The Sleeve Gastrectomy is another bariatric surgical option. It originally was the restrictive portion and first part of a two-stage procedure, duodenal switch, used in a high-risk patient population.
The benefits of the laparoscopic approach are well known. This procedure maintains those benefits when a gastric bypass may have to be ‘open’ thus increasing the risk for the patient.
Being easier to perform, it is a great option for the ‘risky’ patient. For those who have underwent many previous abdominal operations, are severely morbidly obese and those who refuse to accept the ‘re-routing of intestines’ or ‘foreign-body’ options, this remains a viable procedure.
The simplicity resides in the single organ of operation, the stomach. As illustrated, a large portion of stomach is excised and reduces the volume of food consumed, thus primarily a restrictive procedure. However, the stomach is also an endocrine organ and it’s partial resection has a beneficial effect on appetite thus the results of a sleeve gastrectomy fall between that of a ‘band’ and a ‘bypass’.
Although lacking long-term results, the initial experience has been promising. This is a procedure that will only gain in popularity.