Gastric Sleeve

At one time, the gastric sleeve procedure, also known as the sleeve gastrectomy, was used as the first part of a two-part procedure and was ideal for patients with BMIs above 60. The second procedure that followed the sleeve gastrectomy was typically gastric bypass. Today, with proven results and widespread adoption, the gastric sleeve has been used as a standalone procedure and is still an excellent option for those with extreme BMIs.

The gastric sleeve operation is performed by creating 5 small incisions in the abdomen and takes about an hour to complete. The amount of food that can enter the stomach pouch is restricted by dividing the stomach vertically and leaving only about 15% of the original pouch. The stomach that remains is shaped like a banana and measures a capacity of about 1-2 ounces (40-80cc). This part of the procedure is not reversible. The nerves to the stomach and the outlet valve (pylorus) remain intact in order to preserve the functions of the stomach while reducing its volume.

The gastric sleeve is not accepted by all insurance plans, however it is becoming a bariatric surgery option for more and more insurance companies, including Medicare and Medicaid. Please check with your insurance provider about your individual plan to make sure that the gastric sleeve is accepted.

Advantages of Gastric Sleeve:

  • Resolution and improvement rates of major co-morbidities including type 2 diabetes, sleep apnea, high cholesterol and hypertension are excellent.
  • The laparoscopic nature of the procedure allows for faster recovery times with less pain and fewer complications.
  • Because the small intestine is not rerouted, there is minimal malabsorption. In addition, gastric sleeve patients can generally eat a wider variety of foods than gastric bypass patients without experiencing dumping syndrome.

Considerations and risks:

  • Gastric sleeve surgery is major surgery which has inherent risks. For more information about risks, please speak to our office.
  • This bariatric procedure is not reversible.
  • Some patients will develop a vitamin B-12 deficiency and will have to take supplements in perpetuity.

Recovery:

Each patient will experience different recovery times, however, on average, patients will spend one day in the hospital and will return to work after two to three weeks of rest.

Learn More with Related Pages:
Gastric Band
Lap Band
Realize Band
Gastric Bypass