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Laparoscopic
Sleeve
Gastrectomy
The sleeve gastrectomy is a surgical procedure for weight loss that is particularly suited to those patients at highest risk for surgery, either because of their medical co-morbidities or their weight. This operation can be performed with traditional open techniques or with minimally invasive laparoscopy.
Whether or not you are a candidate for the laparoscopic technique is decided between the patient and surgeon during the consultation, and will be dependent upon prior surgery to the area. We offer this procedure for patients who have had prior esophageal surgery for GERD (gastroesophageal reflux), previous stomach surgery, or as a first-stage, lower-risk surgical alternative that can be the starting ground towards other bariatric surgery procedures such as Roux-en-Y gastric bypass. The procedure is also an excellent alternative for clients who wish to have a restrictive procedure (no malabsorption) without the risk of long-term issues and maintenance of a device, as used in gastric banding.
The idea behind the procedure is to assist the patient in losing a fairly significant amount of weight (up to 30-40% of excess weight) without sustaining a significant amount of risk. As a patient loses weight (over a 6-18 month period), their risk for subsequent surgery decreases dramatically. At the appropriate time, they can be safely offered a second-stage operation. We are finding that the operation can work well as a stand alone procedure. Patients are finding that an excess weight loss of 60-70% is likely with good adherence to post-surgery protocol.
The surgery involves stapling off and separating about 70-80% of the stomach's natural carrying capacity without involving the intestinal tract. An advantage of the sleeve gastrectomy is that you gain a significant amount of restriction immediately after surgery without having to make manual adjustments as in gastric banding. You also gain some of the metabolic advantages that you would in a gastric bypass without involving the small intestine. As there is no malabsorptive component, digestive function remains essentially the same.
The procedure produces a sense of early satiety, thus limiting the patient's ability to eat large meals. Appetite is generally reduced significantly, unlike gastric banding procedures. Used properly with a good, balanced diet and eating schedule, the sleeve gastrectomy can be an effective tool to producing significant weight loss and improved overall health.
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