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GASTRIC SLEEVE

Gastric sleeve surgery, also known as sleeve gastrectomy, is a popular and effective weight loss procedure that involves the surgical removal of a large portion of the stomach, leaving behind a smaller, sleeve-shaped stomach. This procedure helps patients lose weight by reducing food intake and altering hunger hormones.

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How Does Gastric Sleeve Surgery Work?

During the procedure, approximately 75-80% of the stomach is removed, leaving a smaller, banana-shaped stomach. This reduces the amount of food a person can eat at one time and significantly lowers the production of ghrelin, the hunger hormone, helping to decrease appetite. Unlike gastric bypass surgery, the digestive system remains intact, meaning nutrients are still absorbed normally.

Benefits of Gastric Sleeve Surgery

  • Significant weight loss, with patients losing up to 60-70% of excess weight within the first 12-18 months.

  • Improved health conditions, helping manage and even reverse obesity-related diseases like diabetes, high blood pressure, sleep apnea, and heart disease.

  • Less invasive than gastric bypass, as there is no rerouting of the intestines, reducing the risk of malabsorption or nutritional deficiencies.

  • Reduced hunger due to lower ghrelin levels, making it easier to maintain a healthy diet.

  • Long-term results when combined with lifestyle changes, offering sustainable weight loss.

Who Is a Good Candidate for Gastric Sleeve Surgery?

This procedure is recommended for individuals who:

  • Have a Body Mass Index (BMI) of 40 or higher (severe obesity).

  • Have a BMI of 35-39.9 and suffer from obesity-related health conditions like diabetes or hypertension.

  • Have tried other weight loss methods, such as diet, exercise, and medication, without success.

  • Are committed to lifestyle changes for long-term weight management.

The Surgical Procedure

  • The surgery is performed using a minimally invasive laparoscopic technique, meaning smaller incisions, less pain, and faster recovery.

  • The procedure usually takes 60-90 minutes.

  • Patients typically stay 1-2 days in the hospital for monitoring.

  • Most patients can resume light activities within a week, while full recovery may take 4-6 weeks.

Post-Surgery Diet & Recovery

  1. In the first weeks, patients follow a liquid diet to allow the stomach to heal.

  2. Soft foods are introduced gradually, followed by small portions of solid food.

  3. Lifelong dietary changes, including high-protein, low-carb meals with controlled portions, are essential.

  4. Regular exercise helps maintain weight loss and prevent muscle loss.

Potential Risks & Complications

While gastric sleeve surgery is generally safe, some risks include:

  • Leakage from the staple line, which is rare but serious.

  • Nutrient deficiencies, which can be managed with supplements.

  • Acid reflux or heartburn.

  • Temporary hair thinning due to rapid weight loss.

  • Loose skin, which can be addressed with exercise or surgery.

Conclusion

Gastric sleeve surgery is a life-changing procedure for individuals struggling with obesity. It helps patients achieve significant weight loss, improves overall health, and enhances quality of life. However, success depends on commitment to healthy eating, regular exercise, and long-term follow-up care. If you’re considering gastric sleeve surgery, consult with a bariatric specialist to determine if it’s the right option for you.