Laparoscopic Sleeve Gastrectomy (Tube Gastrectomy)
Laparoscopic Sleeve Gastrectomy
This is our restrictive procedure, where the stomach volume is reduced by stapling it along its entire length. The final result is a 70mL to 100mL stomach tube. The reduction in stomach volume enforces a restriction in the amount of food able to be ingested at any one time. This is equivalent to the size of a desert plate. This procedure is done laparoscopically, via keyhole surgery, and is performed through five incisions measuring 5mm to 15mm. The length of the hospital stay averages five days.
Advantages of Laparoscopic Sleeve Gastrectomy:
- Simply reduces the amount of food, not the type of food
- Normal stomach emptying therefore no vomiting
- No malabsorption
- No adjustments required post operatively compared to the Gastric banding
- Ideal for patients in remote areas
Disadvantages of Laparoscopic Sleeve Gastrectomy:
- Possible long-term weight regain if the tube stretches
- Relatively new operation, therefore, long term results are not defined
- An additional procedure may be necessary later if sufficient weight loss is not obtained
In properly chosen patients, these purely restrictive operations have long term success rate of approximately 60% - 70%, meaning patients lose at least 60% of their excess weight and maintain the weight loss for at least five years.
The more conservative of the combined procedures, such as the roux-en-y gastric bypass, have long term success rates of approximating 80% and the average weight loss is 60% - 70%. The duodenal switch results in the greatest weight loss, with most patients losing 70% - 90% weight over two years. These procedures are not discussed in detail here, however, if it is considered appropriate, more information will be made available.
Decision to Proceed with Bariatric Surgery
As healthcare providers, we will only proceed with surgery if we believe that you have made an informed decision. You should have an understanding of your obesity and the procedure involved. Also, you should also have realistic expectations of what the procedure can accomplish and are be aware of the risks involved.
We are committed to doing everything necessary to get the best possible results for you. Also, a large commitment is required from you to achieve your goals, which means that you will have a responsibility to modifying your lifestyle, eating and exercise habits.
Your decision to proceed should only be made after careful consideration and discussion with your family. This decision could ultimately change your life in a very powerful and positive way. However, you must be committed to work for this change.
Find out more about Tube Gastrectomy with the following links.