Sleeve gastrectomy

Refers to the surgical procedure where the stomach is reduced to about 25% of its original size by the surgical removal of a large portion of the stomach along the greater curvature resulting in a narrow sleeve or tube like structure.

Associated with the hospital stay of 1 to 2 days and recovery Of 1 to 2 weeks.

Procedure contraindicated in poor surgical candidates, in patients with severe psychiatric disorders, in those with intolerance the general anesthesia, pregnancy, drug or alcohol addiction, patients with untreated or severe esophagitis, Barrett’s esophagus, severe gastroparesis, achalasia, previous gastrectomy or previous gastric bypass.

Potential complications include gastrointestinal obstruction, hemorrhage, gastrointestinal bleeding, anastomotic leaks, and the usual complications of invasive surgery in a patient with high morbidity.

Potential chronic complications including weight-loss, marginal ulcers, esophageal dilatation, dumping syndrome we’ve reactive hypoglycemia, small obstruction, luminal stenosis, fistula formation anastomotic leak, hypocalcemia, secondary hyperparathyroidism, gallstones, protein malnutrition, iron deficiency, anemia, metabolic acidosis, osteoporosis, bacterial overgrowth, kidney stones, neuropathies, and depression.

Also known as vertical sleeve gastrectomy or gastric sleeve.

It is the most commonly perform surgery for weight loss.
The procedure includes removing part of the stomach, reducing its capacity by approximately 2/3.
The procedure reduces the size of the stomach and limits intake of food.
 By removing the part of the stomach that secretes hormones causing hunger to decrease.
The procedure is offered to patients who are obese based on their BMI.
The procedure is considered if a patient’s BMI is at least 40 or at least 35 in the patient also has had at least one obesity related health condition, such as diabetes, obstructive sleep apnea, hypertension, arthritis, or hyper cholesterolemia.
Patients should undergo evaluation by a dietitian and be in a supervised weight loss program to learn eating habits for successful weight loss after surgery.
Patients should undergo a psychological evaluation to prepare them for the lifestyle changes that may occur with weight loss surgery and to address harmful eating behaviors.
Women of reproductive age should consider birth control, as the likelihood of becoming pregnant increases after surgery. 
Following sleeve gastrectomy, patients typically lose about 1/3 of their body weight.
Sleeve gastrectomy is approximately equally as effective as Roux-en-Y gastric bypass in reducing hemoglobin A1c, at both seven and 12 years.
Risks include the development of severe gastrectomy related problems including gastric ulcer, heartburn, vitamin and mineral deficiencies.

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