Bariatric Surgeon Dr. Hossein Bagshahi: Bagshahi Bariatric and General Surgery

Gastric Sleeve Surgery Procedure

The surgery takes 60 to 90 minutes. The surgery involves two to five cuts in your stomach.

The bariatric surgeon then performs the actual surgery through these cuts using a scope and other instruments. The doctor will use a camera in the operating room to see inside your stomach.

This allows the procedure to be much less evasive and cuts down on healing and recovery time significantly.

The surgeon will then remove a portion of your stomach. The stomach is stapled back together with special surgical staples. Finally, the cuts are stitched closed.

Benefits to a Sleeve Gastrectomy

Gastric sleeve surgery is a simple, straightforward approach to weight loss that does not have much, if any, long-term maintenance. The results have been outstanding, with very low numbers of patients who report seeing any side effects or complications.

Compared to other weight-loss surgeries, sleeve gastrectomy offers significant benefits that include:

  • Shorter operating times compared to gastric bypass surgery
  • No rerouting of the intestines, which cuts down on the risk of nutrient deficiencies
  • Need fewer vitamins compared to other weight loss surgeries
  • No future adjustments needed as would be necessary with a lap band
  • There are no foreign substances or objects that remain in the body after the surgery
  • Weight loss occurs gradually over 18 months, which is easier on your body than moving too quickly, but provides faster results than lap band surgery

Sleeve Gastrectomy Diet

Your doctor will likely recommend a restricted diet two weeks prior to your sleeve gastrectomy. After your surgery, you will have a specific post-operation diet that you should follow as well. In fact, it is extremely important that you follow this diet to give your procedure the best chances of success.

In the first week following your surgery, your sleeve gastrectomy diet will consist of clear liquids only. This may be difficult, but many patients have reported very little desire to eat right after surgery.

In week two, you will be able to add certain liquid-based foods, like ice cream and applesauce. In week three, you can eat soft pureed foods, and in week four you will graduate to “real” foods, but they may still need to be soft.

Talk to your doctor about sleeve gastrectomy if you are considering weight loss surgeries. It may be the best option for you!

Is Sleeve Gastrectomy Right For You?  

This new type of bariatric surgery is the latest way for overweight patients to achieve weight loss with surgical intervention. One of the cons of this type of surgery is this newness- there is little data about its effectiveness over time or complications that may occur later.

It also may not be enough for patients with very high BMIs to lose enough weight to enter the normal-weight range. However, there are many pros to this procedure that have made it the right choice for many patients.

The Pros of Sleeve Gastrectomy

Several studies have been conducted on the amount of weight loss that patients who undergo this procedure experience as well as how their health has improved after the weight loss. Because the procedure is new, the data only covers the three years after the procedure, but the results have been highly encouraging to the medical community.

The weight loss that a patient with a higher BMI experiences averages about 40 to 50 percent of the patient’s extra weight during the two years after the operation.*

These patients typically have a sleeve gastrectomy as a first step and then have a gastric bypass later when they have lost some of the excess weight. For patients with a lower BMI, an even higher proportion of excess weight is lost on average.

In the first three years after the surgery, these patients can expect to lose 60 to 80 percent of their excess weight.* This is a higher weight loss than patients average when they get a comparable surgery, laparoscopic adjustable gastric banding.

Improved Health With Weight Loss

In addition to the high degree of weight loss, more than 75 percent of those who have a sleeve gastrectomy will see improvements in their health problems that were caused or worsened by their obesity.* Conditions like hypertension, diabetes and sleep apnea can all be improved after the weight loss.

Who Gets Gastric Sleeve Surgery?

For those who have very high BMIs, this procedure can be used as part of a longer approach to weight loss. Because it is less risky for high-BMI patients, it can be used a year or two before a gastric bypass is performed. High-risk patients are often the ones who receive this procedure because it is less risky than other, more invasive, techniques.

Patients who have serious lung or heart disease often get this operation because it is faster and lower risk. If the patient has a lot of intestinal scar tissue or a very large liver, the surgeon may make the decision in the operating room to do gastric sleeve surgery instead of the riskier gastric bypass.

Patients who have a BMI of over 60 are often better candidates for this procedure than for other bariatric surgeries. If there are severe conditions such as liver disease, cardiac or lung disease or Crohn’s disease, this procedure can be the best option. For patients of an advanced age or who need to continue taking specific medications, this procedure is a less risky, effective way to lose weight.

Gastric Bypass vs. Gastric Sleeve?

If you’ve recently been given the go-ahead by your doctor to pursue bariatric surgery as a weight loss option, you may be debating your various choices — from a gastric band to gastric bypass to gastric sleeve surgery. While each of these options can help you with the portion and content control you need to achieve a healthy lifestyle change, deciding between them can sometimes feel like a weighty process. Read on to learn more about the similarities and differences between the gastric bypass and gastric sleeve procedures to help you make your final decision.

What can you expect from gastric bypass surgery?

Gastric bypass surgery is one of the oldest forms weight loss surgeries. It has enjoyed a great deal of success over the years.

Your Stomach Will Be Smaller

During a gastric bypass, the surgeon will significantly reduce the size of your stomach. They also remove a portion of your small intestine, rerouting the remaining components of your digestive system.

Food Will Turn Into Waste

This bypasses much of your large intestine and small intestine when turning food into waste. This diminishes your absorption of fat and reduces the number of calories you’re able to glean from the food you eat.

You Can Experience Fast Weight Loss

A gastric bypass can lead to major weight loss in a short period of time. For those struggling with morbid obesity or who have begun to develop chronic health conditions such as Type II diabetes or congestive heart failure at a relatively young age, gastric bypass can sometimes be what is needed to achieve a healthy weight and stave off some major illnesses.

You Will Need to Add Vitamins & Minerals To Your Regimen

Gastric bypass surgery isn’t without its drawbacks. Besides the rerouting of your large and small intestines, gastric bypass can sometimes complicate your body’s ability to absorb vitamins and minerals from the foods you eat, requiring you to take a daily multivitamin to avoid nutritional deficiencies.

You’ll also need to drastically change your diet and lifestyle, since eating certain foods (particularly greasy items) after gastric bypass surgery can lead to diarrhea, vomiting and other unpleasant digestive side effects.

What can you expect from a sleeve gastrectomy?

A sleeve gastrectomy (or gastric sleeve surgery) involves the removal of a large portion of your stomach, just as in a gastric bypass, but without the associated rerouting of the large and small intestines. During a gastric sleeve surgery, the surgeon will remove up to 80 percent of your stomach’s volume while leaving your large and small intestines intact.

Smaller Stomach

It’s important to keep in mind that this 80 percent removal rate is almost always of a stomach that is larger than average size, so you’ll be left with a stomach that is small but still similar in capacity to that of a healthy adult.

Better for Younger Patients

A sleeve gastrectomy can avoid some of the potential negative side effects of gastric bypass surgery, such as malnutrition issues, often making it a good option for younger patients.

Gastric Sleeve Surgery in Fort, Worth Texas

For residents of Fort Worth, Texas, choosing Bagshahi Bariatric and General Surgery for your gastric bypass or gastric sleeve surgery ensures you’ll receive the highest quality of care during and after your surgery, while giving you the nutritional guidance and support you need to maintain your weight loss — and health — over the long term.

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