About Gastric Sleeve Surgery


gastric sleeve surgery diagramGastric sleeve surgery, also known as gastric reduction , gastric sleeve resection, vertical sleeve gastrectomy and vertical gastroplasty, is a relatively new form of weight-loss surgery that has gained popularity in Mexico and United States in the recent years with many weight loss surgery patients finding success in the procedure as an alternative to laparoscopic gastric band surgery. Gastric sleeve surgery, which we commonly perform at our Tijuana, Mexico, hospital, corresponds to the first step in the restrictive part for Duodenal Switch, which is a combined restrictive and malabsorptive procedure performed in super obese patients.

Gastric sleeve started to perform in patients with high surgical risk to a full duodenal switch and he only performed the gastric or restrictive (gastric sleeve surgery, or gastric resection sleeve), without making the malabsorptive or (duodenal switch). In the long-term observation of patients, we have seen that they lose all their weight without requiring the Malabsorptive Duodenal Switch, for that reason, the gastric sleeve is considered the gold standard in bariatric surgery, because the patient remains free of long-term overweight as well as associated diseases, such as diabetes, hypertension, cholesterol, etc

In the long-term observation of patients, we have seen that they lose weight without requiring the malabsorptive duodenal switch. For that reason, gastric sleeve surgery is considered the gold standard in bariatric surgery.

Since only a few cases completed the malabsorptive part of the Duodenal Switch, those patients who had a plateau of their weight loss after 12 to 18 months performed the gastric sleeve.

Gastric Sleeve Surgery: A Viable Option

Gastric sleeve surgery is now considered a bariatric procedure of choice such as Lap Band or Gastric Bypass Surgery, as it ensures weight loss long term.

The weight loss is determined by the RESTRICTIONS on the amount of food ingested and that’s because the bariatric surgeon removes 85% to 90% of the stomach by laparoscopy and creates the new form of stomach that is like a banana with approximate capacity of 2-5 ounces (60-150cc).
The nerves of the stomach and the pyloric sphincter remains intact with the idea of preserving the normal functions of the stomach while reducing its capacity. For lower BMI patients (35-42) who have complications (inadequate weight loss, band erosion, poor quality of life etc.) associated with gastric banding, Vertical Sleeve Surgery may be a good alternative.

This procedure is not reversible due to anatomical changes after surgery.

One of the great benefits of the Gastric Sleeve is a hormonal level from removing the fundus which is the only site with hormone receptors (activated by Ghrelin hormones) which stimulates hunger. As a result the patient has little appetite after surgery. It is something that does not occur in patients who undergo Gastric Bypass or Gastric Band. To learn more about weight loss with the aid of gastric sleeve surgery, please contact us today.

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