Gastric Sleeve

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CIRUGÍA BARIÁTRICA - TRATAMIENTO DE LA OBESIDAD

¿What is a Gastric Sleeve?

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. 

Indications

BMI 35-45 and BMI>55-60 

Procedure Duration

90 minutes.

Hospital Stay

2 days

Return to normal acitvity

7-10 days

Monitoring

Patient monitoring during 2 years conducted by our medical team and yearly follow-ups after this

Pros

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.

Cons

Less efective than gastric bypass in patients with BMI > 45 or with bad dietary habits (sweets, alcohol, snacks).

Low-Risk option

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)

Results

75% Loss of excessive weight after 9 months

Videos

Simulación 3D Manga Gástrica

Testimonial (Spanish)

Pepi
Modesto

 

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.

doi: 10.1186/s12893-015-0072-7.