Recommendations of Others
Blue Cross Blue Shield Association (BCBSA)
BCBSA Technology Evaluation Center has not conducted a technology assessment of sleeve gastrectomy.
Centers for Medicare and Medicaid Services (CMS)
CMS National Coverage Decision (NCD) for Bariatric Surgery for Treatment of Morbid Obesity (100.1) effective February 2009 notes that open and laparoscopic sleeve gastrectomy are among non-covered bariatric surgery procedures for all Medicare beneficiaries.
American Society for Metabolic and Bariatric Surgery (ASMBS)
An ASMBS physician representative attended the CTAF meeting to provide testimony. In November 2009 an Updated Position Statement on Sleeve Gastrectomy as a Bariatric Procedure was published (Attachment 1). This ASMBS update is available at: https://www.asmbs.org/Newsite07/resources/Updated_Position_Statement_on_Sleeve_Gastrectomy.pdf
American Gastroenterological Association (AGA)
The AGA was invited to have a representative attend the meeting to provide testimony. The AGA has noted that they do not have an opinion on the use of this procedure.
Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)
A SAGES representative attended the CTAF meeting to provide testimony..
National Institute for Health and Clinical Excellence (NICE)
Guidance published by NICE and updated periodically is available at: https://www.nice.org.uk/nicemedia/pdf/CG43NICEGuideline.pdf
Veterans Affairs/Department of Defense (VA/DoD)
In 2006 the VA/DoD Clinical Practice Guideline for Screening and Management of Overweight and Obesity was published in 2006. It is available at: https://www.healthquality.va.gov/obesity/obe06_final1.pdf
CTAF, California Technology Assessment Forum; SG, Sleeve gastrectomy; VSG, Vertical sleeve gastrectomy; LSG, Laparoscopic sleeve gastrectomy; BMI, Body mass index; CDC, Centers for Disease Control and Prevention; SOS, Swedish Obese Subjects; HDL, High-density-lipoprotein; VBG, Vertical banded gastroplasty; LAGB or LGB, Laparoscopic adjustable gastric banding; JIB, bypass; BPD, Biliopancreatic diversion; DS, Duodenal switch; RYGB, Roux-en-Y gastric bypass; GERD, Gastroesophageal reflux disease; DARE, Database of Abstracts of Reviews of Effects; %EBWL, Percentage of excess body weight lost; PPI, Proton pump inhibitor; GE, Gastroesophageal
CTAF © 2010 California Technology Assessment Forum
Cite this: Sleeve Gastrectomy as a Stand alone Bariatric Procedure for Obesity: A Technology Assessment - Medscape - Oct 13, 2010.