Gastric Sleeve Surgery
What is gastric sleeve surgery?
Gastric sleeve surgery is a type of weight-loss surgery. Weight-loss surgery is also
called bariatric surgery. This surgery also known as sleeve gastrectomy or vertical
sleeve gastrectomy (VSG). Gastric sleeve surgery restricts your food intake, which
leads to weight loss. You may lose from 50 to 90 pounds.
It’s done as a laparoscopic surgery, with small incisions in the upper abdomen. Most
of the left part of the stomach is removed. The remaining stomach is then a narrow
tube called a sleeve. Food empties out of the bottom of the stomach into the small
intestine the same way that it did before surgery. The small intestine is not operated
on or changed. After the surgery, less food will make you full when eating.
Why might I need gastric sleeve surgery?
Gastric sleeve surgery is used to treat severe obesity. It’s advised for people who
have tried other weight loss methods without long-term success. Your doctor may advise
gastric sleeve surgery if you are severely obese with a body mass index (BMI) over
40. Your doctor may also advise it if you have a BMI between 35 and 40 and a health
condition such as sleep apnea, high blood pressure, heart disease, or type 2 diabetes.
What are the risks of gastric sleeve surgery?
Bleeding, infection, and blood clots in your legs are possible side effects that may
occur after any surgery. General anesthesia may also cause breathing problems or other
Over time, you may also have some trouble absorbing certain nutrients. Or you may
develop a narrowing (stricture) in your stomach sleeve. Some people may have heartburn
or reflux after the surgery. If you already have moderate to severe reflux, a gastric
sleeve could make that worse. You may want to consider a gastric bypass surgery instead.
That type of surgery can stop reflux and heartburn.
You may have other risks based on your health. Make sure to talk with your healthcare
team about any concerns before the surgery.
How do I get ready for gastric sleeve surgery?
Your healthcare team will need to make sure that gastric sleeve surgery is a good
option for you. Weight-loss surgery isn’t advised for people who abuse medicines or
alcohol, or who are not able to commit to a lifelong change in diet and exercise habits.
Before having surgery, you’ll need to enroll in a bariatric surgery education program.
This will help you get ready for surgery, and life after surgery. You’ll have nutritional
counseling. And you may have a psychological evaluation. You’ll also need physical
exams and tests. You will need blood tests. You may have imaging studies of your stomach,
or have an upper endoscopy.
If you smoke, you will need to stop several months before surgery. Your surgeon may
ask you to lose some weight before surgery. This will help make your liver smaller,
and make surgery safer. You’ll need to stop taking aspirin, ibuprofen, and other blood-thinning
medicines in the days before your surgery. You shouldn’t eat or drink anything after
midnight before surgery.
What happens during gastric sleeve surgery?
You will have general anesthesia for your surgery. This will cause you to sleep through
the surgery. Your surgeon will use laparoscopy. He or she will make several small
cuts (incisions) in your upper abdomen. The surgeon will then insert a laparoscope
and put small surgery tools into these incisions.
The anesthesiologist will then pass a sizing tube through your mouth down into the
stomach. The surgeon will then use a laparoscopic stapler to divide the stomach, leaving
a narrowed vertical sleeve. The part of the stomach that was removed is then taken
out of the abdomen through an incision. Your surgeon may then test for any leaks in
the sleeve using a dye study or an upper endoscopy.
What happens after gastric sleeve surgery?
You’ll likely go home the day after surgery. You will be on a liquid diet for the
first week or two. Your surgery team will give you a schedule of types of meals over
the next weeks. You’ll go from liquids to pureed foods, then soft foods, and then
to regular food. Each meal needs to be very small. You should make sure to eat slowly
and chew each bite well. Don’t move too quickly to regular food. This can cause pain
and vomiting. Work with your healthcare team to figure out what’s best for you to
eat. After your stomach heals, you will need to change your eating habits. You’ll
need to eat small meals for your small stomach.
People who have weight-loss surgery may have trouble getting enough vitamins and minerals.
This is because they take in less food, and may absorb fewer nutrients. You may need
to take a daily multivitamin, plus a calcium-vitamin D supplement. You may need additional
nutrients, such as vitamin B-12 or iron. Your medical team will give you instructions.
You’ll need to have regular blood tests every few months in the year after surgery.
This is to make sure you don’t have low blood iron (anemia), high blood glucose, or
low calcium or vitamin D levels. If you have heartburn, you may need to medicine to
reduce stomach acid.
After losing weight, it’s possible to regain some of the weight that you lose. To
avoid this, make sure to follow a healthy diet and get regular exercise. The sleeve
may widen (dilate) over time. This will let you eat more. But keep in mind that if
you eat all you can, you can regain weight. You may want to join a weight-loss surgery
support group to help you stick with your new eating habits.
Before you agree to the test or the procedure make sure you know:
- The name of the test or procedure
- The reason you are having the test or procedure
- What results to expect and what they mean
- The risks and benefits of the test or procedure
- What the possible side effects or complications are
- When and where you are to have the test or procedure
- Who will do the test or procedure and what that person’s qualifications are
- What would happen if you did not have the test or procedure
- Any alternative tests or procedures to think about
- When and how will you get the results
- Who to call after the test or procedure if you have questions or problems
- How much will you have to pay for the test or procedure.