Manish Khaitan
  • Manish Khaitan
    Body Mass Index (BMI)
    Body Mass Index is a measure of body fat based on height and weight.
  • Manish Khaitan
    Robotic Surgery
    Robotic technology allows bariatric surgery to be performed in individuals with a greater body mass index than possible by conventional surgery.
  • Manish Khaitan
    Single Port Bariatric Surgery
    Single-incision laparoscopy surgery (SILS) is a revolutionary minimally invasive surgical procedure conducted through a single incision
  • Manish Khaitan
    Gastric Bypass Surgery
    Gastric bypass, also known as Roux-en-Y gastric bypass, is a bariatric or weight loss surgery for obese patients who have not been successful losing weight through dieting, exercise and medication.

Sleeve Gastrectomy

Sleeve gastrectomy, also referred to as vertical sleeve, gastric sleeve or tube gastrectomy, is a surgical procedure performed for the treatment of obesity. The procedure is a restrictive bariatric surgery to treat extremely obese patients with a high BMI of 40 and above. It encourages weight loss by restricting the stomach size so it holds only a limited amount of food. This helps patients to eat less without hampering the normal digestive process.

Sometimes sleeve gastrectomy is carried out as a first stage of a 2-stage operation in extremely obese patients with a BMI of 60 or more. This is done to achieve a considerable amount of weight loss so it is safer for the patient to undergo a second bariatric surgery if needed.

Disease Overview

Obesity is a chronic condition in which there is an excessive accumulation of fat in the body.

Obesity is defined as a Body Mass Index (BMI) of 30 to 34.9 and extreme or morbid obesity is a BMI of 40 or more.

Obesity is a global problem affecting people of almost all age groups, and is associated within creased risk of cardiac problems, diabetes, high blood pressure, breathing difficulties, and other diseases.

Indications:

Sleeve gastrectomy is indicated for people with a BMI of 37(Asian population) and more, and also in those whose BMI is 30 and above and suffering from obesity associated conditions.

The surgery is recommended when diet, exercise or medication have not helped in reducing the patients weight.

Surgery:

The procedure is performed under general anaesthesia. The surgeon makes 2 to 5small incisions on your abdomen. A laparoscope, a thin instrument with a light and camera attached, is inserted through one incision, allowing your surgeon to clearly view the internal organs on a monitor.

Additional surgical instruments are inserted through the other incisions. Your surgeon will remove nearly 75-80% of the stomach. A thin sleeve shaped like a banana is created by stapling the remaining part of the stomach. At the end of the procedure, the incisions are closed with sutures.

Advantages and Disadvantages of sleeve gastrectomy:

Advantages:

  • Reduced stomach size makes you feel full sooner.
  • Normal functions of the stomach are retained.
  • Simpler than other bariatric surgeries.
  • Can be performed laparoscopically
  • Shorter hospitalization stay
  • Less operative time
  • No implant used as in lap band surgery.
  • Minimal post-operative pain and discomfort.
  • Shorter recovery time

Disadvantages:

  • Irreversible
  • Need for second surgery in highly obese patients
  • Exposure to surgical risks twice in the case of 2-stage procedures

Post-operative care:

Your doctor will prescribe pain relieving medications to keep you comfortable following the procedure.

  • You will be advised to take medication to reduce the amount of acid produced by your stomach.
  • Avoid strenuous exercises and lifting heavy weights until approved by your surgeon
  • For the first month after the procedure, eat only small amounts of soft foods
  • Sip water throughout the day to prevent dehydration.
  • Eat a highly nutritious diet rich in proteins with a low fat content.
  • Your dietician will tailor a new diet regimen for you to follow.

Risks and Complications:

As with any surgery there are potential risks and complications involved. The risks include blood loss, infections, problems associated with anaesthesia, and deep vein thrombosis (blood clot in the leg).

The major complication following sleeve gastrectomy surgery is occasional leakage or breakdown of the gastric contents from the staple line that secures the divided stomach.


Disclaimer : This website is designed to help and provide objective information on health care related topic.

The website is meant to create awareness regarding healthcare by providing information about various diseases, symptoms and corresponding treatments but it should not be considered as a substitute for medical advise or treatment by a licensed practitioner.

We have tried to provide as accurate and updated information as possible, however the websitenobesity.in or Nobesity LLP cannot be held responsible for the authenticity of the information provided.

The reviews and feedback provided in the website are those of the individuals and do not necessarily reflect the opinion of Nobesity LLP.

The results of the treatments may vary from person to person and its not a typical result common to all.