The sleeve gastrectomy has become increasingly common in the last few years, yet it is still not technically standardized. Controversy exists over bougie size and pouch calibration, extent of antral resection, management of reflux and hiatal hernias, and the use of buttress materials and staple line suturing methods. Moreover, postoperative problems from a suboptimal technique may not present for months or years after surgery, and thus, it is difficult to evaluate differing technical preferences.
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