Lap Sleeve Gastrectomy
What is Lap Sleeve gastrectomy?
Lap Sleeve gastrectomy is a new procedure that induces weight loss by restricting food intake. The sleeve gastrectomy is an operation in which the left side of the stomach “ greater curvature” is surgically removed.
This results in a stomach, which is roughly the size and shape of a banana or Sleeve. Since this operation does not involve any “rerouting” or reconnecting of the intestines, it is a simpler operation than the gastric bypass or the duodenal switch.
What are the advantages of Lap Sleeve gastrectomy ?
- Unlike the Lap-Band procedure, the sleeve gastrectomy does not require the implantation of an artificial device inside the abdomen.
- It does not require disconnecting or reconnecting the intestines
- It is a technically simpler operation than the gastric bypass or the duodenal switch
- It is known to reduce hunger by removal of hunger stimulating hormone producing part of stomach
- Unlike gastric bypass & gastric band, patients feels full with liquids as well.
Am I a good candidate for the procedure?
This procedure is usually performed as single stage surgery for >33 BMI patients with co-morbidities or >37 BMI without co-morbidities. Sleeve gastrectomy is also done on super obese or high-risk patients with the intention of performing another surgery at a later time.
For example, patients with a BMI over 60 – particularly those who carry their weight in their belly area – may be at increased risk for bariatric surgery. If you fall into this category, you may benefit from a 2-Stage bariatric surgery.
In the staged approach, a multi-step operation like the gastric bypass or the duodenal switch is broken down into 2 simpler and safer operations. In the first stage, a sleeve gastrectomy is performed. This allows to lose 80 to 100 pounds or more, which will make the second part of the operation substantially safer.
The second stage operation is usually performed 8 to 12 months after the first. The “sleeve” stomach is converted into a formal gastric bypass or duodenal switch. This will permit additional weight loss and will provide a much more permanent result than sleeve gastrectomy alone.
Both stages of the surgery can be performed laparo-scopically, giving the advantage of shorter recovery, shorter incisions, fewer incision-related problems and less pain.
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