The Sleeve Gastrectomy is our newest surgical weight loss alternative. The Sleeve Gastrectomy may be the only surgery you need to fully achieve your weight loss goals. But it also can be performed as the first stage to a Gastric Bypass, Duodenal Switch or Gastric Banding procedure. We perform the Sleeve Gastrectomy as a stand-alone operation or as part one of a 2 stage procedure.
In our experience, the weight loss and reduction of medical problems are similar to those of Gastric Bypass. Less than 1% of our patients who have chosen Sleeve Gastrectomy have required or desired a second stage procedure. The Sleeve Gastrectomy involves permanently removing approximately 80% of the stomach. There is no cutting or stapling of the small bowel. Research has shown that removing this portion of the stomach reduces a hormone called ghrelin which causes hunger. Therefore patients not only feel full after a small amount of food, but also do not often crave food. It is not uncommon to hear Sleeve patients say that they have to remind themselves to eat. The other great benefit of the Sleeve Gastrectomy is that there is no malabsorption of nutrients and patients have fewer problems with vitamin deficiencies including Calcium, Iron and Vitamin D. You simply have a smaller stomach.
Benefits
- Average 50-70% Excess Weight Loss in 6-18 months
- Pylorus is left intact (decreased risk of marginal ulcer)
- Shorter operative time
- If further weight-loss needed, can convert to Gastric Bypass, Duodenal Switch or Band over Sleeve
Possible complications include pain, nausea, vomiting, bleeding, infection, blood clots, staple line leak, dysphagia, need to convert the Sleeve to Gastric Bypass, Duodenal Switch or Gastric Banding for inadequate weight loss or complications. A more complete list of complications is included on the consent form.
