This is a relatively new approach compared to bypass procedures. It is the first component of the duodenal switch operation and involves removing the lateral 2/3rds of the stomach with a stapling device. It can be done laparoscopically ( keyhole surgery) but is not reversible. It basically leaves a stomach tube instead of a stomach sack.
This is the first component of a Biliopancreatic Diversion / Duodenal Switch where the stomach is reduced in size by removing the lateral 2/3rds leaving the stomach in the shape of a tube. Sometimes it is offered to patients as part of a two stage Bypass operation particularly if they are super obese ( BMI>60) because it allows good weight loss until the patient gets down to a safe weight and the more radical bypass can then be offered laparoscopically when they are at a safer weight. The residual stomach capacity is about 200mls so a generous entree should be possible.
The Gastric Sleeve Resection operation is often the first step towards intestinal bypass for high cardiopulmonary risk patients. Fortunately a majority of patients do benefit from Sleeve Resection alone.
The following 6 rules are very important eating habits:
After the time in the hospital, you can start to make up your own menus. It is still important, that you eat little, often and chew the food thoroughly.
If you comply with all advices given on your diet, you should have no problems with the healing process. You should not lift any heavy objects for two weeks after your operation, as this may cause abdominal pain.
You must not take aspirin or any other drug such as non-steroid anti-rheumatic drugs, that may irritate your stomach, without gastric protection. Therefore you must inform your doctor of this advice (gastric mucosal prophylactic)
The risk of postoperative complications average out between 3-5%. This includes infections, pneumonia or bleeding. Severely overweight patients run a higher risk of incurring operative complications. The risk of mortality is, according to literature, below 0.3%.
It is also possible to regain weight after some time, because snacks and high calorie food could make the band ineffective.
The main goal is to make radical changes in your lifestyle after gastric sleeve resection. You must learn to have five meals a day and no snacks in between. Also, high calorie drinks such as coca cola, ice-tea or any other soft drinks must be avoided.
Possible risks specific to gastric sleeve resection and their frequency according to statistical data found in the literature and in our series:
After surgery you must undergo regular outpatient check-ups. Initially, these check-ups will be carried out after 3 month and after 6 months. Once your weight has stabilized, check-ups will be necessary on an annual basis.
It will be important to alter not only your eating habits, but also your level of physical activity. Patients are generally recommended to start exercising slowly. As weight loss is achieved, physical activities will gradually become easier.