Gastric Sleeve

Gastric Sleeve


Gastric sleeve is a restrictive bariatric surgery. It works by reducing the size of the stomach which reduces the amount of food it can hold. This makes a patient feel full sooner than before the procedure.

Other common names of gastric sleeve procedure are “sleeve gastrectomy”, “the sleeve”, or “vertical sleeve gastrectomy”. It is a relatively new procedure for surgical weight loss. It is similar to the gastric band surgery, in that it is a restrictive procedure.

The stomach is reduced by about 80%, which creates a much smaller stomach. Therefore less food is needed to make a person feel full and satisfied. The stomach will now resemble a long, narrow tube, much like a banana in shape. There is no implant like with the gastric band surgery and no re-routing of intestines like with the gastric bypass.

With the gastric sleeve, the digestive anatomy remains exactly the same with the exception of a narrow stomach size. When early fullness occurs, less food and calories are consumed and weight loss occurs.

Laparoscopic Gastric Sleeve or Sleeve Gastrectomy

Gastric Sleeve

For the gastric sleeve to be successful, patients are expected to:

  • adherence to a healthy hi-protein low carbohydrate diet
  • exercise regularly
  • take certain vitamin supplementation
  • have a healthy positive attitude toward change

Advantages of Gastric Sleeve

  • No foreign body or implanted devices so erosion and slippage are not a risk
  • Does not require adjustment
  • No cutting of the intestines
  • Weight loss generally is faster than with gastric banding
  • The surgical risk is lower than with gastric bypass, but the weight loss is similar

Disadvantages of Gastric Sleeve

  • Because part of the stomach is removed the sleeve gastrectomy is irreversible
  • Complications are slightly higher than with the band and include leaking, bleeding, and inadequate weight loss

To read more about the gastric sleeve please visit Bariatric Surgery Source.

What to Expect After Gastric Sleeve Procedure

The average hospital stay after gastric sleeve is about 2 days.

As with other bariatric surgeries you will start out on a liquid diet and then slowly transition back to solid foods.

You are able to receive a total of 6 weeks time off from your work, however, most people are able to return to work in about 3-4 weeks.

Follow Up After Gastric Sleeve

Follow up is very important after any bariatric procedure. Your success in loosing weight will largely depend on your commitment to follow diet, fitness, and vitamin protocols. Except for the immediate post-op visit you will require to complete necessary blood work. The following are the visits after gastric sleeve:

  • 10 day
  • 6 weeks
  • 6 months
  • Annually

During each visit you will meet with the doctor, nurse or the physician assistant to review your lab work, bariatric food, fluid, fitness, vitamins and minerals protocols, weight loss success, and address any issues or concerns.