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What is a Gastric sleeve operation?

A gastric sleeve procedure, alternatively referred to as sleeve gastrectomy or vertical sleeve gastrectomy, is a surgical intervention designed to promote weight reduction. It changes the size of your stomach. Imagine your stomach like a large pouch. During a gastric sleeve surgery, a large part of this pouch (about 75-80%) is removed. The residual portion is moulded to resemble a cylindrical or sleeve-like structure. The resulting pouch approximates the dimensions and form of a banana. The reduced stomach capacity leads to decreased food consumption, resulting in weight loss.

The procedure is intended for individuals struggling with extreme overweight conditions. Such patients might have previously attempted various weight reduction methods without success. The benefits of gastric sleeve surgery extend beyond mere weight reduction. The procedure can additionally address various health issues associated with excessive weight. Such health concerns encompass conditions like diabetes, hypertension, and respiratory challenges. Typically, the operation is performed using laparoscopic techniques, involving minimal incisions in the abdominal area. The laparoscopic approach results in reduced discomfort and accelerated healing.

Opting for gastric sleeve surgery is a significant choice, necessitating thorough consultation with a medical professional. Medical professionals can assist in determining the procedure's suitability for your specific case.

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What are the types of Gastric sleeve operation?

The gastric sleeve operation, alternatively called sleeve gastrectomy, is tailored to individual patient needs. This flexibility enables medical professionals to customise the surgery according to each patient's unique requirements and medical status. There are several types of gastric sleeve operation depending on removal of stomach parts:

Conventional Sleeve Gastrectomy (75-80% Removal): This is the standard and most frequently performed type of gastric sleeve surgery. It involves removing a significant portion of the stomach, restricting food intake and promoting weight loss. This approach is generally well-tolerated and effective for a wide range of individuals.

Modified Sleeve Gastrectomy (Slightly Less Than 80% Removal): In this variation, a slightly smaller portion of the stomach is removed compared to the standard procedure. This may be considered for individuals with specific anatomical considerations or those who might benefit from a less restrictive approach. This variation is also sometimes referred to as a "mini-sleeve" gastrectomy.

Extended Sleeve Gastrectomy (More Than 80% Removal): This variation involves removing a larger portion of the stomach than the standard procedure. The procedure might be recommended for patients with extremely elevated body mass indices or those who've found limited success with alternative weight loss approaches. The extended sleeve may offer greater restriction and increased potential for weight loss. It is important to note that this procedure can carry increased risk, as the extensive tissue manipulation is potentially related to long-term side effects and more complications.

Resleeve Gastrectomy: This revisional surgery is for patients who've had a previous sleeve gastrectomy but regained weight or experienced insufficient initial weight loss. It involves removing additional stomach tissue to further restrict food intake.

Duodenal Switch with Sleeve Gastrectomy: This combination procedure involves both creating a sleeve and rerouting a portion of the small intestine. This anatomical modification impacts nutrient absorption, amplifying weight reduction and metabolic improvements, especially beneficial for those with extreme obesity and metabolic conditions such as diabetes. It is, however, a more complex surgery with potentially greater risks.

Why is Gastric Sleeve Surgery Done?

A smaller stomach means you feel full faster. You'll eat less, take in fewer calories, and lose weight. It's that simple! This can lead to a healthier and happier you. More energy, easier movement, and even better self-esteem are common results.

  • A smaller stomach means you feel full faster. You'll eat less, take in fewer calories, and lose weight. It's that simple! This can lead to a healthier and happier you. More energy, easier movement, and even better self-esteem are common results.
  • Management of Serious Conditions: The procedure can effectively manage, and in some cases even reverse, serious health conditions linked to obesity. This includes improved control or remission of type 2 diabetes, enabling better blood sugar regulation and often reducing the need for medication.
  • Improved Cardiovascular Health: Gastric sleeve surgery aids in lowering high blood pressure (hypertension) and improving cholesterol levels (reducing hypercholesterolemia), both major risk factors for heart disease. These improvements contribute to better heart health and reduce the risk of cardiovascular complications.
  • Positive Impact on Sleep Apnea: The surgery can alleviate sleep apnea, a condition characterised by interrupted breathing during sleep. By reducing excess weight, the pressure on the airways is lessened, leading to improved sleep quality, better oxygen intake, and reduced daytime sleepiness.
  • Reduced Medication Dependency: By addressing the underlying health conditions associated with obesity, gastric sleeve surgery can often reduce or eliminate the need for medications required to manage those conditions. This contributes to better overall health and simplifies daily life.
  • Considerable Weight Decrease: The surgery limits how much food your stomach can hold. This naturally leads to significant weight loss. It's like downsizing your plate!
  • Metabolic Enhancement: This procedure can boost your metabolism. It helps regulate your blood sugar and improve insulin response. This is especially great news for people managing type 2 diabetes.
  • Cardiac Health Improvement: Losing weight with gastric sleeve surgery can do wonders for your heart. It can lower your blood pressure, improve your cholesterol levels, and lower your risk of heart disease. A healthier heart means a healthier you!
  • Respiratory Function Improvement: Struggling with sleep apnea? This surgery can help! It improves sleep quality and oxygen levels. Imagine waking up refreshed and energised!
  • Increased Mobility and Energy: Shedding those extra pounds can make moving around much easier. You'll likely have more energy to do the things you love.
  • Reduced Joint Pain: Less weight means less stress on your joints. This can lead to decreased pain and increased mobility. Imagine moving with ease and comfort!
  • Improved Mental Well-being: Losing weight and improving your health can have a positive impact on your mental health. Many people experience increased self-esteem and a boost in confidence.

