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Sleeve Gastrectomy

Sleeve gastrectomy, also known as gastric sleeve surgery, involves shrinking the size of the stomach to help an individual lose weight by limiting their calorie intake. Sleeve gastrectomy, or bariatric sleeve surgery, involves removing around 80% of the stomach. It can be performed as a minimally invasive laparoscopy, which involves making small incisions through which surgical tools and a specialized camera will be inserted. In rare cases, sleeve gastrectomy may be done as an open surgery, where a large abdominal incision must be made. In both cases, the patient receives general anesthesia, so they stay asleep throughout surgery.

Sleeve gastrectomy surgery helps people lose weight and reduce their risk of developing life-threatening health problems associated with excessive body fat, such as cancer, diabetes and heart disease. Bariatric surgery is not a cure for any of these conditions, but it can help reduce obesity-related health complications.

How Is Sleeve Gastrectomy Performed?

A laparoscopic sleeve gastrectomy is usually performed in this manner:

  1. The surgeon creates several small incisions in the abdominal area to insert surgical tools and a camera.
  2. A measuring device known as a bougie is placed into the stomach to determine the appropriate length of the stomach that should remain. This flexible tube helps the surgeon maintain a consistent size for the newly formed stomach sleeve.
  3. A surgical stapler will be used to divide the stomach into two and seal it in between.
  4. The surgeon removes the larger portion of the stomach and closes the incision.
  5. The surgical instruments are removed. The incisions are stitched closed.

After surgery, patients are brought to the recovery area, where they are closely monitored. The doctor will provide them with post-operative care that includes instructions on managing pain, watching out for complications and consuming foods. Patients will also need to attend follow-up appointments with their healthcare provider to monitor their progress. Nutritional counseling and lifestyle adjustments may also be part of postoperative care.

Weight loss surgery may be an option for adults with a body mass index (BMI) equal to or greater than 40, or equal to or greater than 35 with serious health problems related to obesity. Laparoscopic adjustable gastric banding may be an option for people with a BMI of 30 or more who have at least one serious obesity-related health problem. Weight loss surgery is considered safe, but like any surgery, it does have risks. Consult with your physician about the risks and benefits of weight loss surgery.
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