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Sleeve gastrectomy or vertical sleeve gastrectomy, is a surgical weight-loss procedure, typically performed laparoscopically, in which approximately 75 - 85% of the stomach is removed, [1] [2] along the greater curvature, [3] which leaves a cylindrical, or "sleeve"-shaped stomach the size of a banana.
This procedure is similar to the sleeve gastrectomy surgery, but a sleeve is created by suturing, rather than physically removing stomach tissue. [69] This allows for the natural ability of the stomach to absorb nutrients to remain intact. [69] This procedure is reversible, is a less invasive procedure, and does not use hardware or staples. [70]
Until now, the laparoscopic technique required 5 incisions (4 × 5 mm and 1 × 5 mm), with visible scars. SILS is the next logical step in the progression of laparoscopic surgery and offers the prospect of one incision with no visible scars. In the case of adjustable gastric banding, most SILS implants to date have utilized a 4 cm incision ...
laparoscopic surgery is equally effective and as safe as open surgery; patients should undergo comprehensive preoperative evaluation and have multi-disciplinary support for optimum outcome; In recent comparisons with sleeve gastrectomy, gastric bypass has shown slightly better outcomes in diabetes remission and weight maintenance.
Combined restrictive and malabsorptive techniques are called gastric bypass techniques, of which Roux-en-Y gastric bypass surgery (RGB) is the most common. In this technique, staples are used to form a pouch that is connected to the small intestine , bypassing the lower stomach, the duodenum , and the first portion of the jejunum .
Adjustable gastric band surgery is an example of bariatric surgery designed for obese patients with a body mass index (BMI) of 40 or greater—or between 35 and 40 in cases of patients with certain comorbidities that are known to improve with weight loss, such as sleep apnea, diabetes, osteoarthritis, GERD, hypertension (high blood pressure ...
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