Gastric Sleeve Resection

The gastric sleeve resection is a comparatively new procedure in weight loss surgery. The irreversible surgery, which can be performed laparoscopically, reduces the stomach by two-thirds and forms a tube-shaped organ. It is the first part of the two-part duodenal switch operation that is done for morbidly obese patients. This procedure gives obese patients the chance to get down to a healthier weight, at which point a gastric bypass can be conducted.

During Gastric sleeve resection procedure the surgeon removes about 60 percent of the stomach so that it takes the shape of a tube or sleeve. Gastric sleeve resection is performed laparoscopically, meaning that the surgeon makes small incisions as opposed to one large incision. He or she inserts a viewing tube with a small camera (laparoscope) and other tiny instruments into these small incisions to remove part of the stomach. The tube-shaped stomach that is left is sealed closed with staples.

Gastric sleeve resection is often followed by a gastric bypass or duodenal switch after the patient has lost a significant amount of weight. Called a “staged” approach to weight loss surgery, this makes the second procedure less risky than it would have been had it been the first and only procedure. The timing of the second surgery varies according to the degree of weight loss. It usually occurs within six to 18 months.

Risk and complications of sleeve resection are:

  • Blood clots
  • Leaking of the sleeve
  • With gastric banding, the band may slip, erode or become infected.
  • Unlike gastric bypass or duodenal switch, nutrients are absorbed and very little chance exists of absorption issues.
  • Wound infection
  • Weight may be regained over time, because the stomach can stretch.

After surgery there are still potential problems that you may face during your recovery. Find out what you can expect after surgery, including how to deal with your incision after surgery, preventing infections and find answers to common questions that arise after surgery. Find out if what you are expecting is normal after surgery and when you need to call your surgeon.

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