What is A Gastric Sleeve?

 

What is A Gastric Sleeve? 

 A gastric sleeve is an abdominal surgery, often performed on an outpatient basis, that can result in significant weight loss. The surgery is performed by removing approximately 65-80% of the stomach. The remaining stomach is formed into a tubular pouch that resembles a banana.

How Does It Work?  

This procedure works by several mechanisms. 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 suggests the sleeve, similar to the gastric bypass, is effective in improving type 2 diabetes independent of the associated weight loss. The complication rates of the sleeve fall between those of the adjustable gastric band and the roux-en-Y gastric bypass.

While every patient is different, on the whole, this is a highly effective weight loss surgery, especially for those patients with few comorbidities.  

Advantages

  1. Restricts the amount of food the stomach can hold
  2. 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%
  3. Requires no foreign objects (AGB), and no bypass or re-routing of the food stream (RYGB)
  4. Involves a relatively short hospital stay of approximately 2 days (on average)
  5. Causes favorable changes in gut hormones that suppress hunger, reduce appetite and improve satiety

Disadvantages

  1. Is a non-reversible procedure
  2. Has the potential for long-term vitamin deficiencies
  3. Has a higher early complication rate than the AGB
  4. Can sometimes worsen reflux disease. 

If you are interested in learning more about whether you may be a candidate for a gastric sleeve procedure, contact Dr. Ditto.

*The information and content provided herein is for informational purposes only, and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images and information, contained on or available through this website is for general information purposes only. It does not establish a physician-patient relationship and should not be construed as medical advice.  The information is not intended to serve as a substitute for the consultation, diagnosis, and/or medical treatment of a qualified physician or healthcare provider. Should you have any health care related questions, promptly call or consult a physician or healthcare provider. No information contained in this website should be used by any reader to disregard medical and/or health related advice or provide a basis to delay consultation with a physician or a qualified healthcare provider.  If you have a medical emergency, call your doctor or 911 immediately.

 

 

Author
Dr. Ditto

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