BARIATRIC SURGERY - OBESITY TREATMENT
¿What is a Gastric Sleeve?
Umbilical scar 4 weeks after gastric sleeve surgery
- Typical approach: (5 cuts 10 mm), bariatric surgery
Removal of an 80% of the patient's stomach, which is left as a tube-type form.
Mechanism of action
Patient's stomach volume shrinkage after removing 70-80% and extracting it from the body. Like any other bariatric surgery, it is helpful for modifyingin dietary habits and weightloss. It reduces food intake and produces early satiety.
BMI 35-45 and BMI>55-60
Return to normal acitvity
Patient monitoring during 2 years conducted by our medical team and yearly follow-ups after this
It does not produce malabsorption like the gastric bypass. It does not require vitamin intake forever. More effective than the gastric plicature and the restrictive endoscopic techniques. For BMI<45 and patients who eat much, efficiency similar to gastric bypass.
Less efective than gastric bypass in patients with BMI > 45 or with bad dietary habits (sweets, alcohol, snacks).
Risk like a laparoscopic cholecystectomy. Short-term complications: leak(3%) y bleeding (2%) Long-term: weight regain 15%
Grade of recommendation with available scientific evidence
High. One of the most used techniques worldwide (together with the gastric bypass)
75% Loss of excessive weight after 9 months
Simulación 3D Manga Gástrica
IntraObes scientific publications and relevant facts about this technique
Consenso de la ASMBS sobre manga gástrica
Fischer L, Wekerle AL, Bruckner T et al. BariSurg trial: Sleeve gastrectomy versus Roux-en-Y gastric bypass in obese patients with BMI 35-60 kg/m(2) - a multi-centre randomized patient and observer blind non-inferiority trial.
BMC Surg. 2015 Jul 18;15:87.