Wednesday, July 28, 2010

What is Sleeve Gastrectomy?

Sleeve gastrectomy is a type of  weight loss surgery, in which the size of the stomach is reduced to about 15% of its original size.  The procedure is performed by surgically stapling the largest part of the stomach to form a sleeve.  It is performed laparoscopically and is not reversible.  Like all weight loss surgeries, it has many benefits, but also has a number of risks as well.  The particular weight loss surgery is well suited to extremely obese and might not want to risk surgery otherwise.  Sleeve gastrectomy does not usually produce the more extreme weight loss that other surgeries, such as gastric bypass or gastric banding, will.  It also carries a lesser risk than other options.  In some cases this surgery is a prelude to the other surgeries, helping the individual to lose enough weight that the other procedures can be performed with less risk to the patient.

The procedure time varies, usually between 1.5 to 3.5 hours and the average hospital stay is 2 to 5 days.   Normal activities can be resumed in 2 to 3 weeks

Advantages for Sleeve Gastrectomy

While the size of the stomach is reduced, thus reducing the amount of food that can be eaten, the stomach will function normally.  The hormones that are produced in the stomach, which stimulate hunger are also reduced.   Problems with vitamin deficiencies and dumping syndrome, which can be experienced with gastric bypass, are avoided.  The risk of ulcers is reduced.  Because the intestine is not bypassed, the types of foods that can be eaten after this surgery are not as limited.

This may also be a good choice for individuals that have Crohn's disease or other medical conditions that make the other weight loss surgeries too risky.

Many individuals are able to lose a significant amount of weight with this procedure.  Most patients can lose as much as 55% of their excess weight.  There is also a reduction in the cravings for sweets, as well. 

There are many benefits that come with weight loss, including a lowered risk of heart disease, diabetes and high blood pressure.   Many other health benefits come from weight loss, as well.   In addition to the many health benefits, individuals will have more energy and generally experience a much better quality of life. 

Disadvantages for Sleeve Gastrectomy

The surgery does not usually produce the weight loss results of other weight loss surgeries.  There is the risk of not losing enough weight or regaining the weight.  Although it is very effective in helping the extremely obese achieve a healthier weight and then undergo a more effective surgery.  Stomach stapling can cause complications.  This procedure is not reversible.  Because it is still considered experimental it may not be covered by insurance.  This procedure is not widely available in all areas, so finding a surgeon or doctor that performs the procedure is tricky in some instances.

Risks for Sleeve Gastrectomy

As with any surgery there are risks and potential complications with this procedure.  Because this surgery involves stomach stapling there is a risk of leakage.  Other risks, though relatively low, are death, pneumonia, and pulmonary embolus.