Sleeve gastrectomy helps with weight loss by reducing the size of the stomach, which limits the amount of food that can be eaten at one time. Additionally, the surgery removes the part of the stomach that produces the hunger-stimulating hormone ghrelin, helping to decrease appetite.
Candidates for sleeve gastrectomy typically have a body mass index (BMI) of 40 or higher, or a BMI of 35 or higher with obesity-related health conditions such as type 2 diabetes, high blood pressure, or sleep apnea. Candidates should also have tried and failed to lose weight through non-surgical methods such as diet and exercise.
The benefits of sleeve gastrectomy include significant and sustained weight loss, improvement or resolution of obesity-related health conditions, such as type 2 diabetes and high blood pressure, and enhanced quality of life.
During sleeve gastrectomy, the surgeon removes approximately 75-80% of the stomach along the greater curvature, leaving behind a narrow, sleeve-shaped stomach pouch. The procedure is usually performed laparoscopically through small incisions in the abdomen.
Risks and complications of sleeve gastrectomy may include bleeding, infection, leakage from the staple line, blood clots, gastrointestinal issues such as acid reflux or strictures, and nutritional deficiencies.
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