The Gastric Sleeve is performed laparoscopically using cameras and tiny skin incisions. Approximately 75% of the stomach is removed, leaving a significantly smaller stomach resembling the size and shape of a banana. The part of the stomach that produces the hormone Ghrelin is removed. This hormone plays a role in causing the feeling of hunger. Ghrelin levels decrease after Sleeve Gastrectomy as do feelings of hunger. Of course, a small stomach means you feel completely full after eating just a small amount of food. Therefore, the combination of having a small stomach, and being less hungry adds to the overall weight loss.
WHAT TO EXPECT
- 1 hour surgery
- 1 overnight hospital stay
- Return to work within a week.
- Liquid diet starts after surgery, and is slowly progressed to solid diet over weeks.
We find that patients are extremely satisfied with this procedure. They go about their daily lives with a stomach that still feels pretty normal, although significantly smaller. After a few months, patients can tolerate nearly everything that they normally enjoy. People feel full after a small amount of food, but do no feel cheated that they can't eat enough or enjoy food. They still enjoy their favorite foods, and go to their favorite restaurants. Since their is no re-routing of intestines, there is minimal mal-absorption of nutrients, compared to the Gastric Bypass. There is also no artificial product inside them like the Lap-Band®.
Although losing weight and looking thinner is often the most obvious benefit, the real benefits lie beneath the surface. These include significant improvements of the following: Diabetes, High Blood Pressure, Sleep Apnea, Polycystic Ovarian Syndrome, Obesity related Infertility, Obesity related Depression, High Cholesterol, High Triglycerides, Coronary Artery Disease, Arthritis, Headaches, Migraines, Back and Joint Pains, etc...
Every surgery carries some risks. Some of the risks of a Gastric Sleeve include leak from the staple line, bleeding, and infection. A leak happens when a small hole in the stomach staple line opens up after surgery. Although it's not very common, it can still be a concern. Studies have shown that applying a buttressing material in-between the staple line decreases the chance of a leak and of bleeding. Dr. Mehta applies these buttressing products between staple lines for all his patients, so the chance of having a leak is minimized even further.