Sleeve gastrectomy

Sleeve Gastrectomy is a surgical weight-loss procedure in which the stomach is reduced to about 15% of its original size, by surgical removal of a large portion of the stomach along the greater curvature. The result is a sleeve or tube like structure. The procedure permanently reduces the size of the stomach, although there could be some dilatation of the stomach later on in life. The procedure is generally performed laparoscopically and is irreversible.

Procedure

The surgery begins by dividing the stomach from the greater curvature. The left side of the organ is the section typically removed. This results in a new stomach which is roughly the size and shape of a banana. Because part or all of the stomach is removed, it is sometimes called a partial gastrectomy.

Benefits

The benefits of the sleeve gastrectomy can include significant weight loss, improvement in many obesity-related conditions such as diabetes, hypertension, and sleep apnea. In addition, because the portion of the stomach that produces the hunger hormone ghrelin is removed, many patients find their appetite is reduced.

Risks

As with any surgery, there are potential risks. These can include complications related to anesthesia and bleeding, infection, blood clots, and leaks in the gastrointestinal system. Long-term risks include malnutrition, especially in patients who do not take their prescribed vitamins and minerals.

Post-Operative Care

After the surgery, patients must follow a strict diet that allows the stomach to heal completely. This starts with a liquid diet, followed by pureed food, and then regular food. Patients must also take vitamins and minerals to prevent nutrient deficiencies.

See Also

• Bariatric Surgery
• Gastric Bypass Surgery
• Laparoscopic Surgery

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