Gastric Sleeve Surgery . Baker, MDGastric sleeve surgery, or vertical sleeve gastrectomy, is one of the newer types of bariatric surgery. It can also be referred to medically as gastric sleeve resection, sleeve gastrectomy, tube gastrectomy or laparoscopic sleeve gastrectomy. ![]() How it Works. During this procedure a bariatric surgeon removes about 8. This operation is performed laparoscopically, meaning that the surgeon makes small incisions as opposed to one large incision. He or she inserts a viewing tube with a small camera (laparoscope) and other tiny instruments into these small incisions to remove part of the stomach. The tube- shaped stomach that is left is sealed closed with staples. In some cases, gastric sleeve surgery may be followed by a gastric bypass surgery or duodenal switch surgery after a person has lost a significant amount of weight. The timing of the second surgery varies according to the degree of weight loss. It usually occurs within six to 1. Who Is a Good Candidate? No reliable statistics exist yet for how many of these procedures have been done. The current scientific literature supports use of sleeve gastrectomy as a primary bariatric procedure. This means that the indications for the sleeve are the same as other covered procedures such as gastric bypass or adjustable gastric banding. The National Institutes of Health (NIH) requires a body mass index (BMI) greater than 4. This is the equivalent of being about 1. People with BMIs between 3. A BMI takes height and weight into account to measure body fatness. A BMI of 3. 0 or higher in adults is considered obese. Ideally, you should permanently quit smoking, but even if you don't you must quit for at least one month before and one month after bariatric surgery. Some surgeons require patients to go on special diets in the week(s) before the procedure. What to Expect After Surgery. A non- reversible procedure, gastric sleeve surgery is performed under general anesthesia and takes about one to two hours. Afterward you will probably stay in the hospital for one or two days; recovery may last a few weeks. The abdomen is often swollen and sore for several days. Your surgeon may prescribe pain medication for the discomfort. ![]()
Much of the recent debate about health reform in the U.S. However, the. Gastric sleeve surgery, also known as gastric sleeve resection or vertical sleeve gastrectomy, can be a powerful first procedure for weight loss. Learn More! ![]() ![]() ![]() Some scarring may occur, but this can be covered with clothing. Following surgery, you will need to become re- accustomed to eating solid foods. Normally this starts with two weeks on a liquid- only diet, two weeks of semi- solid, pureed foods and then solids. ![]() As far as weight loss goes, most people who have gastric sleeve surgery lose 5. Studies have shown that after the gastric sleeve resection procedure people show improvement in diabetes, high blood pressure, high cholesterol and sleep apnea within one to two years. These improvements are comparable with those seen after other weight loss surgeries. As this is a relatively new procedure, limited data is available on long- term weight loss (beyond five years after surgery) or overall health improvements. Following recovery, certain lifestyle changes and follow- up care occur; people who have gastric sleeve surgery must: Exercise regularly. Learn behavior modification techniques. Follow very specific dietary instructions for the rest of their lives, including eating very slowly, consuming only small quantities of food at a time, chewing thoroughly and swallowing food only when it is mashed, and not eating and drinking at the same time.(Read more about gastric sleeve recovery.)Risks and Complications. There are several risks and complications of gastric sleeve surgery: Leaking of the sleeve. The operation requires stapling inside the stomach, and there is always a chance that the staples won. The leaking stomach acids frequently lead to infection of surrounding tissues and other serious problems that may require another operation or a drainage tube. Blood clots. Weight may be regained over time, because the stomach can stretch. Since this procedure is relatively new, long- term risks and benefits are not known. However, it does have several advantages over gastric banding and other surgical procedures. For example: Wound infection. Unlike gastric banding surgeries, no foreign objects are left in the body during the procedure. With gastric banding, the band may slip, erode or become infected. Unlike gastric bypass or duodenal switch, there is no bypass of the small intestines with the gastric sleeve, so all nutrients are absorbed and very little chance exists of absorption issues.(Read more about the risks of gastric sleeve surgery.)Cost of Gastric Sleeve Surgery. While this procedure is relatively new, insurers are beginning to cover the cost of gastric sleeve surgery; among those doing so are Aetna, Cigna, HCSC, and United Healthcare. The cost of gastric sleeve surgery can exceed $1. Read more about the cost of gastric sleeve surgery.)Plastic Surgery After Massive Weight Loss. Although the full extent of weight loss may not occur until after a second procedure has been performed, such as gastric bypass, it is important to know that plastic surgery after massive weight loss may be necessary to remove excess skin and fat and create a more shapely body profile. Arm lift surgery and body lift are common post- bariatric procedures. About the Reviewer of This Article. John W. Baker, MD, FACS, is past president of the American Society for Metabolic & Bariatric Surgery (ASMBS). He is also an active member of the American College of Surgeons, the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) and the American Medical Association. Baker is the medical director for Baptist Medical Center. He travels with Operation New Life on mission trips to Honduras, helping with advanced laparoscopic techniques with the attending surgeons and surgical residents at the Hospital Escuela, an affiliate of Honduras Medical School in Tegucigalpa. Baker graduated from Louisiana State University (LSU)- Shreveport in a six- year accelerated MD program, receiving a Bachelor of Science degree in 1. LSU Medical Center- Shreveport in 1. He completed his internship and residency at LSU Hospital in 1. Source: American Society for Metabolic and Bariatric Surgery. Position statement on sleeve gastrectomy as a bariatric procedure, endorsed on June 1.
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