Gastric sleeve removes 80% of stomach, creating banana-sized tubular pouch. Reduces food intake and hunger hormone production. Performed through laparoscopic or robotic surgery with tiny incisions. Recovery time is faster with minimally invasive methods
Sixth edition published in July 2021 incorporating new evidence. Guidelines consist of Treatments and Clinical Questions sections. Committee followed MINDS methodology for guideline compilation. Number of Clinical Questions increased to 32 items
Laparoscopic Nissen fundoplication is standard treatment for severe GERD. GERD affects up to 20% of US population. Medical treatment and surgery show similar efficacy. Laparoscopic approach preferred over open unless contraindicated
First hepatectomies performed by Dr. Honjo in 1949 and Dr. Lortat-Jacob in 1952. Most commonly used for treating hepatic neoplasms, including colorectal cancer metastases. Can also be performed for gallstones and parasitic cysts
Surgery removes part of rectum and sigmoid colon while reconnecting remaining rectum. Used for stage 2-3 rectal tumors in middle, superior, and inferior rectum. Performed under general anesthesia with multiple small belly incisions. Colon is reconnected to remaining rectum, eliminating need for permanent colostomy
Laparoscopic groin hernia repair introduced in early 1990s. TAPP and TEP are main modern laparoscopic approaches. Worldwide, 20 million patients undergo groin hernia repair annually