Sleeve gastrectomy is a procedure that induces weight loss by restricting food intake. The sleeve gastrectomy is an operation in which the left side of the stomach is surgically removed.
This results in a stomach, which is roughly the size and shape of a banana or Sleeve. Since this operation does not involve any “rerouting” or reconnecting of the intestines, it is a simpler operation than the gastric bypass or the duodenal switch.
This procedure is usually performed as single stage surgery for >33 BMI patients with co-morbidities or >37 BMI without co-morbidities. Sleeve gastrectomy is also done on super obese or high-risk patients with the intention of performing another surgery at a later time.
Surgical time |
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1 Hour |
Hospitalisation period |
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Usually 24 – 48 hours |
Advantages of the Sleeve Gastrectomy:
- It does not require disconnecting or reconnecting the intestines
- It is a technically simpler operation than the gastric bypass or the duodenal switch
- It is known to reduce hunger by removal of hunger stimulating hormone producing part of stomach
- Unlike gastric bypass & gastric band, patients feels full with liquids as well.
Special Dietary Requirement |
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Higher protein intake, multi vitamin & mineral supplementation for 1-2 years prevents any nutritional deficiencies.
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Complications |
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The reported incidence of complications is at par with other major surgeries performed on obese. These include – Operative Mortality – 0.2% (None in our series since 2005).
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Intra-operative Complications |
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1.4% including bleeding, injury & stapler malfunctioning etc.
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Early Complications |
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This includes wound infections (1-3%), pulmonary embolism (1%-2%), intestinal leaks (1%-2%), rarely bleeding, bowel obstructions & rarely cardio-pulmonary complications etc.
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Late Complications |
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These includes gall stone formation, incisional hernia, rarely intractable vomiting, ulcer, intestinal obstruction, weight regain, metabolic sequelae including iron deficiency, B12, Folate deficiencies etc.
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Weight Loss |
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The average excess weight loss is > 70% after surgery. |
Co-morbidity improvement |
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Diabetes |
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Resolution/Improvement in > 70% |
Hyperlipidaemia |
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Resolution in > 90% |
Hypertension |
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Resolution is noticed in > 75% patients |
Sleep Apnoea |
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Resolved in > 85% patients |
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Laparoscopic Sleeve Gastrectomy by expert surgeons at the following Alhilal Hospitals Centers. Click on the location to make an appointment.