Gastric Sleeve Surgery

Explore The Bariatric Skinny to learn about gastric sleeve surgery. Find the information you’re looking for about your vertical sleeve gastrectomy.

  • Bariatric Surgery Reduces Cardiovascular Health Risks
    In a study conducted as part of the Swedish Obese Subjects (SOS) research program, bariatric surgery was shown to reduce cardiovascular deaths and cardiovascular health events, such as heart attack (acute myocardial infarction) and stroke, in obese patients…
  • Gastric Bypass Leads to Reduced Health Risks
    A study led by Dr. Ted Adams of the University of Utah School of Medicine has shown that six years after gastric bypass surgery patients had achieved significant weight loss, high diabetes remission rates and reduced cardiovascular health risks.  The study…

Gastric Sleeve Surgery Overview

Gastric sleeve surgery, or vertical sleeve gastrectomy, is a relatively newer type of bariatric surgery. In this procedure, instead of creating a pouch, a surgeon removes more than half of the stomach leaving a new banana-shaped tube. Surgical staples are used to reseal the remaining stomach. The level of Ghrelin, a hormone that controls hunger and appetite sensations, normally created and secreted from the portion of the removed stomach, is reduced to nearly zero. The removed portion of the stomach is also the most stretchable. Therefore, the new long, tubular shape is less likely to expand, permanently restricting the volume of food it is able to hold. Post surgery, only small amounts of food are needed to reach fullness. This irreversible procedure requires that patients make a lifelong commitment to eat only smaller portions of healthy, vitamin-rich foods.

Good gastric sleeve candidates generally have a BMI greater than 40 which roughly equates to 100 pounds overweight for men and 80 pounds overweight for women. Gastric sleeve surgery, less common than gastric bypass surgery, is considered a reasonable alternative because, without the intestinal bypass, there is minimal risk of malabsorptive complications. The pylorus is preserved minimizing the risk of dumping syndrome. By avoiding intestinal bypass, the chance of intestinal obstruction, ulcers, and vitamin deficiencies are eliminated or greatly reduced. As a first-stage procedure for patients with an extremely high BMI, gastric sleeve surgery results have proven to be very effective. The surgery appeals to patients with concerns about complications related to bypass procedures or having a foreign object (like a lap-band) in their bodies. It is also recommended for patients with existing conditions like anemia, Crohn’s disease, or irritable bowel syndrome.

Post gastric sleeve surgery, patients should expect to stay in the hospital for one or two full days. Full recovery may take several weeks. Patients will need to accustom their new stomachs to eating solid foods. In the first two weeks, patients should limit their diet to liquid-only followed by about six more weeks of pureed foods before returning to solids. As with other weight loss surgeries, long-term weight loss success must include regular exercise and lifelong diet modifications. Patients learn to eat more slowly, consume much smaller quantities of food, chew thoroughly, and not eat and drink at the same time. Risks and complications from vertical sleeve gastrectomy may include leaking of the gastric sleeve if staples do not hold before full recovery, blood clots, and possible weight regain over time.

More on Bariatric Surgery

Angela's Gastric Bypass Surgery

Laparoscopic Procedure Leads to Quick Recovery

Angela Duran was concerned that her current BMI and her family history of obesity-related health problems would lead to future health issues of her own.  As a result, she decided to undergo gastric bypass surgery in the hopes of reducing her BMI to a healthy level.  In this video, Dr. Keith Boone of the Fresno Heart & Surgical Hospital walks the viewer through Angela's laparoscopic gastric bypass procedure in great detail.  The surgery lasts about one hour and Angela is able to go home that day.  Seven weeks later, Angela had lost 27 pounds and was back at the…

From the Bariatric Surgery Journals

  • Pure Garcinia Cambogia is a strong weight-loss pill to help an individual slim down actually without diet or maybe exercising. Nevertheless, it is best to merge a great pure garcinia cambogia extract with a eating habits and also work out to obtain more quickly weight loss outcomes. Specialized medical scientific studies display which ...

From the Message Boards

Bariatric Surgery Videos

Bariatric Surgery Support Groups

(View all 4)

Join a weight loss group and learn great tips for losing weight.