Gastric Sleeve Surgery (gastroplasty) is one of the latest forms of bariatric surgery which has been gaining rapid popularity over the years. For those who are looking for an effective surgery to cure their obesity by means of surgery, it can be a useful method for them.
What is Gastric Sleeve Surgery?
Also known as vertical banded gastroplasty, sleeve gastrectomy or gastroplasty, this gastric surgery does not involve any malabsorption procedures. However, if you wish to have a follow up malabsorption process, you can go ahead with it later.
Gastric sleeve surgery (gastroplasty) is a restraining method that ensures that weight loss is maintained after the gastric surgery by limiting the quantity of food intake you can acquire. In gastric surgery, a substantial portion, somewhere between 60 to 85 percent, of your stomach is removed permanently, leaving behind a small tube called ‘sleeve’ that acts as a substitute for your stomach. The surgery ensures that stomach is removed in a manner that this sleeve stays in a natural connection with the stomach outlet and inlet, and does not require a rerouting procedure. This way, you cannot eat large portions of food, resulting in subsequent weight loss.
What is the difference between Gastric Sleeve Surgery (gastroplasty) and other bariatric surgeries?
The major difference between the gastric sleeve surgery (gastroplasty) and other bariatric surgeries is that the vital nerves, and inlet and outlet valves of your stomach are not damaged or rerouted, changing only the quantity of food that can be taken in. It is just a process of capacity reduction of your stomach without causing any bypass of intestines.
Why Gastric Sleeve Surgery (gastroplasty) is much more effective?Another reason why gastric sleeve surgery (gastroplasty) is much more effective is that a part of the stomach called Ghrelin is removed during this procedure. Ghrelin is a hormone secretion responsible for appetite stimulation and its removal effectively brings your appetite to a normal and controlled level.
How Gastric Sleeve Surgery is performed?
Gastric Sleeve Surgery (gastroplasty) is executed laparoscopically, which means that several small incisions, usually around five or six are made around the area of your abdomen rather than a single, large incision. Through these incisions, a camera-enabled viewing tube is inserted into your body to perform the gastric sleeve surgery (gastroplasty). All other instruments required for the surgery are also inserted through these small incisions.
The surgeon then removes a large part of your stomach, leaving behind a small banana-shaped tube known as a ‘sleeve‘. This remaining part of your stomach is then sealed and closed with the use of staples. The cut is made in a manner that the natural inlet and outlet from the intestines to the stomach, makes it a simpler process than other bariatric surgeries. Once the stomach is stapled properly, the incisions are stitched back.
Gastric Sleeve Complications and Advantages
As opposed to other bariatric surgeries, gastric sleeve surgery (gastroplasty) is quite effective in weight reduction and control. However, as with every other thing, there are certain pros and cons associated with the process that is reviewed below:
Advantages of Gastric Sleeve Surgery
The major advantage of going through a gastric sleeve surgery is that it reduces weight fast. Within the first year after the surgery, you can have up to 60% of extra weight loss quite easily and it has a relatively less restricting diet than that in other bariatric surgeries.
Gastric Sleeve surgery (gastroplasty) is also less invasive and ensures that the natural nerves of the stomach and intestine are not altered or damaged in any way. The process does not require any foreign device to be inserted into the body such as lap band. For better results, gastric sleeve surgery is often followed by duodenal switch which can be highly effective for highly obese patients.
Gastric Sleeve Complications
As with every other medical course of action, gastric sleeve surgery also has its fair share of disadvantages, which should be understood by you before going through the process. The process is a permanent change in your body and absolutely irreversible, which in itself is a major drawback. Moreover, it is not a malabsorption process and can result in inadequate level of weight gain or loss.
With time, the ‘sleeve’ that is created in place of your stomach can stretch and you may have to face leakage where the stapling is done. Additionally, you may be required to follow up the surgery with further procedure and an exercise regime. Since, gastric sleeve surgery is relatively new, it is still difficult to predict its long-term results and therefore, it is not mostly covered under insurance.