Laparoscopic Sleeve Gastrectomy
Laparoscopic Sleeve Gastrectomy – This procedure involves surgery on the stomach only (it is a restrictive procedure) and does not involve the intestine (which would make it malabsorptive). It basically consists of making a stomach that (before surgery) looks like a pouch into a long tube, or “sleeve.” The sleeve gastrectomy procedure removes approximately 2/3 of the stomach, which provides for quicker satiety (sense of fullness) and decreased appetite. The smaller stomach sleeve restricts food intake by allowing only a small amount of food to be consumed in a single sitting. This new smaller stomach limits the amount of food that is consumed so that you feel full. This leads to substantial weight loss and the resolution of many comorbidities, such as Type II diabetes. The advantages of this procedure include excellent weight loss, no implantation of an artificial device, low risk of nutrient deficiencies, does not require frequent follow-up adjustments, and does not involve rerouting of the intestines.
Frequently Asked Questions
What is a gastric sleeve surgery?
Laparoscopic sleeve gastrectomy is a minimally invasive procedure used to help people lose excess weight by reducing the size of the stomach. The gastric sleeve shrinks the size of the stomach in order to make patients feel full off of smaller amounts of food. These smaller portions in combination with exercise and lifestyle changes help the person lose weight. Traditionally, the procedure performed as a laparoscopic surgery which employs cameras and long, thin instruments inserted through small incisions and will remove a portion of the stomach itself.
What are the benefits of this procedure?
Laparoscopic gastric sleeve gastrectomy surgeries provide significant weight loss results to patients and due to the minimally invasive nature of the procedure, patients benefit from shorter surgery times and quicker recovery. Also, as the size of the stomach is significantly reduced, fewer “hunger” hormones will be released and the patient’s desire to eat will decrease.
Who is a good candidate for a laparoscopic sleeve gastrectomy?
Weight loss operations, such as gastric sleeve surgery, are meant for patients who are severely overweight and have not lost weight or maintained loss through healthy eating and exercising. Surgery is traditionally considered an option when the person’s BMI, or body mass index, is at least 40. It is also suited for those who have a life-threatening or disabling condition which is caused by their excessive weight.
What can I expect after surgery?
After surgery, patients may experience some discomfort in the stomach region which is treated with prescription medications. Patients will need to eat much smaller portions of food, much more slowly as the stomach will have dramatically reduced in size. The recovery time will be much quicker than with traditional surgery when using this laparoscopic procedure. However, patients will still have to take it easy in the week following surgery. The doctor will provide patients with specific instructions regarding what and how to eat after the surgery. Initially, patients should eat soft food and liquids to allow the stomach to heal. As time proceeds, solid foods can be brought back into the diet and patients will now have to remember to chew their food well and stop eating when they are full.
When is a laparoscopic sleeve gastrectomy needed?
When other attempts at significant weight loss have failed, or when your life or health is in danger due to obesity-related conditions, the laparoscopic sleeve gastrectomy may offer a solution. Not only does this procedure allow you to experience less hunger while losing weight, but it also mitigates the risks of being under anesthesia for prolonged periods. However, you’ll never know if the surgery is right for you without consulting one of the physicians at Bay Surgical Weight Loss.
Difference between a Gastric Sleeve and a Gastric Bypass
The main differences between sleeve gastrectomy and a bypass gastrectomy are the reshaping of the stomach and the technical procedures to complete the surgery. During a gastric bypass, the doctor surgically reshapes the stomach into a smaller pouch shape and makes changes to the small intestine to connect to the smaller stomach section. The changes include bypassing a large portion of the stomach, the duodenum and a portion of the jejunum sections of the intestines, which reduces the area for calorie absorption. The sleeve is different because it reshapes your stomach but does not bypass any portion of your intestinal track. This allows for additional areas for nutritional absorption in the small intestines. Typically a bypass pouch will hold less food than the stomach area left by the sleeve procedure. Both procedures have similar weight loss results and long-term success at the 5-year mark. The sleeve is a newer innovation and studies are still being conducted. There are pros and cons to each and the surgical team can help answer those questions for you.