Laparoscopic Vertical
               Sleeve Gastrectomy

Sleeve gastrectomy involves subtotal resection of the fundus and body of the stomach to create a long, tubular gastric conduit along the
lesser curve.

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Weight Loss Surgery

Information Seminar:

May 31, Thursday, 6:00 pm

Where: Courtyard Boston Woburn/Boston North Hotel.


Support Group

The next Support Group Meeting will be held on May 31, Thursday at 7:30 pm following the Information Seminar.

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Laparoscopic Sleeve Gastrectomy

The bariatric procedure commonly referred to as “sleeve gastrectomy” or “vertical gastrectomy” is a bariatric procedure involving subtotal gastric resection of the fundus and body to create a long, tubular gastric conduit along the lesser curve of the stomach.

 

 

Real case videos of laparoscopic sleeve gastrectomy can be viewed here.

 

SleeveThe mechanisms of weight loss and improvement in co-morbidities seen after sleeve gastrectomy might be related to gastric restriction, dimished secretion of the hunger producing hormone "ghrelin", neurohumoral changes related to gastric resection or gastric emptying, or some other unidentified factor or factors.

Although the published intermediate-term 3–5-year follow-up data after sleeve gastrectomy are increasing, the data remain limited. The American Society for Metabolic and Bariatric Surgery has accepted sleeve gastrectomy as an approved bariatric surgical procedure primarily because of its potential value as a first-stage operation for high-risk patients, with the full realization that successful long-term weight reduction in an individual patient after sleeve gastrectomy would obviate the need for a second-stage procedure.


In average, the surgery takes about 1.0 - 1.5 hours to complete, the average hospital stay is 2 days and most people return to work in about 1-2 weeks following surgery.

 

Advantages of Laparoscopic Sleeve Gastrectomy

  • Lower mortality and complication rate of the initial surgery than gastric bypass
  • Low risk of malabsorption, malnutrition
  • Provides effective, 45-60% excess weight loss for high risk super-morbidly obese patients
  • May be converted to gastric bypass or duodenal switch, if indicated
  • Effectively improves co-morbid conditions such as type 2 diabetes mellitus, hypertension, obstructive sleep apnea
  • No dumping syndrome

 

Disadvantages

  • Irreversible procedure (the resected portion of the stomach is permanently removed)
  • Limited amount of data about sustained weight loss beyond 5 years
  • Potential postoperative complications include staple line leak, bleeding
  • Potential long-term complications include gastric dilatation, stricture, heartburn