Sleeve Gastrecomy is a newly utilized weight loss procedure effective by restricting food intake. This operation is essentially a newer, better version of the vertical banded gastroplasty, a procedure that has been abandoned by virtually all weight loss surgeons, due to high failure rates and complications.
This relatively simple surgical procedure reduces the stomach in size to a long narrow, tube like pouch approximating between 2-4 ounces in size.
The remaining two-thirds of the stomach is removed from the abdomen; therefore, making this procedure irreversible. No intestinal bypass is performed as seen with the RYGB.
Originally, this procedure was developed for high risk patients or super obese patients with the intention of performing another surgery at a later date, although most patients have not required a second operation.
If another procedure is necessary, a Biliopancreatic Diversion (BPD) or Roux en Y gastric bypass (RYBG) may be performed. Studies indicate that with sleeve gastrectomy, patients will lose an average of 55% excess body weight in a 6-12 month time frame.
Advantages of Sleeve Gastrectomy:
Lower Risk and Protein and Vitamin Deficiency
No Intestinal Tract Bypass Involved
Less Invasive than RYGB
Fewer Food Restrictions
Appropriate Weight Loss Procedure for High Risk Patients
Can be Utilized as a Staged Procedure for High Risk Patient and Can be Converted to a RYBG or BPD if an Additional Weight Loss Procedure is indicated
Disadvantages / Risks of Sleeve Gastrectomy:
Procedure is irreversible
No Long Term Scientific Studies
Not Recognized and Covered by all Insurance Companies
Increase Rate of Nausea and Vomiting Perioperatively
Risk of Leak at Staple Line
No Evidence of Metabolic Disease Improvement
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