Gastric Sleeve is a restrictive surgery, which is performed trough laparoscopic surgery or minimally invasive surgery, it is known as restrictive because the size of the stomach is reduced by approximately 70%, this way the stomach no longer has the same capacity. Obesity patients need to fill their stomachs to get a message that allows them to realize that they have already eaten enough.
Gastric Sleeve works apart from the restrictive mechanism, by changes in ghrelin which is a hormone that regulates appetite.
By removing 70% of the stomach, the desire to eat decreases and the patient will feel full with little food, which makes it possible for the patient to take an appropriate nutritional regimen, seeing as weight loss between the next 12 and 18 months.
The advantages are:
It is performed by laparoscopy or minimal invasion
It does not alter the function of the stomach.
It is recommended for both BMI patients over 35 and patients with BMI between 30 and 35.
The patient eats small portions.
There are no foreign objects like in the Gastric Band.
There is no disconnection and connection of the intestines.
It is simpler surgery than the Gastric Bypass or the Duodenal Switch.
It reduces the size of the stomach, however the patient can consume almost any type of food in small quantities.
It eliminates the ghrelin hormone, which stimulates the appetite.
The symptoms of rapid emptying only occur in the first few weeks but this has a solution because it protects the pylorus.
There is minimal possibility of ulcer.
It prevents obstruction of the intestines, prevents intestinal bridge, osteoporosis, anemia, lack of protein and lack of vitamins.
It is indicated as a first step in patients with Super-Morbid Obesity, who require a Gastro-jejunal Bypass or Bilio-Pancreatic Derivation to Duodenal Interruption.
The recovery is fast because it is only 2 or 3 days of hospitalization and the return to the regular working life is after 7 or 8 days.
The Gastric Sleeve is an irreversible surgery, being a young surgery has not seen results in the long term, however, it has excellent results in the short and medium term, is safe and has results similar to those of the Gastric Bypass, is recommended in Some cases to patients with diabetes since once the surgery is done, they stop taking medication.
As with any surgery to which you are willing to undergo it is advisable to consult with an expert in this case the Bariatric Surgeon so that you can make the best decision for a healthy life.