Laparoscopic Gastric Sleeve

The gastric sleeve is relatively new to the US; however it has been performed in Europe for years. It is the first component of the duodenal switch operation which involves removing the lateral 2/3rds of the stomach with a stapling device. It can be done laparoscopically (keyhole surgery) but is not reversible. It basically leaves a stomach tube instead of a stomach sack.

Gastric Sleeve

Sometimes it is offered to patients as part of a two stage Bypass operation particularly if they are super obese (BMI>60) because it allows good weight loss until the patient gets down to a safe weight and the more radical bypass can then be offered laparoscopically when they are at a safer weight. The residual stomach capacity is about 200mls so a generous entree should be possible.

Advantages of the Sleeve Gastrectomy

• There is no malabsorbtion to nutrients
• If weight is regained the second stage of Duodenal Switch or Gastric Bypass can be added laparoscopically

Disadvantages of the Sleeve Gastrectomy

• Stomach tube may stretch up over time leading to late weight regain. The extent of this is currently unknown

You must not take aspirin or any other drug such as non-steroid anti-rheumatic drugs, that may irritate your stomach, without gastric protection. Therefore you must inform your doctor of this advice (gastric mucosal prophylactic).

Risks associated with gastric sleeve resection

• Infections, pneumonia or bleeding
• Regaining the weight
• Stomach mucus irritation and swelling due to vomiting or antiinflammatory drug use
• Wound infection
• Blood loss after surgery

Sleeve Complications