Benaiges Foix, DavidMás-Lorenzo, AntonioGoday Arno, AlbertoRamón Moros, José ManuelChillarón Jordan, Juan JoséPedro-Botet, Juan CarlosFlores-Le-Roux, Juana Antonia2016-01-222016-01-222015Benaiges D, Más-Lorenzo A, Goday A, Ramon JM, Chillarón JJ, Pedro-Botet J. et al. Laparoscopic sleeve gastrectomy: more than a restrictive bariatric surgery procedure?. World J Gastroenterol. 2015 Nov 7;21(41):11804-14. doi: 10.3748/wjg.v21.i41.11804.1007-9327http://hdl.handle.net/10230/25637Sleeve gastrectomy (SG) is a restrictive bariatric surgery technique that was first used as part of restrictive horizontal gastrectomy in the original Scopinaro type biliopancreatic diversion. Its good results as a single technique have led to a rise in its use, and it is currently the second most performed technique worldwide. SG achieves clearly better results than other restrictive techniques and is comparable in some aspects to the Roux-en-Y gastric bypass, the current gold standard in bariatric surgery. These benefits have been associated with different pathophysiologic mechanisms unrelated to weight loss such as increased gastric emptying and intestinal transit, and activation of hormonal mechanisms such as increased GLP-1 hormone and decreased ghrelin. The aim of this review was to highlight the salient aspects of SG regarding its historical evolution, pathophysiologic mechanisms, main results, clinical applications and perioperative complications.application/pdfeng© 2015 Baishideng Publishing Group. This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external/nreviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/Obesitat--CirurgiaLípids--Metabolisme--TrastornsDiabetisinfo:eu-repo/semantics/articlehttp://dx.doi.org/10.3748/wjg.v21.i41.11804info:eu-repo/semantics/openAccess