Bariatrics & Surgical Weight Loss

Laparoscopic sleeve gastrectomy is a bariatric procedure that offers some patients a great alternative to gastric bypass or adjustable gastric banding. Sleeve gastrectomy is particularly effective as a primary procedure for those with Body Mass Index (BMI) of 35 – 45.

This procedure works mainly by reducing stomach volume, dividing it vertically, and removing approximately 80 percent of the stomach, leaving a long vertical “sleeve” that is shaped like a banana. There is no intestinal bypass with this procedure. The portion of the stomach that is removed produces ghrelin, a hormone that stimulates appetite. This procedure reduces, but does not eliminate, a person’s appetite. Patients can expect to lose 50 to 70 percent of excess weight over a one to two year period after this procedure.

Features

• Small incisions and minimal scarring
• Allows normal absorption of most medications, unlike gastric bypass.
• Reduced patient pain, length of hospital stay and recovery period
• Eliminates of the portion of the stomach that produces a hormone that stimulates hunger
• Minimizes the chance of ulcers
• A reduced chance of intestinal blockage, anemia, osteoporosis, protein deficiency and vitamin deficiency
• Promising option for people with anemia, Crohn’s disease or other high risk factors
• Soft foods that are high in calories – such as ice cream, milk shakes, etc. – can be absorbed and may slow weight loss
• Possible leaks or complications may arise since this procedure does involve stomach stapling
• Not reversible