complications after gastric bypass and sleeve gastrectomy: What information to give to patients and practitioners, and why? Journal of Visceral Surgery, 159(4), 298–308. https://doi.org/10.1016/j.jviscsurg.2022.06.006
2. Milone, M., Di Minno, M. N., Leongito, M., Maietta, P., Bianco, P., & Taffuri, C., et al. (2013). Bariatric surgery and diabetes remission: Sleeve gastrectomy or mini-gastric bypass? World Journal of Gastroenterology, 19(43), 6590–6597. https://doi.org/10.3748/wjg.v19.i43.6590
3. El-Husseiny, M. A., Abdel-Moneim, A. A., Abdel-Maksoud, M. A., & Hammad, K. S. (2018). The role of laparoscopic mini-gastric bypass in management of metabolic syndrome. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 12(4), 491–495. https://doi.org/10.1016/j.dsx.2018.03.016
4. World Health Organization. (2024). Obesity and overweight. Retrieved August 15, 2025, from https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
5. Arterburn, D. E., Telem, D. A., Kushner, R. F., & Courcoulas, A. P. (2020). Benefits and risks of bariatric surgery in adults: A review. JAMA, 324(9), 879–887. https://doi.org/10.1001/jama.2020.12567
6. Castro, A., Cassinello, N., Alfonso, R., & Ortega, J. (2022). Preoperative risk factors for early hemorrhagic complications in bariatric surgery: A case-control study. Surgical Endoscopy, 36(1), 430–434. https://doi.org/10.1007/s00464-021-08302-7
7. García-García, M. L., Martín-Lorenzo, J. G., Lirón-Ruiz, R., Torralba-Martínez, J. A., García-López, J. A., & Aguayo-Albasini, J. L. (2017). Failure of the obesity surgery mortality risk score (OS-MRS) to predict postoperative complications after bariatric surgery: A single-center series and systematic review. Obesity Surgery, 27(6), 1423–1429. https://doi.org/10.1007/s11695-016-2506-4
8. Saravana-Bawan, B., Goplen, M., Alghamdi, M., & Khadaroo, R. G. (2021). The relationship between visceral obesity and post-operative complications: A meta-analysis. Journal of Surgical Research, 267, 71–81. https://doi.org/10.1016/j.jss.2021.04.034
9. Wilkinson, K. H., Helm, M., Lak, K., Higgins, R. M., Gould, J. C., & Kindel, T. L. (2019). The risk of post-operative complications in super-super obesity compared to super obesity in accredited bariatric surgery centers. Obesity Surgery, 29(9), 2964–2971. https://doi.org/10.1007/s11695-019-03946-5
10. Mechanick, J. I., Apovian, C., Brethauer, S., Garvey, W. T., Joffe, A. M., Kim, J., ... & American Society of Anesthesiologists. (2020). Clinical practice guidelines for the perioperative nutrition, metabolic, and nonsurgical support of patients undergoing bariatric procedures – 2019 update. Surgery for Obesity and Related Diseases, 16(2), 175–247. https://doi.org/10.1016/j.soard.2019.10.025
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
