Gastric Sleeve surgery

Understanding the Gastric Sleeve

The Gastric Sleeve, or Vertical Sleeve Gastrectomy, is a bariatric procedure that involves the removal of 75-80% of the stomach, leaving a banana-shaped portion that is closed with staples. This surgery is primarily used to treat obesity and its related conditions, such as type 2 diabetes, hypertension, fatty liver disease, high cholesterol, sleep apnea, and others.

When Surgery Becomes Necessary

Gastric Sleeve surgery becomes necessary when a patient has a Body Mass Index (BMI) of 40 or greater, or a BMI of 35 with a serious weight-related health problem such as high blood pressure, high cholesterol, diabetes, sleep apnea, or gastroesophageal reflux disease. It is considered when lifestyle changes involving diet and exercise have not been successful in achieving significant weight loss.

Overview of the Surgical Procedure

The Gastric Sleeve procedure involves removing approximately 80% of the stomach, leaving a smaller, tube-shaped stomach. This smaller stomach limits the amount of food that can be consumed at one time, helping patients to feel full sooner and thus consume fewer calories.

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Related Concerns

Gastric Sleeve surgery can lead to resolution or improvement of many obesity-related health problems such as type 2 diabetes, hypertension, fatty liver disease, high cholesterol, sleep apnea, and others. However, complications can still occur during and after surgery, including leakage from the staple line, stricture/stenosis, bleeding, and blood clots.

Causes of the Issues

The primary cause of the conditions that Gastric Sleeve surgery addresses is obesity, which can lead to a variety of health problems including type 2 diabetes, hypertension, fatty liver disease, high cholesterol, sleep apnea, and others.

Treatment Approaches

Treatment options for obesity and its related conditions include lifestyle changes, medication, and various types of bariatric surgery, including Gastric Sleeve surgery. The specific treatment approach is determined based on the patient's individual circumstances and medical history.

Service Overview

Gastric Sleeve surgery is a safe and effective treatment for obesity and its related conditions. It involves removing a large portion of the stomach, which helps to limit food intake and promote weight loss.

Step-by-Step Guide to Gastric Sleeve Surgery

1. The surgeon makes several small incisions in the abdomen.
2. A laparoscope (a long, thin tube with a camera on the end) is inserted through one of the incisions.
3. Surgical instruments are inserted through the other incisions.
4. The surgeon removes approximately 80% of the stomach.
5. The remaining portion of the stomach is closed with staples, creating a smaller, tube-shaped stomach.
6. The incisions are closed with sutures or surgical tape. ### Conditions Warranting Gastric Sleeve Gastric sleeve surgery is typically recommended for individuals who have a Body Mass Index (BMI) of 40 or greater, or a BMI of 35 with a serious weight-related health problem such as high blood pressure, high cholesterol, diabetes, sleep apnea, or gastroesophageal reflux disease. It is also considered when lifestyle changes involving diet and exercise have not been successful in achieving significant weight loss. ### Benefits of Gastric Sleeve The potential benefits of gastric sleeve surgery include significant weight loss, improvement or resolution of obesity-related health conditions, increased quality of life, and increased lifespan. ### Risks of Gastric Sleeve Potential risks of gastric sleeve surgery include leakage from the staple line, stricture/stenosis, bleeding, and blood clots. ### Preparation for Surgery Preoperative procedures or lifestyle changes required before the surgery typically include a diet and exercise regimen, cessation of smoking, and possibly a preoperative weight loss requirement. ### Pre-surgery Procedures and Checks At the hospital, pre-surgery procedures and checks typically include a physical examination, blood tests, and possibly imaging studies. ### Postoperative Care Immediate post-surgery care typically includes monitoring in a recovery room, pain management, and initiation of a liquid diet. Home care instructions usually involve dietary restrictions, wound care, and activity limitations. Follow-up appointments are typically scheduled to monitor recovery and progress. ### Recovery and Rehabilitation The recovery timeline varies, but most patients can return to normal activities within 3-5 weeks. Physical therapy and exercises are typically not required, but a regular exercise regimen is usually recommended as part of a healthy lifestyle. ### Alternatives to Surgery Non-surgical treatment options for obesity and its related conditions include lifestyle changes involving diet and exercise, and medication. The potential outcomes of these treatments vary widely and depend on the individual's commitment to lifestyle changes and their specific health conditions. ## References
7. UCLA Health. (2023). Gastric Sleeve - Bariatric Surgery. Retrieved from https://www.uclahealth.org/medical-services/surgery/bariatrics/gastric-sleeve
8. Naval Medical Center San Diego. (2023). Bariatric Surgery Clinic. Retrieved from https://sandiego.tricare.mil/Health-Services/Hospital-Care-Surgery/Bariatric-Surgery-Clinic
9. American Society for Metabolic and Bariatric Surgery. (2023). Bariatric Surgery Procedures. Retrieved from https://asmbs.org/patients/bariatric-surgery-procedures/

• UCLA Health. (2023). Gastric Sleeve - Bariatric Surgery. Retrieved from https://www.uclahealth.org/medical-services/surgery/bariatrics/gastric-sleeve
• Naval Medical Center San Diego. (2023). Bariatric Surgery Clinic. Retrieved from https://sandiego.tricare.mil/Health-Services/Hospital-Care-Surgery/Bariatric-Surgery-Clinic
• American Society for Metabolic and Bariatric Surgery. (2023). Bariatric Surgery Procedures. Retrieved from https://asmbs.org/patients/bariatric-surgery-procedures/