Also known as tubular gastrectomy, it is a surgical method for the treatment of obesity, performed by video laparoscopy, under general anesthesia, which has gained many adepts among doctors and patients because it is less radical than the bariatric surgeries and that can provide excellent weight loss results.
How can I know if the Sleeve surgery is good for me? The main indications for the tubular gastrectomy are the following:
- Patients with BMI between 35 and 40 kg/m2 with indication for bariatric surgery, mainly men in any age and women in the extremes of age (below 18 or above 60).
- Patients who do not want to be submitted to surgeries with intestinal derivation.
- Patients who want to avoid the risks of ulcers, anemia or intestinal complications.
- Patients who cannot be submitted to the surgery with intestinal derivation, such as: patients with prior abdominal radiotherapy, multiple surgeries or intestinal adherences, intestinal inflammatory diseases such as rectocolitis or Crohn’s disease.
Who must not have the Sleeve surgery?
- Patients submitted to some prior bariatric and gastric surgeries.
- Patients with prior fundoplication (hiatal hernia surgery) may have more risks of complications.
- Patients with impeditive abdominal or general conditions, such as cirrhosis of the liver, cardiac insufficiency, coronopathy or pneumopathy of high anesthesia-surgical risks.
How does a sleeve surgery for weight loss work?
The stapling of stomach is done, determining the formation of a tube. This gastric tube, which becomes the new stomach, has an average capacity of 150 to 200 ml. A normal stomach (not operated) has an average capacity of 1500 to 2000 ml. Besides the reduction of the volume, which causes an early satiety, the sleeve surgery also causes weight loss because it results in the resection of the gastric fund, which is the main producer of ghrelin, a hormone responsible for increasing the appetite. So, even if the levels of this hormone after the surgery are reduced, the patients lose weight due to a hormonal reduction of the appetite.
How much weight can I expect to lose with the sleeve surgery?
In average, the patients lose 25 to 40% of the total weight with this surgery. Even though these values vary a lot, depending also on the adhesion of the patient to the multidisciplinary treatment, diet, amount of physical activity, control of the anxiety and compulsions.
Can I gain weight again after the sleeve surgery?
Unfortunately, no treatment for obesity is 100% guaranteed. Every treatment can present a recurrence of the disease, because it is a chronical, multifactorial disease, which has behavioral aspects (diet and physical activity), as well as genetic, hormonal and psychological causes.
If I gain weight again after the sleeve surgery, can I be reoperated?
Every bariatric patient must consider the first surgery as his best opportunity. So, research a lot and discuss with your surgeon and his team all the possibilities of treatment and decide with your Family, surgeon and team your best option. Unfortunately, for several motives, the regaining of weight by happen after any bariatric surgery, with variations in intensity and according to the surgical technique used. We are a team with large experience in complex reoperations. We also coordinate a post-graduation course in minimally invasive surgeries. We treat cases of regaining of weight after several types of bariatric surgeries. The sleeve surgery started as a surgery to be performed in two times, but the results have been surprisingly good and many patients do not need a second surgery. This has made the sleeve surgery one of the main surgeries for the severe obesity.