Sleeve gastrectomy or vertical sleeve gastrectomy is a minimally-invasive surgical procedure performed for weight loss. Sleeve gastrectomy procedure is generally performed laparoscopically, which includes the insertion of small instruments through small incisions in the upper abdomen (stomach) area.
Approximately 80% of the stomach is removed during the procedure, leaving behind a tube-shaped stomach which is the size and shape of a banana.
This procedure will limit the size of your stomach, therefore, restricting the amount of food that you can consume. Also, this procedure brings about hormonal changes that help in the loss of weight. These hormonal changes help in relieving the conditions that can make you overweight, like heart disease or high blood pressure.
Advantages:
The various advantages of sleeve gastrectomy include:
Risks:
The following risks are associated with sleeve gastrectomy procedure:
Sleeve gastrectomy is mainly done to help you in losing excess weight and reduce the chances of developing life-threatening weight-related health problems like:
Candidates for Sleeve Gastrectomy procedure:
It is a procedure done only if you have attempted to lose weight by modifying your diet and exercising, and have failed.
The procedure is done in the following individuals:
Obesity is fairly self diagnostic and can be determined with a simple physical exam by a doctor. However, the doctor may perform certain tests to determine the level of obesity and the presence of other obesity related disorders. The following diagnostic procedures may be followed.
The sleeve gastrectomy procedure is performed laparoscopically in most cases. This is done by making several small incisions in the abdomen. The surgical instruments are inserted through these incisions. The stomach is then reduced in size to almost 15% of its original size to form a small narrow tube almost like the shape of a banana. The open edges are then stapled and the excess stomach tissue is removed and discarded. Reducing the size of the stomach automatically reduces the amount of food one can consume thus aiding in weight loss. It also reduces the production of the hunger producing hormone ghrelin, which would make the patient feel satiated with smaller quantities of food. It does not involve re-arranging the intestines like in gastric bypass, and is therefore less invasive.
There are several changes in the body that may occur due to the rapid loss of weight in the first three to six months following the surgery:
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MBBS, MS - General Surgery, FMAS - Bariatric Surgeon and Obesity Surgeon
MBBS , DNB ,FMAS , FIAGES , FASMBS - Bariatric Surgeon and Obesity Surgeon
Sleeve gastrectomy or vertical sleeve gastrectomy is a minimally-invasive surgical procedure performed for weight loss. Sleeve gastrectomy procedure is generally performed laparoscopically, which includes the insertion of small instruments through small incisions in the upper abdomen (stomach) area.
Approximately 80% of the stomach is removed during the procedure, leaving behind a tube-shaped stomach which is the size and shape of a banana.
This procedure will limit the size of your stomach, therefore, restricting the amount of food that you can consume. Also, this procedure brings about hormonal changes that help in the loss of weight. These hormonal changes help in relieving the conditions that can make you overweight, like heart disease or high blood pressure.
Advantages:
The various advantages of sleeve gastrectomy include:
Risks:
The following risks are associated with sleeve gastrectomy procedure:
Sleeve gastrectomy is mainly done to help you in losing excess weight and reduce the chances of developing life-threatening weight-related health problems like:
Candidates for Sleeve Gastrectomy procedure:
It is a procedure done only if you have attempted to lose weight by modifying your diet and exercising, and have failed.
The procedure is done in the following individuals:
Obesity is fairly self diagnostic and can be determined with a simple physical exam by a doctor. However, the doctor may perform certain tests to determine the level of obesity and the presence of other obesity related disorders. The following diagnostic procedures may be followed.
The sleeve gastrectomy procedure is performed laparoscopically in most cases. This is done by making several small incisions in the abdomen. The surgical instruments are inserted through these incisions. The stomach is then reduced in size to almost 15% of its original size to form a small narrow tube almost like the shape of a banana. The open edges are then stapled and the excess stomach tissue is removed and discarded. Reducing the size of the stomach automatically reduces the amount of food one can consume thus aiding in weight loss. It also reduces the production of the hunger producing hormone ghrelin, which would make the patient feel satiated with smaller quantities of food. It does not involve re-arranging the intestines like in gastric bypass, and is therefore less invasive.
