Gastric Sleeve Surgery (Gastrectomy)
What is a Sleeve Gastrectomy?
A laparoscopic sleeve gastrectomy, also known as “sleeve” surgery, is a weight loss option where doctors surgically make the stomach smaller to help patients feel full faster and eat less. The surgery involves freeing the stomach from surrounding organs and using surgical staplers to remove about 80% of it. What’s left of the stomach is about the same size and shape as a banana.
It’s a safe, simple surgery with minimal risks.
How Does a Sleeve Gastrectomy Work?
There are a few ways a sleeve gastrectomy helps patients lose, and maintain, a healthy weight while better controlling their blood sugar, including:
- The new shape of the stomach holds less food and liquid, which causes you to eat less and take in fewer calories.
- The surgery also removes the part of the stomach that makes most hunger hormones, which makes you feel less hungry and fuller.
Sleeve Gastrectomy Requirements & Qualifications
Certain criteria are required by most insurance providers in order to be considered a candidate for bariatric surgery. See if the following qualifications apply to you, and double check with your insurance provider to confirm you’re a candidate.
Sleeve Gastrectomy Side Effects and Recovery
Side effects are part of any surgical procedure. Fortunately, the potential long-term complications from gastric sleeve surgery are not common. They include:
- Hair loss
- Dumping syndrome
- Diarrhea
- Vomiting
- Ulcers
- Bile gastritis
- Hernias
- Foreign body reaction
- Infection
- Other post operative problems
Loose skin can occur after any significant weight loss. Some people may feel self-conscious about having excess skin. Weight loss after surgery continues for about 18 to 24 months. After that, your body is ready for additional surgery for excess skin removal. This is typically performed by a plastic surgeon who evaluates you and, together, the two of you decide what areas may need work. This cosmetic surgery may not be covered by insurance. Documentation of health problems related to the excess skin may be required. These may include rashes, back pain or difficulty maintaining reasonable hygiene.
Return to work times vary. You’ll have a 10-to-20-pound weight restriction for two weeks following surgery. We encourage you to exercise as soon as you feel ready. For some, this is as early as one week. Most patients find that they need one or two weeks before going back to work. Others are back to work before that. You may feel tired the first week after your surgery, but you’ll actually feel more energetic as you lose weight.
We're dedicated to ensuring your surgery is as safe as possible. Thanks to significant advancements in surgical weight loss care over the past two decades, we can perform these procedures with an exceptionally low risk of complications. During your consultation, we'll carefully assess your individual risks and benefits. Remember, the dangers of obesity far surpass the risks associated with surgery.
Bariatric Surgery Compared
Picking the right surgical weight loss option is a big decision to help patients reach a healthy weight when they aren’t seeing results with diet and exercise alone. Each procedure has its benefits and risks, as with any surgery, so it’s important to know the difference between the three before choosing which is right for you. Your bariatric surgeon will support you in making the best decision based on your unique needs.
Sleeve Gastrectomy Pros and Cons
During a laparoscopic sleeve gastrectomy, also known as “sleeve” surgery, doctors surgically make the stomach smaller by using surgical staplers to remove about 80% of it. What’s left of the stomach is about the same size and shape as a banana.
Benefits
- Effective weight loss and improvement of obesity-related conditions
- Simple and shorter surgery time
- Appropriate for certain patients with high-risk medical conditions
- Can be the first step in weight loss for patients with severe obesity and used as a bridge to another surgery for additional weight loss
- Less risk of ulcer or stricture
Risks
- Procedure is non-reversible
- May worsen or cause new onset reflux or heart burn
Picking the right surgical weight loss option is a big decision to help patients reach a healthy weight when they aren’t seeing results with diet and exercise alone. Each procedure has its benefits and risks, as with any surgery, so it’s important to know the difference between the three before choosing which is right for you. Your bariatric surgeon will support you in making the best decision based on your unique needs.
Gastric Bypass Pros and Cons
Gastric bypass surgery involves dividing the stomach into two parts and bypassing a portion of the small intestine, reducing the amount of food your body can absorb. Gastric bypass is generally considered a more invasive weight loss surgery than gastric sleeve.
Benefits
- Reliable and long-lasting weight loss
- Effective for resolving obesity-associated conditions
- Highly refined and standardized technique
Risks
- More complex than sleeve gastrectomy or gastric band
- Results in more vitamin and mineral deficiencies than sleeve gastrectomy or gastric banding
- Risk for small bowel complications, obstructions or internal hernia
- Risk of developing ulcers, especially if using NSAIDs or tobacco
- Increased risk of forming kidney stones
- Risk for “dumping syndrome,” which involves feeling sick after eating or drinking, especially foods that are sweet
Picking the right surgical weight loss option is a big decision to help patients reach a healthy weight when they aren’t seeing results with diet and exercise alone. Each procedure has its benefits and risks, as with any surgery, so it’s important to know the difference between the three before choosing which is right for you. Your bariatric surgeon will support you in making the best decision based on your unique needs.
Gastric Band Surgery Pros and Cons
During gastric band surgery, a band is placed around the upper part of the stomach to restrict its size. This helps you feel fuller soon and eat less. It has the lowest risk of complications compared to gastric sleeve and gastric bypass surgery.
Benefits
- No division of the stomach or intestines
- Patients can go home the same day
- The band can be removed
- Lowest risk for vitamin and mineral deficiencies
Risks
- The band may need several adjustments and monthly office visits during the first year
- Slower and less weight loss than other surgical procedures
- Risk of band slipping or damaging the stomach over time (band erosion)
- Requires a foreign device to remain in the body
- Highest rate of re-operation
- Can result in swallowing problems and enlargement of the esophagus