Vertical Sleeve Gastrectomy
The laparoscopic vertical "sleeve" gastrectomy procedure involves removing the lateral aspect of the stomach. We use a 32F bougie to guide us in cutting the stomach and creating a long thin gastric tube that holds about 60-80 mls. The operation preserves the pyloric region of the stomach and the nerves that supply it. Consequently, food empties normally into the duodenum. The sleeve gastrectomy is less difficult to perform than the gastric bypass. It involves no organ rearranging. It has a low risk profile at the time of surgery and appears to be associated with very minimal long term risks.
How does the Vertical Sleeve Gastrectomy match up?
- Simple operation with low mortality risk.
- Technically easy to perform with low peri-operative risks.
- Minimal short-term and long-term complication rates.
- Short-term risks of staple line bleeding or leakage.
- Long-term risks are unknown.
- Weight loss comparable with the gastric bypass.