Multidisciplinary Clinic of Metabolic & Bariatric Surgery

Weight Reduction Procedures

Laparoscopic Adjustable

Gastric Banding (LAGB)

Laparoscopic Sleeve

Gastrectomy

Laparoscopic Gastric

Bypass

Intragastric Balloon

(IGB) Program

Risk of Surgery

Who Need Surgery

Choice of Procedures

Metabolic Surgery

Life after Surgery

LAPAROSCOPIC SLEEVE GASTRECTOMY

"Sleeve gastrectomy" or "vertical gastrectomy" is a new form of bariatric procedure in weight management. It involves removal of >75% of stomach and leaving a small gastric tube and this procedure resulting decrease in the stomach size inhibits distention of the stomach and increasing the patient’s sensation of fullness and decreasing their appetite. Some posit-increased satiety results from the decrease in production of an appetite hormone - Ghrelin, which secreted by the part of the stomach that was removed during surgery.

Expected weight loss:

Usually loss ~50 – 70% of the excessive body weight in 2 years. (lack long-term >5 years data)

Advantages:

1.	It does not require disconnecting or reconnecting the intestines.
2.	It is a technically simpler and safer operation than the gastric bypass or the duodenal switch.
3.	It does not affect adsorption of vitamin and minerals.
4.	There is no foreign body inside your body.
5.	It does not need adjustments or fills.

Disadvantages:

1.	Non-reversible surgery – stomach cannot return to normal.
2.	Potential risk of leakage and bleeding from cutting edge of stomach tube (<5%).
3.	New procedure – Lack of long-term data.