Your stomach is more than, just a “food-bag.” It is also an organ that produces important hormones like ghrelin, obestatin, etc. that balance and control, fat accumulation. In the obese, this hormonal balance is deranged, hence the excessive hunger, most experience.
In this operation, the hormone producing part, and the storage part of the stomach is ‘stapled-cut’ by special equipment and removed, leaving behind the important food conduit part which looks like a “sleeve,” hence the name. This reduces its volume by 75-80%, but more importantly restores the hormonal balance to "weight-loss mode." The food taken in, will then pass quickly through this narrow stomach tube and then go through the full length of the intestine, giving dramatic weight-loss results, with lesser nutritional deficiencies!
The entire operation is done laparoscopically, i.e., through small keyholes. It can also be done via “hidden-scar” technique, with nearly no visible scars of this operation. Typically sleeve gastrectomy gives an average of 60-80% of excess body weight loss, at the end of one year.
CAN YOU BELIEVE, THIS PATIENT ACTUALLY HAD A SLEEVE GASTRECTOMY ??
Are you worried about the scars that result after the operation? Conventional bariatric surgery can leave behind scars that are visible. Especially in young women, this could be a taboo! You might feel insecure about the visible scars on your bellies, fearing that others may misunderstand it as a sign of some serious illness. This could make ‘scars’ an issue in the decision making for weight-loss (bariatric) surgery!
However, we have good news. We are quite conscious about this concern of your's and have developed a hidden scar technique, where we use a “reduced port technique” along with a “trans-umbilical access.” in which the main scar is hidden in the navel fold, and is hardly visible. Most sleeve gastrectomies can be done this way. However, there are situations, where changes have to be made according to the patient’s BMI and the position of internal organs.
In the sleeve gastrectomy, the storage and hormonal part of the stomach is ‘stapled-cut’ and removed. This leaves behind a long staple line which has the potential for leaks and bleeds. In order to reduce this, we believe in an additional layer of protection by re-enforcing the same with imbricating sutures. Studies show that this reduces bleeding and leaks. Hence we take extra pains to give you additional security for a safe recovery.
Dr. James Zachariah - Obesity Surgeon,