Sleeve gastrectomy was originally developed as the first of a two-stage procedure for seriously obese patients when the risk associated with a full gastric bypass or duodenal switch was too high. The sleeve resulted in significant weight loss and reduced anaesthetic risk, allowing the patient to proceed to the second stage of the bypass or duodenal switch 9-12 months later. However, many patients did so well with the sleeve alone that no further surgery was required. Nowadays sleeve gastrectomy is being used as a single-stage weight loss procedure.
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