Sleeve Gastrectomy for Morbidly Obese is a bariatric surgery, or weight loss surgery performed on people who have morbid obesity, for the purpose of losing weight.
This weight loss is usually achieved by through removal of a portion of the stomach: Sleeve Gastrectomy for Morbidly Obese
The WHO recommends Sleeve Gastrectomy for Morbidly Obese people with a body mass index (BMI) of at least 40, or with BMI 35 and serious coexisting medical conditions. These include diabetes mellitus, high blood pressure, high blood lipids, and sleeping disorders. Furthermore, in patients with a BMI of 40 or greater, there is a 5-fold risk of depression.
Long-term studies show the procedures cause significant long-term loss of weight, recovery from diabetes, and improvement in cardiovascular risk factors. More importantly is a reduction in mortality of 40% to 23%.
If you are in good physical and mental health with reasonable expectations you should be an appropriate candidate. Following the surgery, you should know that it will take several months for you to lose the excess weight you gathered over the years, and that it will be almost 1 year before you reach a stable weight. Presence of other medical illnesses such as diabetes or heart disease makes this surgery more risky, and Dr. Wilson will review all of your surgical options at the time of your consultation.
In sleeve gastrectomy for morbidly obese the stomach is reduced to about 15% of its original size, by surgical removal of a large portion of the stomach, following the major curve. The open edges are then attached together to form a sleeve or tube with a banana shape. The procedure permanently reduces the size of the stomach. The procedure is performed laparoscopically and is not reversible. The ideal approximate remaining size of the stomach after the procedure is about 150 mL.
After the surgery,a dye is injected into the stomach and an X-Ray is taken to confirm the size of the gastric remnant, and that there is adequate emptying of the stomach wthout any leaks.
Sleeve gastrectomy reduces the stomach volume, but the remaining part tends to function normally so most food items can be consumed in small amounts. More important is that it removes the portion of the stomach that produces the hormones that stimulates hunger so the patient loses the craving for food. In addition, it is a procedure with far less risks than the intestinal bypass and is very effective in making patients lose weight. Most patients can expect to lose 30 to 50% of their excess body weight over a 6 – 12 month period
Immediately after surgery, Prof Wilson restricts the patient to a clear liquid diet. Then he puts the patient on a blended or pureed sugar-free diet for at least two weeks. Afterwards, the patient is unable to overeat because exceeding the capacity of the stomach causes nausea and vomiting.
Prof Wilson recommends a daily multivitamin pill for life to compensate for reduced absorption of essential nutrients, as well as a diet that is relatively high in protein and low in fats.
Sleeve Gastrectomy Surgery for Morbidly Obese may cause complications; such as sleeve leaking, aversion to food and nausea, delay in moving food from the stomach to the small intestine, vomiting, and esophageal spasm / pain. Most of these complications are manageable, but some are permanent.