Laparoscopic sleeve gastrectomy (LSG) is a new bariatric technique, which has a unique feature: it combines a satisfying gastric restriction with appetite suppression.

In other words, LSG has a physiological advantage over other restrictive procedures such as gastric banding. Furthermore, in LSG no foreign material is implanted avoiding complications such as migration, erosion and infection.

The risk of peptic ulcer or dumping is low, while absorption of nutrients and orally administered drugs are not altered as may transpire after gastric by-pass. LSG provides substantial weight loss and resolution of co morbidities to 3-5 years follow-up. Comparative data demonstrate percent EBWL at 1 year superior to AGB and approaching that of gastric by-pass.