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Sleeve gastrectomy is one of the most commonly performed bariatric procedures Worldwide.
It is technically easier than the gastric bypass and does not entail the creation of any anastomosis.
The procedure went on to gain space and popularity since its first description in the early 2000s. The main debate regarding this technique is the presence of postoperative GERD. Reflux has been a concern from the beginning and one of the solutions found was the association of fundoplication to the sleeve procedure.
The transition from open surgery to laparoscopy had its challenges, but laparoscopic sleeve gastrectomy is here to stay, although the predictions are that the numbers will go down, with an increase in LRYGB and newer techniques.
