Gastric Sleeve Surgery/Laparoscopic Sleeve

• In this procedure, approximately 80% of the stomach is removed leaving a banana-shaped stomach
• The surgery is done laparoscopically and results in a 2-3 day hospital stay
• Patients return to work in two weeks
• Weight loss is rapid and complete in about 12 months
• The average weight loss is 65-70% of excess weight
• The surgery works by restriction (smaller stomach) and gastrointestinal hormonal changes
• There is a dampening (reduction) in the hunger hormone ghrelin and an increase in satiety hormones such as GLP-1 and PYY
• The end results in less hunger and earlier satiety with a meal
  

Advantages

Rapid and significant weight loss in 12 months
No foreign body
No intestinal surgery
Both a restrictive and hormonal procedure
Good quality of eating

Disadvantages

Non-reversible
Potential micronutrient deficiency
Gastro-oesophageal reflux in 15% of patients