Weight Loss Surgery

Sleeve gastrectomy is a popular weight loss surgery where most of the stomach is removed, reducing food intake and hunger. It leads to significant weight loss and improvement in obesity-related conditions like diabetes. Though effective, it requires lifelong dietary changes and medical follow-up for success.

Sleeve gastrectomy, also known as vertical sleeve gastrectomy (VSG), is a type of bariatric (weight loss) surgery aimed at helping individuals with obesity achieve significant and long-term weight reduction. It is one of the most commonly performed weight-loss procedures due to its effectiveness and relatively simpler approach compared to other bariatric surgeries like gastric bypass.

Procedure Overview:

During a sleeve gastrectomy, about 75-80% of the stomach is surgically removed, leaving a narrow, tube-like sleeve or banana-shaped stomach. This significantly reduces the stomach’s capacity, limiting the amount of food the patient can eat. Additionally, it impacts the production of ghrelin, a hormone responsible for hunger regulation, reducing appetite.

The surgery is typically performed laparoscopically, which means several small incisions are made in the abdomen, and the surgeon uses a camera and special instruments to remove the stomach. This minimally invasive approach generally results in quicker recovery, less pain, and lower risk of complications compared to open surgery.

Key Benefits:

  • Significant Weight Loss: Most patients lose 50-70% of their excess weight within the first 1-2 years post-surgery.
  • Improvement in Comorbidities: Conditions like type 2 diabetes, hypertension, sleep apnea, and high cholesterol often improve or resolve after weight loss.
  • No Foreign Body or Malabsorption: Unlike other procedures such as gastric bypass or gastric banding, sleeve gastrectomy does not involve rerouting the intestines or implanting foreign objects.

Risks & Considerations:

  • Nutritional Deficiencies: While the procedure doesn’t typically lead to malabsorption issues, reduced food intake may cause deficiencies in vitamins and minerals, requiring lifelong supplementation.
  • Potential Complications: As with any surgery, there are risks such as bleeding, infection, leakage from the stomach, and blood clots.
  • Irreversibility: Unlike adjustable gastric banding, sleeve gastrectomy is permanent and irreversible, as the removed portion of the stomach cannot be replaced.

Recovery & Lifestyle Changes:

Patients typically stay in the hospital for 1-2 days post-surgery and can return to normal activities within 2-4 weeks. However, significant lifestyle changes are necessary, including a strict post-operative diet, regular exercise, and ongoing medical follow-up to ensure long-term success and health.

Specialists in General Surgery & Endoscopy

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