Treatment Options

Laparoscopic Adjustable Gastric Banding
Laparoscopic Sleeve Gastrectomy :: Gastric Bypass

Sleeve Gastrectomy

This is a relatively new approach. It was developed as the first component of the duodenal switch operation and involves removing the lateral 2/3rds of the stomach with a stapling device. Nowadays, the sleeve gastrectomy is performed as a primary procedure and more than 5 years of data have proven this to be a very good surgical option for weight loss.

It is usually done laparoscopically but is not reversible. It basically leaves a stomach tube instead of a stomach pouch. The residual stomach capacity is about 200mls so a generous entree should be possible.

Advantages:

• No anastamosis or re-routing of bowel
• No foreign body
• Better weight loss than with the adjustable gastric band
• Good resolution/reduction of co-morbid conditions
• No need for adjustments
• No malabsorption or dumping syndrome
• No risk for internal hernia

Disadvantages:

• Stomach may stretch leading to weight regain
• Very difficult to fix and manage staple line leaks