ASMBS online statements/guidelinesUpdated position statement on sleeve gastrectomy as a bariatric procedure
Section snippets
Preamble
The American Society for Metabolic and Bariatric Surgery (ASMBS) has previously published 2 position statements on the use of sleeve gastrectomy (SG) as a bariatric procedure [1], [2]. These position statements were developed in response to inquiries made to the ASMBS by patients, physicians, hospitals, health insurance payers, the media, and others regarding new procedures or issues within our specialty that require close evaluation and evidence-based scrutiny. In the evolving field of
The data
The bariatric procedure commonly referred to as “sleeve gastrectomy” is a left partial gastrectomy of the fundus and body to create a long, tubular gastric conduit constructed along the lesser curve of the stomach. This procedure has evolved from a larger gastric component of the duodenal switch with biliopancreatic diversion. Although SG is generally considered a restrictive procedure, the mechanisms of weight loss and improvement in co-morbidities seen after SG could also be related to
Summary and recommendations
Substantial comparative and long-term data have now been published in peer-reviewed studies demonstrating durable weight loss, improved medical co-morbidities, long-term patient satisfaction, and improved quality of life after SG.
The ASMBS therefore recognizes SG as an acceptable option as a primary bariatric procedure and as a first-stage procedure in high-risk patients as a part of a planned staged approach.
From the current published data, SG has a risk/benefit profile between LAGB and
Sleeve gastrectomy position statement and standard of care
This position statement is not intended to provide inflexible rules or requirements of practice and is not intended, nor should it be used, to state or establish a local, regional, or national legal standard of care. Ultimately, there are various appropriate treatment modalities for each patient, and surgeons must use their judgment in selecting from among the different feasible treatment options.
The ASMBS cautions against the use of this position statement in litigation in which the clinical
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