GASTRIC SLEEVE SURGERY

During gastric sleeve or vertical sleeve gastrectomy (VSG) operation surgeon makes the stomach smaller in shape of tube or sleeve and removes about 75-85% of the original stomach.

The gastric sleeve operation is performed laparoscopically by small incisions in abdominal area. The new sleeve-shaped stomach is closed with surgical staples.

The purpose of the sleeve surgery is to reduce size of the stomach therefore the person will be able to eat much lesser amounts of food during one meal. It also removes the fundus – part of stomach where hunger hormone ghrelin is produced making a person feel less hungry. That in turn leads to reduced calorie intake promoting weight loss.

History Of Gastric Sleeve Surgery

Gastric sleeve surgery is one of the newest types of bariatric surgery. It was developed in the 1980s initially as the first step of open duodenal switch bariatric surgery in higher risk patients with super-morbid obesity. Soon it developed into a single-stage laparoscopic bariatric option for lower BMI patients. Today the gastric sleeve surgery popularity has increased and along to the gastric bypass reaches close to 50% of all bariatric surgeries performed at Sigulda Hospital.

Who Is A Candidate For Gastric Sleeve Surgery

It might be confusing to choose the right type of surgery. Here you go some advise by dr.Kozlovskis, bariatric surgeon, on who would be eligible for the sleeve surgery rather than other type of bariatric surgery.

  • BMI >35 & strong wish to reduce excess weight and improve health,
  • Young women, planing pregnancy in the future, because there is no malabsorption function involved, 
  • Persons, who have had big abdominal surgeries, thereby other types of weight loss surgeries do not suit because of inner scarring,
  • As a first step in weight reduction for persons with extra high BMI,
  • Research shows that gastric sleeve surgery should not be recommended to persons suffering from gastroesophageal reflux disease (GERD). In these situations gastric bypass surgery is recommended rather than the sleeve as the bypass resolves the problem effectively, while after the gastric sleeve surgery the reflux can even intensify in ~30% of cases.

All inclusive cost of the sleeve gastrectomy surgery is € 5370 or £ 4900

Advantages And Benefits Of Gastric Sleeve Surgery

  • Restricts the amount of food a person can consume at one time;
  • Reduces appetite and enhances satiety as the part of stomach that produces the hunger hormone ghrelin is removed;
  • Induces significant weight loss close to that of the RNY gastric bypass;
  • Highly effective in improving or curing obesity related conditions;
  • There is no bypass of the small intestine made, so all nutrients are absorbed;
  • There is no foreign bodies left in patients stomach like after Lap Band surgery;
  • Does not require adjustments or fills as with gastric band;
  • There is a less wound infection possibility than with Lap Band surgery;
  • May be converted to gastric bypass if necessary for additional weight loss.

Expected Weight Loss And Success Rates Of Sleeve Gastrectomy Surgery

  • The Gastric sleeve long term success rate is approximately 80-90%;
  • Most people reach their lowest weight goal 12-24 months after the surgery;
  • Speed of weight loss is individual, however in general people lose 50-60% of excess weight during the first 6 months post-op.

Improvement Of Obesity Related Health Issues After Gastric Sleeve Surgery

Clinical research and studies have proven that gastric sleeve surgery leads to complete resolution or significant improvement of obesity related health issues such as:

  • Type 2 diabetes;
  • Hypertension;
  • Fatty liver disease;
  • High cholesterol;
  • Sleep apnea;
  • Decreased cancer risk;
  • PCOS and Infertility;
  • Asthma;
  • Migraines;
  • Joint pain and mobility problems;
  • Depression and psychosocial problems;
  • Low testosterone;
  • Urinary incontinence;
  • Gout.

Expected Weight Loss And Success Rates Of Sleeve Gastrectomy Surgery

  • The Gastric sleeve long term success rate is approximately 80-90%;
  • Most people reach their lowest weight goal 12-24 months after the surgery;
  • Speed of weight loss is individual, however in general people lose 50-60% of excess weight during the first 6 months post-op.

Complications And Risks Of Gastric Sleeve Surgery

    Gastric sleeve surgery is a newer type of bariatric surgery comparing to gastric bypass. During the past decades the surgical techniques have developed and the gastric sleeve surgery has become an overall safe and popular bariatric surgical procedure. However, as with all general surgeries complications can still occur during and after surgery. Read below about the main complications and risks of the gastric sleeve surgery:

  • Leakage from the staple line – surgical techniques are developed to details to minimise all the complications;
  • Stenosis – narrowing of the proximal or distal third of the sleeve. A very rare complication;
  • Blood clots – the risks are minimised by providing relevant medications after the surgery;
  • Heart burn – Gastro Esophageal Reflux Disease – most patients suffering from GERD before the surgery see improvement of symptoms after the surgery due to healthy diet and weight loss. However in 30% of cases patients may develop a new heartburn or situation with existing condition may get worse. The heartburn is treatable with anti-acid medications, in most cases;
  • Nutrient or vitamin deficiency;
  • Weight regain – 1-2 years post-op, slight weight regain is common after all bariatric operations. By research data about 10-20% of gastric sleeve patients experience significant weight regain. It is very important to remember that any type of bariatric surgery is only a tool in your weight loss journey. The first 2 years post-op is the period you have to learn a new, healthy lifestyle to maintain your reached weight loss goal;
  • Excess skin.

Disadvantages Of Gastric Sleeve Surgery

  • The operation is irreversible because the biggest part of stomach is removed permanently;
  • Big amount of staples, needed for stomach stapling, can cause leaking. Leaking fluids can cause health problems;
  • Pure weight-loss results in long-term may happen – the new stomach can stretch out after a while and cause regain of already lost weight.
  • In ~30% of cases patients may develop a heartburn (GERD).

Please feel free to ask for a consultation to help you decide which type of bariatric surgery might be the most suitable for you!

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