Gastric Sleeve / Sleeve Gasterectomy
Gastrectomy-Single Stage Procedure
Sleeve Gastrectomy is a surgical procedure used in the treatment of obesity. Sleeve gastrectomy surgery is a restrictive surgical procedure. It is restrictive in the sense that it “restricts” how much food the stomach can hold without any bypass of the intestines or malabsorption.
The portion of the stomach that is removed is thought to be responsible for secreting Ghrelin, the hormone that is responsible for appetite and hunger. By removing this portion of the stomach, appetite is significantly reduced. The new stomach pouch holds only small amounts of food, causing the patient to feel full.
Sleeve Gastrectomy, also known as the Gastric Sleeve Procedure has been increasing in popularity and is the fastest growing weight loss surgery option. Patients ranging in BMI with an overweight category and above can be considered for the procedure. It has been found that in certain cases the gastric sleeve procedure can be as effective as gastric bypass surgery, regarding metabolic benefits including insulin and glucose stabilization.
The gastric sleeve has become a cornerstone for Dr. Shillingford’s practice because it has been proven in his hands to be a safe and effective operation, for those people who don’t want anatomic alteration of gastric bypass, nor a plastic insert, like lap band surgery. Patients have come from all over the United States to have Dr. Shillingford perform this operation because he is well known for his expertise in this field. It has been known to cure Type II Diabetes at high rates and is also an excellent operation to achieve cure for high blood pressure and sleep apnea. Because of significant weight loss, patients will find tremendous relief from back pain, hip pain, knee pain, and foot pain allowing them to walk and exercise more.
Patients who may consider the gastric sleeve include those who are
- Considering a Lap Band or Realize band, but are concerned about adjustments or having a surgical device internally
- Concerned of vitamin deficiency associated with other weight loss surgery procedures
- Medical conditions that prevent them from having gastric bypass surgery
In a sleeve gastrectomy surgery, the stomach is restricted by dividing it vertically, creating a small vertical stomach pouch shaped like a banana. This surgery is performed laparoscopically. The new stomach pouch measures 2-5 ounces and is stapled. The remaining part of the stomach is removed.
Advantages of Sleeve Gastrectomy Surgery include:
- Reduced stomach volume increases feeling of fullness
- Stomach functions normally allowing most foods to be eaten, just in smaller amounts
- Stomach portion that produces hunger stimulating hormone (ghrelin) is removed
- No intestinal bypass and its associated risks
- Can be performed laparoscopically
- Simpler procedure than gastric bypass
- Safer first stage procedure of two stage surgery for super morbidly obese
- Less operative time than bypass surgeries
- Less hospital stay than bypass surgeries
- No foreign bodies used such as in band surgery
Disadvantages of Sleeve Gastrectomy Surgery include:
- May result in inadequate weight loss or weight regain compared to intestinal bypass surgeries
- Dilation of the sleeve may occur, affecting weight loss
Risks & Complications
As with any surgery there are potential risks involved. The decision to proceed with the surgery is made because the advantages of surgery outweigh the potential disadvantages. It is important that you are informed of these risks before the surgery takes place. Complications can be medical (general) or specific to Sleeve Gastrectomy.
Dr. Shillingford performs the gastric sleeve surgery in Florida. Dr. Shillingford specializes in three kinds of bariatric surgeries in Florida: Lap Band Surgery, Gastric Bypass Surgery and Gastric Sleeve Surgery, also known as Sleeve Gastrectomy. Dr. Shillingford will listen to your concerns and weight loss goals, and recommend which form of bariatric surgery is the best for you.
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