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