Gastric Sleeve started to perform in patients with high surgical risk to a duodenal switch could be carried full and they only performed the gastric or restrictive (gastric sleeve surgery, or gastric resection sleeve), without making the Mal absorptive or (duodenal switch). In the long-term observation of patients, we have seen that they lose all their weight without requiring the Malabsorptive Duodenal Switch, for that reason, the Gastric sleeve is considered the gold standard in bariatric surgery, because the patient remains free of long-term overweight as well as associated diseases, such as: diabetes, hypertension, cholesterol, etc
