Bariatric Surgery

:: Laparoscopic Adjustable Gastric Banding
:: Tube Gastrectomy
:: Open Gastric Bypass
:: Laparoscopic Roux-en -Y Gastric Bypass
:: Abdominoplasty
:: Brachioplasty
:: Liposuction

Sleeve (Tube) Gastrectomy or Gastroplasty.

Click here to open an interactive movie on Sleeve Gastrectomy

This is a relatively new approach. It involves removing the outer (lateral) 2/3rds of the stomach. It is usually done laparoscopically ( keyhole surgery) but is not reversible. It basically leaves a stomach sleeve (tube) instead of a stomach sack.

The residual stomach capacity is about 80-100 cc so a generous entree should be possible.

Issues with Sleeve gastrectomy

1. The stomach tube may stretch over time leading to late weight regain. The extent of this is currently unknown. We now have 5 years of follow up data on patients who underwent laparoscopic sleeve gastrectomy and it shows that the weight loss is maintained 5 years after the surgery.

2. The amount of weight reduction is in the region of 60-70% of excess weight lost over the first 1-2 years.

3. It is a good option for people living in remote areas because it is a "set and forget" operation which requires little post op follow up or nutritional supplements

4. There is no malabsorption to nutrients

5. If weight is regained as a second stage gastric bypass can be added... often laparoscopically as well.

Sleeve/ Tube Gastrectomy