The sleeve gastrectomy is a surgical procedure in which a portion of the stomach is removed. The procedure is performed in obese and morbidly obese to cause weight loss and fix or improve overall health with regard to comorbidities related to obesity, such as diabetes, sleep apnea, osteoarthritis, gastroesophageal reflux disease, and hypertension.
This procedure is performed laparoscopically and the difference of the gastric band, is an irreversible procedure. Gastric Sleeve is called, because the sleeve is formed due to surgical stapling the edges of the stomach.
Stomach size can be reduced to as little as 15% of the original size. The small size is achieved by dividing the stomach on its vertical axis and preparing a small and elongated bag. As a result of this surgery, a person feels more satisfied by eating a relatively small amount, the body’s
metabolism is altered and the craving for food is reduced.
The seeve gastrectomy is a restrictive procedure reduces the stomach size, but does not alter the gastrointestinal tract or the pylorus. Because the route of ingested food through the gastrointestinal tract is not altered, the nutrients are better absorbed. The patient is less dependent on vitamin supplementes and so the food is absorbed in a more natural way. The long-term effects of this procedures in the absorption of nutrients must be better understood, particularly because the stomach size can be reduced as much as 85%.
The duration of the procedure varies between one and three hours. On average, patients remain in the hospital for two or three days. Like other bariatric procedures, return to normal activities and office work usually takes a couple of weeks.
Allows a weight loss and lasting and lasting, a significant improvement of concurrent diseases, especially diabetes mellitus II.
Morbidly obese BMI 40 Kg/ m2 or BMI 35 Kg/m2 associated with
comorbidities or concurrent diseases.
After the failure of proper medical-nutritional and psychotherapeutic treatment for more than 6 to 12 months.