What is a sleeve gastrectomy?

Keith Kreitz, MD
Bariatric Medicine
A sleeve gastrectomy is a surgical weight loss procedure that reduces the volume of the stomach. The surgeon removes 80 to 85 percent of the stomach, leaving a skinny tubular banana-shaped stomach. When that happens, it reduces the volume of the stomach, and by reducing the volume a small amount of food will fill the stomach instead of a large amount. It stretches the stomach, and the nerves that go to the stomach send an impulse back to the brain saying the stomach's stretched, stop eating. That's how people know to feel full. Eating a big Thanksgiving meal takes a lot of food. After a sleeve gastrectomy, a small amount will make a person feel very full and satisfied, which is really important.

Trinity Health is a Catholic health care organization that acts in accordance with the Catholic tradition and does not condone or support all practices covered in this site. In case of emergency call 911. This site is educational and not a substitute for professional medical advice, always seek the advice of a qualified healthcare provider.
A sleeve gastrectomy is weight loss surgery in which more than 2/3 of the stomach is removed. The stomach is divided using a staple, leaving the remaining stomach in a shape similar to a banana. The surgery helps you lose weight by reducing how much you can eat. The sleeve gastrectomy also impacts gut hormones to help you feel less hungry and fuller longer. This surgery does not change any of the intestines.
Paul R. Kemmeter, MD
Surgery
Sleeve gastrectomy is a bariatric surgery. During a sleeve gastrectomy, the surgeon takes out the outer part of the stomach and removes 75% to 80% of it. The surgeon doesn't put anything inside people, he or she just makes a tube out of the stomach. It is called a sleeve because it looks like a sleeve of a shirt. After the procedure, people consume far less calories since the newly formed stomach pouch holds a smaller volume of food. It also affects gut hormones, which impacts factors like hunger, satiety and blood sugar control.

Trinity Health is a Catholic health care organization that acts in accordance with the Catholic tradition and does not condone or support all practices covered in this site. In case of emergency call 911. This site is educational and not a substitute for professional medical advice, always seek the advice of a qualified healthcare provider.
Sebastian Tas, DO
Bariatric Medicine
Sleeve gastrectomy removes part of your stomach to reduce the amount of food you eat and eliminate some of the hormones that make you feel hungry. Watch Sebastian Tas, DO, of Largo Medical Center, explain how the procedure helps with weight loss.
Sleeve gastrectomy involves removing a portion of your stomach so that it is a narrow tube, making you feel full faster. Watch as Richard Gordon, MD, of Largo Medical Center, also explains the metabolic affects of the sleeve gastrectomy procedure.
Sleeve gastrectomy weight loss surgery is a restrictive procedure that involves removing around 75 percent of the stomach. In this video, surgeon Tiffany Jessee, DO, of Largo Medical Center, explains the procedure.
In a sleeve gastrectomy procedure, two-thirds of the stomach is removed to support weight loss. In this video, surgeon Robyn Ache, DO, of Largo Medical Center, discusses the surgery and how your diet changes afterward.
Dr. Mehmet Oz, MD
Cardiology (Cardiovascular Disease)
With the gastric sleeve procedure, weight loss is achieved by making the stomach physically smaller, so one requires less food in order to feel satisfied. The surgeon separates the stomach, removing at least 85% of its original volume. The remaining stomach is shaped like a thin banana, which measures 2 to 5 ounces.

Studies have shown that patients lose 45% to 50% of excess weight after this procedure. The complication rate is 8%, with a mortality rate of 0.19%
The sleeve gastrectomy is a relatively new procedure for metabolic syndrome. A portion of the stomach is resected, changing the shape of the stomach into a long, skinny tube, almost resembling a banana. Two-thirds of the stomach is removed, but there is no alteration in the small bowel component. This operation mimics the Roux-en-Y gastric bypass in terms of hormonal changes. It is a  very close second to the Roux-en-Y gastric bypass for diabetes and co-morbidity improvement.
Sleeve Gastrectomy is a new, minimally invasive procedure that is performed in under an hour and carries with it a reduced chance of leakage, infection, and bleeding, compared to other weight-loss surgeries. It restricts food intake by the removal of about 60% of the stomach, so that the stomach is reduced to the shape of a tube, or "sleeve."

Surgeons usually perform this procedure on patients who are either super-obese or who are high-risk, with the intention of performing a second surgery at a subsequent time. The second procedure is usually either a gastric bypass or duodenal switch.

This procedure, when part of a combination approach, greatly reduces the risks of bariatric surgery for certain patients, even though it entails two surgeries.

Patients undergoing this procedure usually lose 30-50% of their excess body weight over a 6-12 month period. The timing of the second procedure will depend on the amount of weight lost, and usually takes place 6-18 months after the first surgery.

When performed alone, the sleeve gastrectomy not only restricts gastric volume, but decreases the production of the hormone, ghrelin, which is produced by the left side of the stomach and signals satiety. This procedure reduces feelings of hunger and can result in weight loss that compare favorably in some patients to gastric bypass.

Patients having sleeve gastrectomy should eat smaller amounts of food and avoid large quantities of fat and sugar. They will need to eat sufficient protein, and take multivitamin supplements daily.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.