When considering weight loss surgery. It is important to review all options with your doctor. One option offered at the Blessing Weight Loss Center is Laparoscopic Vertical Sleeve Gastrectomy which is also known as vertical sleeve. Our highly trained team will work with you to develop a plan on what procedure is right for you.
What is Laparoscopic Vertical Sleeve Gastrectomy?
The most common weight loss surgery performed is the vertical sleeve gastrectomy. According to the American Society for Metabolic and Bariatric Surgery, the sleeve gastrectomy accounts for 60% of all weight loss surgeries that are performed.
The sleeve gastrectomy is a surgery that is performed laparoscopically. This type of surgery uses small incisions instead of one large incision. During surgery, approximately 80% of the stomach is removed. The new stomach is about the size and shape of a banana. The surgery restricts the amount of food that can be consumed. In addition, gut hormones are altered, which results in reduced hunger.
On average, many patients can expect to lose between 50-60% of their extra weight. After weight loss surgery, many weight related health conditions, such as diabetes, high blood pressure, and sleep apnea, completely resolve or are significantly improved. Patients also report more confidence and vitality and are pleased to be able to engage in more activities. More than 90% of patients are able to maintain the weight loss long term.
How long does the operation take and how fast is the recovery?
A sleeve gastrectomy takes about 1-2 hours to complete and usually involves a night or two in the hospital.
The recovery is fairly quick. Patients are up walking the day of surgery. Pain is controlled with pain blocks and medications. Many patients can go back to work after 1-2 weeks, depending on their recovery. No heavy lifting will be suggested for one month after surgery.
Is there any special follow up required?
Ongoing follow-up with our team is what allows our patients to achieve such good results with fewer complications. It is very important to have routine testing of the vitamin levels in your body to make sure that you are getting the vitamins and nutrients you need.
The laparoscopic vertical sleeve gastrectomy is a restrictive procedure. The stomach is restricted by stapling and dividing it vertically. The portion of the stomach that receives food is shaped like a very slim banana (or sleeve).
The nerves leading to the stomach and the valve leading from the stomach to the small intestine (pylorus) remain intact, thereby preserving the functions of the stomach while drastically reducing the volume. The small intestine remains intact. Therefore, there is no dumping or malabsorption.
The vertical sleeve gastrectomy is sometimes used as the first step in a two-staged procedure for very high-risk patients. The sleeve gastrectomy is performed first, and, after several months of significant weight loss (thereby reducing risk), a second bariatric procedure can be performed. Typical hospital stay after the vertical sleeve gastrectomy is 1 to 2 days. As with any bariatric procedure, follow-up care is critical to long-term, safe weight loss. Post-surgery appointments with the bariatric team will be needed to monitor healing and progress.
Exploring the Benefits
Laparoscopic Vertical Sleeve Gastrectomy has many benefits including:
- It does not require the implantation of a foreign body, such as a gastric band.
- The procedure mechanically decreases the size of the stomach but also decreases the secretion of the hormone ghrelin, which results in the feeling of satiety (fullness) sooner.
- It can offer significant and sustained weight loss, similar to the gastric bypass.
- There are no internal hernias compared to the gastric bypass.
- There is less dumping syndrome or malabsorption.
- The procedure can also improve weight-related medical conditions.
- The procedure is less invasive compared to the gastric bypass and is technically easier to perform than gastric bypass. There is no anastomosis (sewing/connecting of two parts).
It is important that you work with our weight loss team to understand the Laparoscopic Vertical Sleeve Gastrectomy and let us help you address any questions you might have.
To schedule an appointment with the Blessing Weight Loss Center or refer a patient, please call (217) 214-5800.