Gastric Sleeve (Sleeve Gastrectomy) New Jersey
The gastric sleeve or sleeve gastrectomy procedure is a restrictive bariatric surgery, meaning that it simply restricts the amount of food a patient can eat by physically reducing the size of the stomach. In the past, it was considered the first stage of a two-part procedure – the second of which being a duodenal switch. Today, the gastric sleeve is an approved, well-tested and very popular primary bariatric procedure.
To qualify for a gastric sleeve, patients must have a BMI (Body Mass Index) of 35 or over, with one or more diseases associated with morbid obesity (co-morbidities), such as type 2 diabetes, sleep apnea, high blood pressure or high cholesterol. The sleeve may be appropriate for patients with a BMI of 40 or over regardless of their co-morbidities.
How The Gastric Sleeve Works
The gastric sleeve is most often and ideally performed in a minimally invasive manner. Four small incisions are made in the abdomen through which medical devices including a high definition camera are inserted into the abdomen. A fifth, larger incision, is made (in the navel when possible) to remove excess stomach tissue.
During the gastric sleeve procedure, the surgeon creates a small, vertically oriented, sleeve-shaped stomach pouch by creating a staple line along the greater curvature of the stomach. The result is that approximately 75-90% of the stomach is removed. The newly-created sleeve-shaped pouch holds about 90-100 cc and is not much wider than your index finger.
The gastric sleeve procedure is ideal for those patients that do not want an implanted device or intense follow up, such as with the adjustable gastric band and who do not want the bypassing of intestines (and related complications and limitations) such as with the gastric bypass. The potential risks and expected weight loss with the gastric sleeve are in between those of the adjustable gastric band and gastric bypass.
Gastric Sleeve Results
It is important to remember that results will vary between patients and multiple factors affect outcomes. While results may vary between patients, the resolution of co-morbidities (diseases associated with morbid obesity) after gastric sleeve surgery is exceptional and consistently ranks amongst the highest resolution rates of all bariatric procedures.
From an Excess Body Weight Loss (EBWL) standpoint, patients can expect to lose up to 70% of their excess body weight within several months of their surgery.
A unique and compelling result of the gastric sleeve includes the possibility of feeling fewer hunger pangs after surgery. Indeed, about half of gastric sleeve patients will feel less hungry after surgery largely because the fundus of the stomach, which produces ghrelin (a hunger hormone), is removed. While we do not know the exact mechanism, studies have shown that plasma ghrelin levels do remain low for 5 years or more after surgery
Recovery From Gastric Sleeve Surgery
Due to the minimally invasive nature of the surgery, gastric sleeve patients can expect to leave the hospital within 1 to 2 days, in most cases. Of course this all depends on the patient’s unique circumstances and how well their recovery is progressing.
The stomach area will likely remain swollen and tender for several days as the body recovers from surgery, however scarring will be minimal compared to traditional open surgery. Further, pain, blood loss and the risk of infection will be much lower when compared to a traditional open surgery.
Full recovery and return to work will depend on the patient, but usually requires 3 weeks. Strenuous activities should be avoided for at least 6 weeks. The final determination of when the patient can resume normal or strenuous activity will depend on the surgeon’s assessment at a follow-up appointment.
Benefits of the Gastric Sleeve
The benefits of the gastric sleeve are compelling, which is why it has become one of the most popular procedures in the United States. It is also very versatile procedure, making it appropriate for a majority of does it qualified for bariatric surgery. As with any bariatric procedure however, these benefits can only be fully realized with a patient’s commitment to renewed health through diet and exercise. Click here for more detail on the benefits of the gastric sleeve.
Risks and Considerations of the Gastric Sleeve
As with any surgical procedure, the gastric sleeve does have risks associated with surgery in general, and abdominal and bariatric surgery specifically. The risks should be evaluated thoroughly by attending a free seminar and subsequently scheduling a consultation with one of our surgeons. To learn more about the risks of the gastric sleeve, click here.
Gastric Sleeve FAQs
We know that you have questions and as such we have prepared a comprehensive set up frequently asked questions. While the answers cannot substitute for a consultation with one of our surgeons, they will offer you some additional information as you are deciding what procedure may be best for you. Click here to read through our gastric sleeve FAQs.