Sleeve gastrectomy
About this test
Sleeve gastrectomy is a surgical weight-loss procedure that involves removing about 80% of the stomach, leaving a tube-shaped stomach about the size and shape of a banana. Sleeve gastrectomy is sometimes called a vertical sleeve gastrectomy. This procedure is typically performed laparoscopically, which involves placing small instruments through multiple small cuts in the upper part of the belly.
Why it's done
Sleeve gastrectomy is done to help you lose excess weight and reduce your risk of possibly life-threatening weight-related health problems, including: Heart disease. High blood pressure. High cholesterol. Obstructive sleep apnea. Type 2 diabetes. Stroke. Cancer. Infertility. 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: Your body mass index (BMI) is 40 or higher (extreme obesity). Your BMI is 35 to 39.9 (obesity), and you have a serious weight-related health problem, such as type 2 diabetes, high blood pressure or severe sleep apnea. In some cases, you may qualify for certain types of weight-loss surgery if your BMI is 30 to 34 and you have serious weight-related health problems. You also must 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.
Risks and complications
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: Excessive bleeding. Infection. Adverse reactions to anesthesia. Blood clots. Lung or breathing problems. Leaks from the cut edge of the stomach. Longer term risks and complications of sleeve gastrectomy surgery can include: Gastrointestinal blockage. Hernias. Gastroesophageal reflux. Low blood sugar, known as hypoglycemia. Malnutrition. Vomiting. Very rarely, complications of sleeve gastrectomy can be fatal.
How to prepare
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 medicines 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.
What to expect
Sleeve gastrectomy is done in the hospital. Depending on your recovery, your hospital stay may last 1 to 2 nights.
Understanding your results
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: Heart disease. High blood pressure. High cholesterol. Obstructive sleep apnea. Type 2 diabetes. Stroke. Infertility. Sleeve gastrectomy surgery also can improve your ability to perform routine daily activities and can help improve your quality of life.
Disclaimer: August is a health information platform and its responses don't constitute medical advise. Always consult with a licenced medical professional near you before making any changes.