What is Sleeve Gastrectomy?
Sleeve gastrectomy is a surgical procedure that involves the vertical resection of a significant portion of the patient’s stomach, specifically the gastric fundus. This part of the stomach plays a crucial role in appetite regulation by producing hormones that trigger hunger. Removing the gastric fundus impacts the patient’s desire to eat, aiding in the overall weight loss process. It’s important to note that sleeve gastrectomy is irreversible; once part of the stomach is removed, it cannot be restored. The surgery typically lasts 60 to 90 minutes and is performed laparoscopically—a minimally invasive method using a small tube with a camera inserted through a minor incision.
When to Consider Sleeve Gastrectomy
Sleeve gastrectomy is widely used for patients with extreme obesity, particularly those with a BMI of 50 or higher. It is also considered for individuals with Grade 3 obesity when other methods, such as diet and exercise, have not produced significant results. However, this procedure can also be suitable for other cases, and each patient’s unique circumstances should be carefully evaluated by a qualified medical professional.
Additionally, sleeve gastrectomy has shown positive effects for patients with Type 2 diabetes. In these cases, it’s essential to weigh this option against other available treatments that might be more effective.
Potential Risks and Complications
While sleeve gastrectomy can lead to substantial weight loss—up to 60% of excess weight—it also carries certain risks.
One potential complication is stomach dilation. To prevent this, it’s crucial for patients to adhere strictly to the diet prescribed by their healthcare provider, designed to ensure that the smaller stomach walls aren’t overstressed.
Another common complication is gastroesophageal reflux. Medical opinions on this matter can vary, but healthcare providers carefully evaluate this risk before proceeding with sleeve gastrectomy, especially since individuals with obesity often already face a heightened risk of reflux.
In conclusion, sleeve gastrectomy is a viable solution for those struggling with obesity. However, the suitability and potential risks must be assessed on an individual basis by a knowledgeable professional.
Want to Learn More About Bariatric and Metabolic Surgery?
Schedule a consultation with Dr. Marco Anselmino, Specialist in Bariatric and Metabolic Surgery.
