Sleeve Gastrectomy is an irreversible weight loss procedure in which the stomach is divided into two partitions, creating a new stomach out of the smaller left part with laparoscopic surgery or vertical sleeve gastrectomy. Like other metabolic surgeries, it also promotes weight loss by changing hormonal signals between the stomach, brain, and liver to establish a lower set point.
Gastric sleeve surgery (vertical sleeve gastrectomy) removes about 80% of the stomach. As a result, patients feel less hungry, feel full sooner after eating, lose up to 75% of their excess weight and improve or cure their obesity-related health problems
In comparison, a full Gastric Bypass surgery consists of two stages, the first being the Sleeve Gastrectomy division and the second the Roux-en-Y end-to-side procedure, which is done to re-route and reconnect the intestines. However, Sleeve Gastrectomy surgery can be completed as a standalone weight loss procedure. Bariatric and metabolic surgery has a mortality rate of 0.13 percent. This means that out of 10,000 people who have this kind of surgery, on average 9,987 will survive surgery and 13 will not.
Eligibility for Sleeve Gastrectomy is strict. Above all patients need to show that they are committed to addressing their obesity and medical condition through a medically supervised programmer. This includes not only weight loss surgery, but also lifestyle and behavioral changes. Eligibility for Sleeve Gastrectomy includes:
The Sleeve Gastrectomy can either be a Laparoscopic Sleeve Gastrectomy (LSG) or a Vertical Sleeve Gastrectomy (VSG) and a process is as follows:
During surgery, your surgeon will make between 1 and 5 small incisions in your abdomen (which minimizes gastric sleeve scars), insert various laparoscopic instruments, and remove about 80% of your stomach. A banana-shaped “sleeve” will be created that connects the esophagus to the small intestines. Your much smaller stomach will because you feel full sooner and result in long-term weight loss. It is done laparoscopically in one to two hours. The gastric sleeve procedure is done for patients of all ages, from juvenile to the elderly.
About 1 in every 5 patients experience Gastroesophageal reflux disease (GERD) in the first 12 months.GERD is a highly variable chronic condition that is characterized by periodic episodes of gastroesophageal reflux and usually accompanied by heartburn.
For most obese patients, the skin has been stretched out for so long to accommodate the extra weight that it has lost its elasticity. Gastric sleeve surgery causes most patients to lose a lot of weight very quickly, and your skin simply can’t keep up. After two years, about 1 out of 20 gastric sleeve patients have gained back some weight from their low point. That number increases to 3 out of every 4 patients after 6 years.
The operation is carried out to reduce the size of your stomach. General will be given to the patient before this surgery. It is a pain-free process and you will be asleep.
The surgeon uses laparoscopy to place an adjustable lap band around the upper part of the stomach. The lap band which is made of silicone, squeezes the stomach to the size of an hourglass.
The Intragastric Balloon, also known as Gastric Balloon Surgery is a non-surgical, temporary weight loss treatment for obesity, in which a high quality and durable silicone bag.