Laparoscopic Sleeve Gastrectomy
(restrictive procedure)
The sleeve gastrectomy is a restrictive procedure. The surgery is usually performed laparoscopically. The surgery involves removing about three-quarters of your stomach. This leaves behind a “sleeve” or tube. Food goes through your stomach and into the small intestine in a normal way. Because your stomach is smaller, you will need less food to become full. This is one of the newer bariatric procedures. It was used in the past as a staged procedure, but now is being used as a standalone procedure.
Advantages of the Laparoscopic Sleeve Gastrectomy:
- Rapid initial weight loss
- Rate of weight loss is similar to that of Gastric Bypass
- No implant required
- Reduces hunger, Grehlin hormone that increases hunger is removed
- No malabsorption, so less risk of nutritional deficiencies
- Ideal with patients with certain health conditions such as Crohn’s or cirrhosis
Disadvantages/risks of Laparoscopic Sleeve Gastrectomy may include:
- Stomach cutting, stapling
- Leaking
- Bleeding
- Stricture
- Not reversible as part of your stomach is removed during surgery