Learn about sleeve gastrectomy, a type of weight-loss surgery that involves removing part of the stomach to make it smaller.
Sleeve gastrectomy, also called a vertical sleeve gastrectomy, is a surgical weight-loss procedure. This procedure is typically performed laparoscopically, which involves inserting small instruments through multiple small incisions in the upper abdomen. During sleeve gastrectomy, about 80% of the stomach is removed, leaving a tube-shaped stomach about the size and shape of a banana.
Limiting the size of your stomach restricts the amount of food you are able to consume. In addition, the procedure prompts hormonal changes that assist with weight loss. These same hormonal changes also help relieve conditions associated with being overweight, such as high blood pressure or heart disease.
Sleeve gastrectomy is done to help you lose excess weight and reduce your risk of potentially life-threatening weight-related health problems, including:
Sleeve gastrectomy is typically done only after you've tried to lose weight by improving your diet and exercise habits.
In general, sleeve gastrectomy surgery could be an option for you if:
You must also be willing to make permanent changes to lead a healthier lifestyle. You may be required to participate in long-term follow-up plans that include monitoring your nutrition, your lifestyle and behavior, and your medical conditions.
Check with your health insurance plan or your regional Medicare or Medicaid office to find out if your policy covers weight-loss surgery.
As with any major surgery, sleeve gastrectomy poses potential health risks, both in the short term and long term.
Risks associated with sleeve gastrectomy can include:
Longer term risks and complications of sleeve gastrectomy surgery can include:
Very rarely, complications of sleeve gastrectomy can be fatal.
In the weeks leading up to your surgery, you may be required to start a physical activity program and to stop any tobacco use.
Right before your procedure, you may have restrictions on eating and drinking and which medications you can take.
Now is a good time to plan ahead for your recovery after surgery. For instance, arrange for help at home if you think you'll need it.
Sleeve gastrectomy is done in the hospital. Depending on your recovery, your hospital stay may last one to two nights.
The specifics of your surgery depend on your individual situation and the hospital's or doctor's practices. Some sleeve gastrectomies are done with traditional large (open) incisions in the abdomen. But sleeve gastrectomy is typically performed laparoscopically, which involves inserting small instruments through multiple small incisions in the upper abdomen.
You are given general anesthesia before your surgery begins. Anesthesia is medicine that keeps you asleep and comfortable during surgery.
To perform a sleeve gastrectomy, the surgeon creates a narrow sleeve by stapling the stomach vertically and removing the larger, curved part of the stomach.
Surgery usually takes one to two hours. After surgery, you awaken in a recovery room, where medical staff monitors you for any complications.
After sleeve gastrectomy, your diet begins with sugar-free, noncarbonated liquids for the first seven days, then progresses to pureed foods for three weeks, and finally to regular foods approximately four weeks after your surgery. You will be required to take a multivitamin twice a day, a calcium supplement once a day, and a vitamin B-12 injection once a month for life.
You'll have frequent medical checkups to monitor your health in the first several months after weight-loss surgery. You may need laboratory testing, bloodwork and various exams.
You may experience changes as your body reacts to the rapid weight loss in the first three to six months after sleeve gastrectomy, including:
Sleeve gastrectomy can provide long-term weight loss. The amount of weight you lose depends on your change in lifestyle habits. It is possible to lose approximately 60%, or even more, of your excess weight within two years.
In addition to weight loss, sleeve gastrectomy may improve or resolve conditions related to being overweight, including:
Sleeve gastrectomy surgery can also improve your ability to perform routine daily activities, and can help improve your quality of life.
It's possible to not lose enough weight or to regain weight after weight-loss surgery. This weight gain can happen if you don't follow the recommended lifestyle changes. If you frequently snack on high-calorie foods, for instance, you may have inadequate weight loss. To help avoid regaining weight, you must make permanent healthy changes in your diet and get regular physical activity and exercise.
It's important to keep all of your scheduled follow-up appointments after weight-loss surgery so that your doctor can monitor your progress. If you notice that you aren't losing weight or you develop complications after your surgery, see your doctor immediately.