• Users Online: 447
  • Print this page
  • Email this page
Year : 2022  |  Volume : 1  |  Issue : 2  |  Page : 61-67

Staple-line reinforcement in laparoscopic sleeve gastrectomy: Needful or excessive care?

1 Department of Gastrointestinal Surgery, Marilia School of Medicine, Marilia, Brazil
2 Gastro-Obeso-Center - Advanced Institute for Metabolic Optimization, São Paulo, Brazil

Correspondence Address:
Eduardo Lemos de Souza Bastos
Department of Gastrointestinal Surgery, Marilia School of Medicine, Marilia
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jbs.jbs_7_22

Rights and Permissions

Laparoscopic sleeve gastrectomy (LSG) has achieved high approval rates as stand-alone weight loss procedure in recent years. Its safety and effectiveness have been clearly established by numerous published studies. On the other hand, there has been great concern about complications related to the long staple line, mainly bleeding and leaks. Although this concern is universal among bariatric surgeons, strategies to prevent complications related to the staple line are not consensual. Accordingly, staple-line reinforcement methods have been widely proposed in an attempt to reduce the risk of these adverse events. However, nonreinforced but technically well-performed staple line can also be a very safe option, saving operative time and procedure-related costs. Therefore, the purpose of this narrative review is to discuss current options for minimizing the risk of staple line-related bleeding and leaks in LSG, focusing on technical issues and reinforcement methods.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded243    
    Comments [Add]    

Recommend this journal