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Dr. Doru I.E Georgescu
Dr. Doru I.E Georgescu
Dr. Doru I.E Georgescu
Obesity Surgery

Treatment Options

Laparoscopic Adjustable Gastric Banding
Laparoscopic Sleeve Gastrectomy :: Gastric Bypass

The Sleeve Gastrectomy procedure involves removing the lateral 2/3rds of the stomach with a stapling device. It is usually done laparoscopically but is not reversible. It basically leaves a stomach tube instead of a stomach pouch.

Sleeve Gastrectomy

This is a relatively new approach. It was developed as the first component of the duodenal switch operation and involves removing the lateral 2/3rds of the stomach with a stapling device. Nowadays, the sleeve gastrectomy is performed as a primary procedure and more than 5 years of data have proven this to be a very good surgical option for weight loss.

It is usually done laparoscopically but is not reversible. It basically leaves a stomach tube instead of a stomach pouch. The residual stomach capacity is about 200mls so a generous entree should be possible.

Sleeve Gastrectomy

Advantages

  • No anastamosis or re-routing of bowel
  • No foreign body
  • Better weight loss than with the adjustable gastric band
  • Good resolution/reduction of co-morbid conditions
  • No need for adjustments
  • No malabsorption or dumping syndrome
  • No risk for internal hernia

Disadvantages

  • Stomach may stretch leading to weight regain
  • Very difficult to fix and manage staple line leaks

Find out more about Sleeve Gastrectomy with the following links.

Laparoscopic Sleeve Gastrectomy Laparoscopic Sleeve Gastrectomy

 

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