The rate of obesity is alarmingly increasing, not only in the US, but all across the world. There are thousands of people in the country who are looking forward to weight loss surgery procedures and other fat reduction modalities.
While planning for a weight loss procedure, there are various factors deciding which procedure is going to be ideal for you. Your current weight, comorbid conditions, weight loss goal, insurance coverage, and the recommendation of the bariatric doctors are the major considerations to make. Here we will discuss about one of the most common surgical weight loss procedure of gastric sleeve.
This is a minimally invasive procedure in which multiple tiny incisions are made using precise surgical and robotics technology. Surgeons now use latest magnified 3D high-definition vision system and ultra-small wristed instruments for this procedure. New systems like ‘da Vinci’ enables the surgeons to bend and rotate easily at any degree inside the body, which ensures more vision, precision, dexterity and control over the procedure.
Vertical sleeve gastrectomy procedure is considered as an ideal weight loss surgery for patients with a BMI higher than 35. Previously it was a two-step procedure and gastric sleeve was often performed as the first among the two, whereas the second part was usually a gastric bypass.
However, nowadays bariatric surgeons are able to achieve enough weight loss with sleeve procedure itself, which makes it a single step procedure. The surgery primarily involves the removal of a large portion of the stomach and thereby reducing its size to about one-fourth.
The procedure is also known with alternative names as;
- Vertical sleeve gastrectomy
- Sleeve gastroplasty
- Laparoscopic sleeve gastrectomy
- Parietal gastrectomy etc.
During the process, the surgeons create a sleeve-shaped opening in the stomach. It is a bit larger than the pouch created for gastric bypass. Then reduction of stomach size is done appropriately and the incision is closed. In addition to stomach size reduction, sleeve procedure also reduces the release of a hormone named ghrelin, which is responsible for excessive food craving.
Major advantages of gastric sleeve
- Ideal for obese people who are also sick to undergo any other complicated weight reduction procedures.
- The procedure also helps to limit the amount of food intake each time.
- No structural changes are made to the digestive system as this is a minimally invasive procedure.
- There is a very less risk of developing ulcers or other complications.
- There is also no risk of the ingested food getting entered in to the small intestine being undigested, which is called gastric dumping.
- There is no foreign devices left in the stomach in gastric sleeve.
- The procedure also leaves room for other weight loss surgeries if needed later.
A few risk factors also to be noted about gastric sleeve surgery procedure are;
- This procedure is irreversible.
- Many of the insurance policies do not cover gastric sleeve.
- It is a comparatively newer procedure so the experience of the surgeons performing it needed to be ensured.
The recovery time of this weight loss surgery is comparatively lesser and most of the patients will be able to leave the hospital within a few days itself. They can start working with semi-normal activities in a month. Gastric sleeve is found to be efficient in reducing about 75% of the excess weight and also found to have a positive impact in controlling type 2 diabetes, high BP, and hyperlipidemia etc.