Sleeve Gastrectomy or Gastric Sleeve


Fifteen years after its introduction in practice, gastric sleeve has earned a dominant position in the range of interventions against obesity. Low morbidity and mortality are definite advantages in comparison with the more complex interventions in the same range, such as the gastric bypass or the biliopancreatic diversion. These advantages appear because of the lack of complex operative times on the digestive tract, which later prevents eating deficits, internal hernias or post-operative occlusions. Post-operative follow-up is simpler as compared with the other interventions.

The operative technique is also simpler, a serious argument in favor of the increase of popularity among patients and surgeons. The operation does not modify bowel movements, i.e. it does not change its natural course, and, thus, it does not alter nutritious absorption mechanisms. The volume of the stomach is diminished with 60-70%, which means the amount of food during a meal decreases considerably and the weight loss appears naturally. This intervention also diminishes the feeling of hunger, which means that, although the amount of food is considerably lower, the patients will have a normal life without long and tormenting diets and without useless deprivation.

Sleeve gastrectomy is deemed the operation with the best risk-benefit ratio. It ensures long and stable weight loss, comparable with the one at the gastric bypass, but without its disadvantages.

Apart from major weight loss, the gastric sleeve sometimes mitigates and even heals conditions linked with obesity, such as type 2 diabetes mellitus and high blood pressure.

Not without reason, in the last years, bariatric surgery has been started to be called metabolic surgery. The range of these interventions provides complex, favorable results certified lately by advanced and well documented studies.


source: Metropolitan Hospital Marketing & Communication Dept., May 2016