Gastric Sleeve Surgery, also known as Vertical Sleeve Gastrectomy, is a highly effective weight loss procedure where a surgeon removes approximately 75-80% of the stomach, including the portion responsible for producing hunger hormones. This surgery is performed using minimally invasive laparoscopic techniques, resulting in a smaller stomach size that significantly limits food intake.
Pros
Reduction in hunger hormones: Natural hunger-regulating hormones are minimized, allowing the body to naturally control food consumption.
Cons
Lack of behavoioral modification: Weight regain is possible if old eating habits persist. This procedure may not be recommended for individuals with acid reflux issues.
⦿ Sleeve Plus Surgery, an innovative fusion of Sleeve and Bypass techniques, has delivered remarkable long-term results. Over a 10-year follow-up, patients achieved an impressive 84.2% reduction in excess weight. This procedure offers a powerful solution for sustained and substantial weight loss.
⦿ Can effectively stimulate beneficial hormones, addressing diabetes similarly to the traditional Bypass method.
⦿ Helps prevent the development of fistulas, which can occur in traditional Bypass surgeries, by avoiding connections between the stomach and small intestine.
⦿ A potential concern in choosing this surgery is for patients with severe acid reflux disease, as there is approximately a 15% chance of exacerbating acid reflux symptoms.
Patients should be well-informed about potential complications that can occur during and after the surgery. The most concerning complication of gastric size reduction surgery is the possibility of inadequate closure of the inner stomach incision (with a probability of less than 1%).
Individuals who have attempted multiple natural weight loss methods without success but are determined to make lifestyle changes for better health.
Patients with obesity who have been living with this condition for 3-5 years, often accompanied by other comorbidities such as diabetes, heart disease, hypertension, sleep apnea, and joint pain due to excessive body weight.
Individuals suitable for gastric size reduction surgery should have a body mass index (BMI) of 35 or higher (or a BMI of 32.5 with comorbidities). The Body Mass Index (BMI) can be calculated using the formula below.