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Copyright 2006 Patrick Chiasson, MD & Stephen Burpee, MD
Minimally Invasive Surgery & Weight Loss Center
Patrick Chiasson, MD & Stephen Burpee, MD
Vertical "Sleeve" Gastrectomy
The laparoscopic vertical “sleeve” gastrectomy is the newest of the weight loss procedures. At present, it is performed by a very limited number of surgeons in the United States. In our practice we initially began offering the procedure as part of a two stage surgical approach to our super super obese patients (BMI > 60). However, because our patients are experiencing excellent weight loss results, we began offering this procedure to our general weight loss patients.
The laparoscopic vertical “sleeve” gastrectomy procedure involves removing the lateral aspect of the stomach. We use a 32F bougie to guide us in cutting the stomach and creating a long thin gastric tube that holds about 60-80 mls. The operation preserves the pyloric region of the stomach and the nerves that supply it. Consequently, food empties normally into the duodenum. The sleeve gastrectomy is less difficult to perform than the gastric bypass. It involves no organ rearranging. It has a low risk profile at the time of surgery and is associated with very minimal long term risks.
The laparoscopic vertical “sleeve” gastrectomy works by limiting or restricting the amount of food that one can eat. In addition, it is felt that by removing the part of the stomach that produces the Grehlin hormone, that patients will lose their appetite. It has very predictable results, our patients can expect to lose 60 - 80% of their excess body weight in the first year after surgery.
Tucson, AZ
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