Dr Ramen Goel's Bariatric Program
 
 
 
Lap Sleeve Gastrectomy

Sleeve Gastrectomy, Sleeve Surgery, Sleeve Gastrectomy India, Lap Sleeve Gastrectomy India

Sleeve gastrectomy is a procedure that induces weight loss by restricting food intake. The sleeve gastrectomy is an operation in which the left side of the stomach is surgically removed.

This results in a stomach, which is roughly the size and shape of a banana or Sleeve. Since this operation does not involve any “rerouting” or reconnecting of the intestines, it is a simpler operation than the gastric bypass or the duodenal switch.

This procedure is usually performed as single stage surgery for >33 BMI patients with co-morbidities or >37 BMI without co-morbidities. Sleeve gastrectomy is also done on super obese or high-risk patients with the intention of performing another surgery at a later time.

Surgical time : 1 Hour
Hospitalisation period : Usually 24 – 48 hours



Advantages of the Sleeve Gastrectomy:

It does not require disconnecting or reconnecting the intestines
It is a technically simpler operation than the gastric bypass or the duodenal switch
It is known to reduce hunger by removal of hunger stimulating hormone producing part of stomach
Unlike gastric bypass & gastric band, patients feels full with liquids as well.
Special Dietary Requirement
:
Higher protein intake, multi vitamin & mineral supplementation for 1-2 years prevents any nutritional deficiencies.
Complications
:
The reported incidence of complications is at par with other major surgeries performed on obese. These include –
Operative Mortality – 0.2%
(None in our series since 2005).
Intra-operative Complications
:
1.4% including bleeding, injury & stapler malfunctioning etc
Early Complications
:
This includes wound infections (1-3%), pulmonary embolism (1%-2%), intestinal leaks (1%-2%), rarely bleeding, bowel obstructions & rarely cardio-pulmonary complications etc
Late Complications
:
These includes gall stone formation, incisional hernia, rarely intractable vomiting, ulcer, intestinal obstruction, weight regain, metabolic sequelae including iron deficiency, B12, Folate deficiencies etc
Weight Loss
:
The average excess weight loss is > 70% after sleeve gastrectomy surgery.
Co-morbidity improvement
:
Diabetes
:
Resolution/Improvement in > 70%
Hyperlipidemia
:
Resolution in > 90%
Hypertension
:
Resolution is noticed in > 75% patients
Sleep Apnoea
:
Resolved in > 85% patients

 

 


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