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The Gastric Sleeve is a restrictive procedure, meaning patients lose weight by limiting the amount of food they take in. There is no re-routing of the intestines and no change in the ability to absorb calories and nutrients such as iron, vitamin B-12, and calcium. Patients report a drastic decrease in hunger and an early feeling of “fullness” when they eat. The mechanism for weight loss is a decrease in calorie intake.

The Gastric Sleeve is performed laparoscopically, using special instruments that allow the surgeon to operate through 6-8 very small abdominal incisions. In this procedure a large portion of the stomach is removed, leaving a small tube shaped pouch. The capacity of the new stomach pouch is 3 to 4 ounces – larger than the stomach pouch created during Roux-en-Y gastric bypass and about the size of a banana.

Gastric Sleeve Surgery Results

After five years, the success rate for gastric sleeve surgery varies, but studies indicate that an average of 58-73% of excess weight is lost, with 62-73% of patients achieving success by maintaining over 50% excess weight loss. However, some weight regain occurs, with 24-39% of patients regaining some weight, though not typically returning to their pre-surgery levels. https://pmc.ncbi.nlm.nih.gov/articles/PMC10835458/

Gastric sleeve surgery can resolve or significantly improve type 2 diabetes, high blood pressure (hypertension), obstructive sleep apnea, dyslipidemia (high cholesterol/triglycerides), and non-alcoholic fatty liver disease (NAFLD) due to substantial weight loss and hormonal changes. These improvements can lead to the discontinuation of medications and a better quality of life for patients with obesity-related conditions. https://pmc.ncbi.nlm.nih.gov/articles/PMC5406732/#:~:text=a%20laparoscopic%20RYGB.-,Resolution%20of%20co%2Dmorbidities,%2Doral%20anti%2Ddiabetic%20medication

Potential Gastric Sleeve Patients Concerns

The operative complication rates are comparable to that of laparoscopic gastric bypass and include gastric leak, bleeding, infection, and blood clots that can lead to pulmonary embolism.

Long term complications that may require reoperation are less frequent than those for RYGB and adjustable gastric band.

Risks of nutritional deficiency are very low. Because there is no implant, as with the adjustable gastric band, there is no risk of mechanical failure, and the need for frequent follow-up adjustment visits is eliminated.

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