Sleeve Gastrectomy

What is Sleeve Gastrectomy?

Sleeve gastrectomy, also known as gastric sleeve surgery, is a weight loss procedure that reduces the size of your stomach. By removing approximately 75-80% of the stomach, this surgery helps you feel full faster, significantly reducing your food intake and promoting weight loss.

Benefits of Sleeve Gastrectomy

  • Effective Weight Loss: Most patients lose 50-60% of their excess weight within the first two years.
  • Improvement in Health Conditions: This procedure can lead to the improvement or resolution of obesity-related conditions such as type 2 diabetes, high blood pressure, sleep apnea, and high cholesterol.
  • Minimally Invasive: Performed laparoscopically, resulting in smaller incisions, less pain, and faster recovery.

Who is a Candidate for Sleeve Gastrectomy?

Ideal candidates for sleeve gastrectomy include individuals with:

  • A Body Mass Index (BMI) of 40 or higher.
  • A BMI of 35 or higher with obesity-related health conditions.
  • An inability to achieve healthy weight loss sustained for a period of time with prior weight loss efforts.

What to Expect During a Sleeve Gastrectomy Procedure:

The surgery involves:

  1. Anesthesia: You will be given general anesthesia, ensuring you are asleep and pain-free during the procedure.
  2. Laparoscopic Surgery: Small incisions are made, and a laparoscope (a small, tube-like instrument with a camera) is inserted.
  3. Stomach Reduction: Approximately 75-80% of the stomach is removed, creating a sleeve or tube-like structure.
  4. Closure: The remaining stomach is stapled and sealed.

How is a Gastric Sleeve Different than a Gastric Bypass

Gastric sleeve and gastric bypass are both weight loss surgeries but differ significantly. In a gastric sleeve, about 75-80% of the stomach is removed, leaving a banana-shaped tube that helps patients feel full faster. Gastric bypass involves creating a small stomach pouch that bypasses the majority of the stomach and connects directly to the small intestine, reducing calorie and nutrient absorption. The gastric sleeve is generally safer for those needing to lose over 100 pounds, while gastric bypass can pose higher risks and requires careful long-term nutritional management. Consulting with a bariatric surgeon is essential to determine the best procedure based on individual health needs and weight loss goals.

Sleeve Gastrectomy Recovery & Aftercare

  • Hospital Stay: Typically, a hospital stay of 1-2 days is required.
  • Dietary Changes: A gradual transition from a liquid diet to solid foods over several weeks.
  • Follow-Up: Regular follow-up appointments to monitor progress and nutritional intake.

Risks & Considerations

As with any surgery, sleeve gastrectomy carries potential risks:

  • Surgical Complications: Such as bleeding, infection, or adverse reactions to anesthesia.
  • Gastrointestinal Issues: Including nausea, vomiting, or acid reflux.
  • Nutritional Deficiencies: Lifelong vitamin and mineral supplementation may be necessary.

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