There are several changes in the body that may occur due to the rapid loss of weight in the first three to six months following the surgery:
Sleeve Gastrectomy or Vertical Sleeve Gastrectomy (VSG) is a surgical procedure which aids in weight loss. It involves removal of the curvature portion of the stomach (about 70% of your stomach) laparoscopically to decrease the person’s appetite through a reduction in the size of the stomach and reducing the release of ghrelin, the hunger hormone. This reduction in the capacity to eat and appetite helps the person to lose weight. The reduced stomach looks like a sleeve or a tube giving the surgery its name.
It is sometimes done as a pre-procedure for a Gastric Bypass.
You would qualify for Sleeve Gastrectomy if
It is recommended to consult with a doctor to gauge whether your health problem is weight related and whether weight loss would help in treating your condition.
The short term risk factors of VSG include –
The long term risk factors of VSG include-
Cases of these complications being fatal are very rare. These risk factors can be avoided if the surgery is done properly by a qualified surgeon using proper equipment and taking care to stick to the diet plan provided for at least four weeks. If you see any symptoms, contact your doctor immediately. Hernias can be avoided by not putting a strain on the operated area.
Sleeve Gastrectomy is only the first step towards getting rid of your weight-related problems. Several eating and lifestyle changes are required to see the full results.
VSG will definitely aid in weight loss since the capacity to eat, and the appetite of a person is greatly reduced. It has been found in various studies that VSG is very effective in durable weight loss.
The cost of Sleeve Gastrectomy in India varies across different hospitals and cities.
| CITY | COST |
| Cost of Sleeve Gastrectomy in Mumbai | INR 250000- INR 325000 |
| Cost of Sleeve Gastrectomy in Banglore | INR 230000- INR 310000 |
| Cost of Sleeve Gastrectomy in Delhi | INR 230000- INR 310000 |
| Cost of Sleeve Gastrectomy in Chennai | INR 210000- INR 300000 |
For the first week after the surgery, you can only consume liquid foods with prescribed mineral and vitamin supplements.
For the next three weeks, only pureed foods can be consumed, and the mineral and vitamin supplements will continue.
Only after four weeks of surgery can you revert to normal food. Since the quantity of food consumed will be less, people are recommended to take supplements for the rest of their lives to make sure the body gets all the essential nutrients.
Mild stomach ache right after surgery is pretty common but prolonged or severe stomach ache after the surgery needs to be checked by a doctor.
After the surgery, due to rapid weight loss, you might experience stomach ache along with several other body aches. These will be mild and generally stop after a few months. If they persist, medical attention should be sought.
Sleeve Gastrectomy should be chosen only if diet and exercise plans have all failed you in achieving the desired weight loss.
It is a very good option for dealing with weight and weight-related health problems. It reduces the capacity to eat by restricting the size of the stomach and also affects the appetite by reducing the amount of ghrelin produced (which is also known as the ‘hunger hormone’ and is responsible for a person’s appetite). These two effects are instrumental in helping individuals achieve the desired weight loss and thereby, in some cases, treating the weight-related disorders they have or even reduce the possibility or life-threatening events like a cardiac arrest.
Sleeve Gastrectomy is a very safe procedure if done under the proper conditions by a well-trained surgeon. Any fatal cases, which are extremely rare, can only be attributed to improper conditions, faulty equipment or the surgeons’ mistake. Thus, to minimize any dangers associated with the surgery, a well-established hospital with proper facilities, standard equipment, and good surgeons should be chosen for the surgery.
The surgery itself is a two-hour procedure. You will be at the hospital for around three days which includes the pre-surgery and post-surgery days. After a complete check-up, you will be released from the hospital but will have to adhere to the dieting plan provided by the doctor. Liquid food like juices etc. in the first week and pureed food for the next three weeks is generally recommended. You are also advised not to put a strain on the operated area for this period of four weeks to avoid any possibility of a hernia.
Sleeve Gastrectomy is a permanent and irreversible procedure since it involves removal of about 2/3rd of your stomach.
The effect in weight loss would slowly decline with 60-70% excess weight loss in the beginning to very less after about the third year.
VSG is a minimally invasive procedure which is very safe if done in a proper environment by a well-trained surgeon. Cases of any short-term or long-term effects of the procedure being life-threatening are extremely rare.