Risks of Gastric Sleeve Operation

Despite its considerable advantages, it's essential to be aware of the possible hazards associated with this surgery.

  • Seepage: Fluid escape may happen along the suture line where the stomach is sectioned.
  • Bacterial Invasion: Microbial growth can develop at surgical entry points or within the abdominal cavity.
  • Haemorrhage: Blood loss may occur intraoperatively or postoperatively.
  • Thrombosis: Coagulated blood may develop in lower extremities, with potential migration to pulmonary vessels (lung embolism).
  • Protrusion: Tissue displacement through compromised abdominal musculature may manifest at the operation location.
  • Esophageal Regurgitation: Certain patients might encounter heightened gastric acid backflow or chest discomfort post-operation.
  • Stricture: A narrowing of the stomach sleeve can occur, causing difficulty swallowing and vomiting.
  • Malnutrition: Inadequate nutrient absorption can occur if dietary recommendations are not followed diligently.

What Medical Conditions Does Gastric Sleeve Surgery Help Treat?

Gastric sleeve surgery is an effective treatment for several weight-related medical conditions. By significantly reducing excess weight, the surgery helps improve and sometimes even resolve these conditions, leading to a healthier life

  • Type 2 Diabetes: Weight loss after surgery often improves blood sugar control, reducing or eliminating the need for medication.
  • High Blood Pressure (Hypertension): Gastric sleeve often leads to a decrease in blood pressure, improving cardiovascular health.
  • High Cholesterol (Hyperlipidemia): Surgery can help regulate lipid levels, lowering the risk of heart disease and stroke.
  • Sleep Apnea: Weight reduction can lessen the severity of sleep apnea, improving sleep quality and reducing daytime fatigue.
  • Osteoarthritis: Reduced weight decreases stress on joints, alleviating pain and improving mobility.
  • Fatty Liver Disease: Gastric sleeve surgery often leads to improvements in fatty liver disease, a condition commonly associated with obesity.
  • Infertility: Weight loss can improve hormonal balance and increase fertility in both men and women.
  • Gastrointestinal Disorders: The surgery can alleviate symptoms of certain gastrointestinal conditions like acid reflux and fatty liver disease.

What is the Cost of a Gastric Sleeve Operation?

The cost of gastric sleeve surgery can be a significant factor in deciding whether to pursue the procedure. SCI Hospital understands these concerns and can help you explore various options to manage costs. Health insurance coverage often plays a key role, and we can assist you in navigating your insurance plan's specific benefits and requirements. Additionally, government schemes and financial assistance programs may be available to support those seeking bariatric surgery. Contact SCI Hospital to learn more about cost management and explore how we can help you access affordable care.

Remember, the specifics of your situation, insurance coverage, and available financial assistance will determine the final cost. Discussing your individual circumstances with SCI Hospital will provide you with a clearer picture of what to expect.

Dr. Sumeet Shah

MBBS, MS - General Surgery, DNB - General Surgery, General Surgeon,Laparoscopic Surgeon,Bariatric Surgeon

  • General Surgeon,Laparoscopic Surgeon,Bariatric Surgeon
  • 28+ Years Experience

FAQs

A gastric sleeve is designed to be a permanent change to your stomach. The procedure removes a portion of your stomach, leaving a smaller "sleeve." This smaller stomach size helps you feel full faster and eat less. The physical changes are permanent. However, long-term success also depends on making healthy lifestyle choices. SCI Hospital offers ongoing support to help you maintain a healthy weight after surgery. This support can include nutritional guidance and counselling.

Yes, gastric sleeve surgery is a major procedure. It's important to understand both the benefits and the risks. At SCI Hospital, we prioritise your safety and well-being. Our experienced surgical team performs gastric sleeve procedures using minimally invasive techniques. This approach can lead to faster recovery times and reduced discomfort. We also provide comprehensive pre- and post-operative care. To learn more about the procedure and whether it might be right for you, contact SCI Hospital to schedule a consultation. You can connect with us through our website or give us a call. We’re ready to answer your questions.

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Written By: Dr. Nabanita Chatterjee
Education: MBBS, MS - General Surgery
Experience: 28 Years

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