Procedures

Overview, Procedure, and Benefits

Gastric Sleeve Surgery

The gastric sleeve procedure, also known as sleeve gastrectomy, involves removing about 80% of the stomach, resulting in a tubular or sleeve-like structure. This newly formed stomach connects the esophagus to the small intestine, significantly reducing its capacity. This procedure also removes the portion of the stomach that produces hunger-stimulating hormones, helping patients feel full more quickly and leading to effective weight loss. 
How the Procedure Works:
  • Type of Procedure: This is a restrictive weight-loss surgery with some metabolic effects, performed laparoscopically.
  • Capacity Reduction: The stomach’s size is reduced to about one-third of its original capacity, which helps patients eat less and feel satisfied sooner.
  • Surgical Approach: The laparoscopic method minimizes incisions and promotes faster recovery.
Applications
The gastric sleeve is utilized in two primary ways:
  1. As a standalone procedure, potentially resulting in up to 70% excess weight loss.
  2. As an initial step before more complex surgeries like gastric bypass. For severely obese patients at high surgical risk, the gastric sleeve may be performed first, followed by gastric bypass 12-18 months later.
Advantages
  • Effective Weight Loss: Induces approximately 70% excess weight loss within the first 18 months, with over 50% maintenance (per the American Society for Metabolic and Bariatric Surgery).
  • Hormonal Improvements: Facilitates positive changes in gut hormones that decrease hunger and enhance satiety.
  • No Prosthetics: Unlike lap band surgery, it does not involve prosthetic devices, thus eliminating the risk of body rejection.
  • Digestive Function: The procedure does not interfere with normal digestion, which differentiates it from gastric bypass or mini gastric bypass.
  • Greater Independence: Patients typically require fewer follow-ups and adjustments compared to other procedures.
  • Low Risk of Malnutrition: Nutrients and vitamins are effectively absorbed post-surgery.
  • Minimal Recovery Time: Laparoscopic methods lead to quicker recovery with fewer and smaller incisions and reduced pain.

Possible Risks/Cons (-1%)

While the gastric sleeve has fewer complications than other bariatric surgeries, potential risks include:
  • Leakage: At the stomach stapling site.
  • Gastritis or Ulcers: Development of gastritis or stomach ulcers may occur.
  • Vomiting: Possible if patients exceed their limited stomach capacity.
  • Weight Loss Efforts: Absence of a malabsorptive component means patients must actively engage in lifestyle changes to meet weight loss goals.
  • Stomach Stretching: If portion control is neglected, the new stomach may stretch, hindering weight loss.

Are You a Candidate?

You may be an ideal candidate if you meet the following criteria:
  • A body mass index (BMI) of 30 or higher.
  • Serious obesity-related health issue (e.g., diabetes, hypertension, sleep apnea, high cholesterol, or joint problems).
  • A history of trying various weight loss methods (such as exercise, nutritional support, or support groups) without achieving lasting results.
The gastric sleeve is an effective surgical option for individuals seeking substantial weight loss and improved health outcomes. A thorough consultation with a healthcare professional is essential to assess your candidacy for the procedure, understand potential risks, and develop an individualized treatment plan.

Testimonials

Violeta Esquivel

Violeta Esquivel has demonstrated admirable courage in making the decision to undergo gastric sleeve surgery to overcome obesity and regain control of her health and well-being.

Magdalena Rodríguez

Magdalena Rodríguez made a courageous decision that would transform her life: undergoing gastric sleeve surgery to overcome obesity and regain the health, self-esteem, and well-being she always dreamed of.

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