LAPAROSCOPIC SLEEVE GASTRECTOMY
Commonly referred to as “the sleeve procedure”
Learn About Sleeve Gastrectomy Surgery
First, the new stomach pouch holds a considerably smaller volume than the normal stomach and helps to significantly reduce the amount of food (and thus calories) that can be consumed. The greater impact, however, seems to be the effect the surgery has on gut hormones that impact a number of factors including hunger, satiety, and blood sugar control.
Short term studies show that the sleeve is as effective as the roux-en-Y gastric bypass in terms of weight loss and improvement or remission of diabetes. There is also evidence that suggest the sleeve, similar to the gastric bypass, is effective in improving type 2 diabetes independent of the weight loss. The complication rates of the sleeve fall between those of the adjustable gastric band and the roux-en-y gastric bypass.
- Restricts the amount of food the stomach can hold
- Induces rapid and significant weight loss that comparative studies find similar to that of the Roux-en-Y gastric bypass. Weight loss of >50% for 3-5+ year data, and weight loss comparable to that of the bypass with maintenance of >50%
- Requires no foreign objects (AGB), and no bypass or re-routing of the food stream (RYGB)
- Involves a relatively short hospital stay of approximately 2 days
- Causes favorable changes in gut hormones that suppress hunger, reduce appetite and improve satiety
Am I A Candidate for Sleeve Gastrectomy Surgery?
Sleeve Gastrectomy Surgery is not right for everyone. Here are some of the things we will consider when evaluating your candidacy for sleeve gastrectomy surgery.
The Sleeve procedure is indicated for use in weight reduction for severely obese patients with a Body Mass Index (BMI) of at least 40 or a BMI of at least 35 with one or more severe co-morbid conditions, or those who are 100 lbs. or more over their estimated ideal weight.
The Sleeve procedure may be right for you if:
- You are at least 18 years old.
- Your BMI is 40 or higher or you weigh at least twice your ideal weight or you weigh at least 100 pounds more than your ideal weight. (BMI is calculated by dividing body weight (lbs.) by height in inches squared (in²) and multiplying that amount by 703).
- BMI Calculator
- You have been overweight for more than 5 years.
- Your serious attempts to lose weight have had only short-term success.
- You do not have any other disease that may have caused your obesity.
- You are prepared to make substantial changes in your eating habits and lifestyle.
- You are willing to continue being monitored by the specialist who is treating you.
- You do not drink alcohol in excess.
If you do not meet the BMI or weight criteria, you still may be considered for surgery if your BMI is at least 35 and you are suffering from serious health problems related to obesity.
- Is a non-reversible procedure
- Has the potential for long-term vitamin deficiencies
- Has a higher early complication rate than the adjustable gastric banding.
Frequently Asked Questions About Sleeve Gastrectomy Surgery
In the hospital right after surgery and when you go home your diet will be liquids only. You will follow a progressive staged nutrition plan that will slowly take you through different textures of foods from liquid to puree to soft solids then eventually regular foods. This may take up to four to six weeks.
Ready To Get Started?
Find out about our free informational seminar on bariatric surgeries including Gastric Bypass, Laparoscopic Adjustable Gastric Band, and Sleeve Gastrectomy
References: 1. Himpens J, et al. Annals Surg. 2010;252(2): 319-323. 2. DeMaria EJ, et al. Surg Obes Relat Dis. 2010;6:347-355.