[Sleeve gastrectomy: a new approach to bariatric surgery]. / Sleeve gastrectomie: une nouvelle intervention en chirurgie bariatrique.

ABSTRACT

Over the last 15 years, obesity surgery has developed tremendously. The two most frequently practiced procedures are the adjustable gastric ring and gastric by-pass. A new intervention has recently appeared the sleeve gastrectomy, an essentially restrictive intervention consisting of a vertical gastrectomy including the entire greater curvature of the stomach while leaving in place an approximately 100-ml gastric tube along the lesser curvature. This intervention was initially proposed as the first part of a duodenal switch in patients whose body mass index was greater than 60 kg/m2. Since then, these indications have developed and this intervention now enjoys a certain fervor on the part of bariatric surgery teams. The objective of this mini-review is to detail the technical aspects of this procedure, its morbidity and mortality, and the long-term results, although there are currently few teams with more than 3 years of experience.