Commonly Asked Questions About Sleeve Gastrectomy

Sleeve gastrectomy has emerged as a popular type of bariatric surgery for those looking to make a significant change in their battle against obesity. With the rise of its popularity come many questions from potential candidates about how it works, its effectiveness and how it compares to other weight-loss surgeries. In this article, we aim to answer some of the most commonly asked questions about sleeve gastrectomy.

What Is Sleeve Gastrectomy Surgery?

Sleeve gastrectomy surgery, also known as a vertical sleeve gastrectomy, is a surgical weight-loss procedure. According to the National Institute of Diabetes and Digestive and Kidney Diseases, this type of bariatric surgery involves the removal of a large portion of the stomach, reducing it to about 15% of its original size. The remaining stomach is a narrow tube or sleeve, which connects to the intestines.

Typically, sleeve gastrectomy is done laparoscopically, which means that the procedure is performed through small incisions. This minimally invasive approach can lead to quicker recovery times and less postoperative pain compared to traditional open surgery.

How Does Sleeve Gastrectomy Work?

The primary function of the sleeve gastrectomy is to limit food intake without interfering with the normal absorption of vitamins and minerals. By reducing the size of the stomach, patients feel full more quickly and thus eat less, leading to weight loss.

Additionally, the surgery impacts gut hormones that affect a number of factors including hunger, satiety and blood sugar control. Short-term studies show that sleeve gastrectomy is as effective as the more invasive gastric bypass surgery when it comes to weight loss and improvement or remission of diabetes.

How Much Weight Can You Lose With Sleeve Gastrectomy?

Weight-loss results can vary significantly from person to person, but on average, patients who undergo sleeve gastrectomy can lose a substantial amount of their excess body weight. It is important to note that sleeve gastrectomy must be accompanied by lifestyle changes, which include a healthy diet and regular exercise, to achieve optimal results.

According to IOWA Health care, patients lose weight rapidly and continue to do this until 18 to 24 months after the surgery. It’s also common for patients to lose 30% to 50% of their excess weight within the first six months following the procedure.

What Are the Requirements for Sleeve Gastrectomy?

Not everyone is a candidate for sleeve gastrectomy. There are specific requirements that individuals must meet to be considered for the surgery, including:

• A body mass index (BMI) of 40 or higher, or more than 100 pounds overweight.
• A BMI of 35 or higher and at least one or more obesity-related comorbidities such as type 2 diabetes, hypertension, sleep apnea, or other respiratory disorders.
• Inability to achieve a healthy weight loss sustained for a period of time with prior weight-loss efforts.

What Is the Difference Between Gastric Bypass and Sleeve Gastrectomy?

Gastric bypass surgery is another common type of bariatric surgery and differs from sleeve gastrectomy in several ways. The main differences include:

• Procedure: Gastric bypass involves creating a small pouch from the stomach and connecting it directly to the small intestine. Sleeve gastrectomy, on the other hand, involves only the removal of a portion of the stomach and does not alter the intestines.
• Complexity: Gastric bypass is considered more complex and carries a higher risk of complications compared to sleeve gastrectomy.
• Nutrient absorption: Gastric bypass can lead to more significant nutrient deficiencies than sleeve gastrectomy because it bypasses a portion of the small intestine where nutrient absorption takes place.
• Weight loss: Both surgeries can result in significant weight loss. Gastric bypass patients may lose weight slightly faster in the first year, but long-term results are similar between the two procedures.

What to Expect After Sleeve Gastrectomy

After sleeve gastrectomy, patients will need to adhere to a strict diet that begins with liquid foods and gradually progresses to soft and then solid foods. This diet is necessary to allow the new stomach structure to heal properly and to avoid complications.

Lifestyle changes are also crucial for maintaining weight loss. Patients are encouraged to:

• Develop healthy eating habits, including eating smaller portions and focusing on nutrient-rich foods.
• Establish a consistent exercise routine.
• Avoid high-calorie, sugary and fatty foods.
• Attend follow-up appointments and support groups for ongoing guidance and support.

Sleeve Gastrectomy Risks

Like all surgeries, sleeve gastrectomy comes with potential risks and complications. Some of these may include:

• Surgical complications such as leaks from the staple line or infections.
• Nutrient deficiencies due to the reduced stomach size.
• Gastrointestinal issues such as acid reflux or vomiting.
• The possibility of not losing enough weight or regaining weight over time.

The Role of Insurance in Sleeve Gastrectomy

The cost of sleeve gastrectomy can be a significant factor for many. Insurance coverage for the surgery can vary depending on the policy and the patient’s specific circumstances. Some insurance companies may cover the procedure if it is deemed medically necessary and the patient meets certain criteria.

It’s important for patients to contact their insurance provider to understand their coverage, including preoperative requirements, post-operative care and any associated costs.

Is Sleeve Gastrectomy Right for You?

Sleeve gastrectomy is a life-changing procedure that can offer significant health benefits for those struggling with severe obesity. However, it is not a decision to be taken lightly. It requires a lifelong commitment to dietary changes, exercise and regular medical follow-up.

If you’re considering sleeve gastrectomy at Manatee Weight Loss Center, please complete a patient interest form or contact us at 941-254-4957. Consult with a bariatric surgeon to discuss your options, the procedure’s risks and benefits and whether it’s the right choice for your health and lifestyle goals.

Individual results may vary. There are risks associated with any surgical procedure. Talk with your doctor about these risks to find out if bariatric surgery is right for you.