Laparoscopic Sleeve Gastrectomy

The laparoscopic sleeve gastrectomy is a newer procedure involving the resection or removal of most of the outer portion of the stomach, leaving a narrow tube or sleeve-shaped stomach. It was originally used in conjunction with an additional weight-loss surgery in extremely obese patients, but more recently, it has been shown to be very successful as a primary procedure. It causes weight loss by decreasing stomach size and limiting the amount of food one can eat (restriction). Additionally, the production of a hunger hormone (Ghrelin) is significantly reduced which decreases appetite.

 

Advantages:

  • Patients typically see significant and rapid weight loss, often 50-70% excess weight loss in the long-term.
  • It is less drastic than the gastric bypass as there is no rearrangement of the GI tract.
  • There is no use of prosthetic devices (i.e. gastric band).
  • There is often significant improvement of many weight-related medical problems.
  • It can be safer for patients who require anticoagulation, regular NSAID pain medication or high-dose psychiatric medications.
  • Very low mortality rate -- approximately 0.2%.

Disadvantages:

  • Leaks from staple lines may result in infection or death.
  • Staple line strictures may lead to obstruction and vomiting.
  • Some patients develop reflux or heartburn symptoms.
  • There is a lack of long-term data, though short and mid-term data demonstrate very good results and low complication rates.

 

 

 

 

About Sibley Weight Loss

Our weight loss surgery center at Sibley is different from most others. Here at Sibley we offer a “one-stop shop” where patients can have nearly all of their pre- and post-operative care in a convenient and compassionate setting. We realize the weight loss surgery process can be confusing, so we work closely with our patients to ensure safe and successful outcomes.

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5255 Loughboro Road N.W. Washington, D.C. 20016

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