The Sleeve Gastrectomy surgery has become more widely available under insurance plans that cover bariatric surgery. This surgical procedure is permanent and is not reversible. There are no long term statistics available for this procedure in the US.
To ensure the best standard of care, we performed the Sleeve Gastrectomy at two hospitals that have been designated as Centers of Excellence in bariatric surgery; Bon Secours Community Hospital in Port Jervis, NY and Good Samaritan Regional Medical Center in Suffern, NY. The Sleeve Gastrectomy surgery is performed under general anesthesia and takes approximately 45 minutes. Most patients can expect to go home the following day.
The Sleeve Gastrectomy is a restrictive bariatric surgery. The restriction comes from the new size of the stomach which is 2/3 smaller. The stomach is cut and stapled creating a long cylindrical tube (banana shape) that will hold about 2 to 3 ounces of food. The new smaller stomach allows a person to eat a smaller amount of food to feel satiated.
A decrease in physical hunger occurs because a large part of the stomach is removed from the body, reducing the level of Ghrelin, a hunger-promoting hormone produced in the stomach tissue.
No malabsorption occurs because the food is absorbed the same as before surgery. The Sleeve Gastrectomy also preserves the pyloric valve, the muscular area at the end of the stomach that regulates passage of stomach contents into the small intestine. Despite not having the malabsorption that occurs in the Gastric Bypass procedure, patients with a Sleeve Gastrectomy achieve almost the same weight loss results (between 55 and 75 percent of excess body weight) but without the risk of some of the major complications of Gastric Bypass patients.
What changes occur to the digestive system after Sleeve Gastrectomy surgery?
- The size of the stomach is much smaller.
- The small stomach causes restriction of food intake
- 2/3 of the stomach is removed from the body at the time of surgery.
- The remaining stomach is a long cylindrical tube (banana shape) that will hold about 2 to 3 ounces of food.
While the Sleeve Gastrectomy is one type of bariatric surgical treatment for morbid obesity, achieving lasting results are directly linked to food intake, exercise, and life long follow-up as part of your bariatric program. However, your motivation and commitment to adopt a new lifestyle is extremely important for long-term weight loss. You must be committed to new eating habits for the rest of your life.