VERTICAL SLEEVE GASTRECTOMY
Vertical sleeve gastrectomy is surgery to help with weight loss. The surgeon removes a large portion of your stomach. The new, smaller stomach is about the size of a banana. It limits the amount of food you can eat by making you feel full after eating small amounts of food.
You will receive general anesthesia before this surgery. This is medicine that keeps you asleep and pain-free.
The surgery is usually done using a tiny camera that is placed in your belly. This type of surgery is called laparoscopy. The camera is called a laparoscope. It allows your surgeon to see inside your belly.
In this surgery:
• Your surgeon makes 2 to 5 small cuts (incisions) in your belly.
• The scope and instruments needed to perform the surgery are inserted through these cuts.
• The camera is connected to a video monitor in the operating room. This allows the surgeon to view inside your belly while doing the operation.
• A harmless gas is pumped into the belly to expand it. This gives the surgeon room to work.
• Your surgeon removes most of your stomach.
• The remaining portions of your stomach are joined together using surgical staples. This creates a long vertical tube or banana-shaped stomach.
• The surgery does not involve cutting or changing the sphincter muscles that allow food to enter or leave the stomach.
• The scope and other tools are removed. The cuts are stitched closed.
The surgery takes 60 to 90 minutes.
Weight-loss surgery may increase your risk for gallstones. Your surgeon may recommend having a cholecystectomy. This is surgery to remove the gallbladder. It may be done before the weight-loss surgery or at the same time.
Weight-loss surgery may be an option if you are very obese and have not been able to lose weight through diet and exercise.
Vertical sleeve gastrectomy is not a quick fix for obesity. It will greatly change your lifestyle. After this surgery, you must eat healthy foods, control portion sizes of what you eat, and exercise. If you do not follow these measures, you may have complications from the surgery and poor weight loss.
This procedure may be recommended if you have:
• A body mass index (BMI) of 40 or more. Someone with a BMI of 40 or more is at least 100 pounds (45 kilograms) over their recommended weight. A normal BMI is between 18.5 and 25.
• A BMI of 35 or more and a serious medical condition that might improve with weight loss.
Some of these conditions are obstructive sleep apnea, type 2 diabetes, and heart disease.
Vertical sleeve gastrectomy has most often been done on people who are too heavy to safely have other types of weight-loss surgery. Some people may eventually need a second weight-loss surgery.
This procedure cannot be reversed once it has been done.