CLINICAL AND PATHOMORPHOLOGICAL APPROACHES TO OPTIMIZING SLEEVE GASTRECTOMY
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Sleeve gastrectomyAbstrak
Sleeve gastrectomy is one of the most widely performed bariatric procedures due to its technical simplicity and favorable metabolic outcomes. However, postoperative complications and variable long-term results indicate the need for optimization of this surgical technique. This study aims to analyze clinical and pathomorphological approaches to optimizing sleeve gastrectomy by integrating patient-related clinical factors with structural and histological characteristics of the gastric wall. The findings demonstrate that individualized surgical planning based on gastric wall morphology, inflammatory status, vascular integrity, and regenerative capacity may significantly reduce complications and improve functional and metabolic outcomes.
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1. Buchwald H, Oien DM. Metabolic and bariatric surgery worldwide. Obesity Surgery. 2013;23:427–436.
2. Peterli R, et al. Effect of laparoscopic sleeve gastrectomy on weight loss and metabolic outcomes. Annals of Surgery. 2018;268:220–226.
3. le Roux CW, Bloom SR. Gastrointestinal hormones and bariatric surgery. Endocrinology and Metabolism Clinics. 2005;34:771–788.
4. Tack J, Deloose E. Complications after sleeve gastrectomy. Best Practice & Research Clinical Gastroenterology. 2014;28:741–749.
5. Deitel M. Technical considerations in sleeve gastrectomy. Obesity Surgery. 2012;22:1–3.
6. Camilleri M. Gastrointestinal complications of obesity. Gastroenterology. 2017;152:1656–1670.
7. Roldán-Sarmiento P, et al. Histopathological changes of the gastric wall in obese patients. Obesity Surgery. 2016;26:1501–1508.
8. Csendes A, et al. Gastric histology in morbid obesity. Obesity Surgery. 2007;17:1354–1361.
9. Park MI, Camilleri M. Gastric motor function in obesity. Obesity Research. 2005;13:491–500.
10. Rubino F, et al. Bariatric surgery and precision metabolic treatment. Diabetes Care. 2016;39:861–877.
