Sleeve Gastrectomy Dallas
The
Laparoscopic Sleeve
Gastrectomy Dallas – often called the sleeve – is performed by removing
approximately 80 percent of the stomach. The remaining stomach is a tubular
pouch that resembles a banana.
The Procedure
This
procedure works by several mechanisms. First, the new stomach pouch holds a
considerably smaller volume than the normal stomach and helps to significantly
reduce the amount of food (and thus calories) that can be consumed.
Short
term studies show that the sleeve is as effective as the roux-en-Y gastric
bypass in terms of weight loss and improvement or remission of diabetes. The complication rates of the sleeve fall
between those of the Adjustable Gastric Band Dallas and the roux-en-y gastric
bypass.
Advantages
1.
Restricts the amount
of food the stomach can hold
2.
Induces rapid and
significant weight loss that comparative studies find similar to that of the
Roux-en-Y gastric bypass. Weight loss of >50% for 3-5+ year data, and weight
loss comparable to that of the bypass with maintenance of >50%
3.
Requires no foreign
objects (AGB), and no bypass or re-routing of the food stream (RYGB)
4.
Involves a relatively
short hospital stay of approximately 2 days
5.
Causes favorable
changes in gut hormones that suppress hunger, reduce appetite and improve
satiety
Disadvantages
1.
Is a non-reversible
procedure
2.
Has the potential for
long-term vitamin deficiencies
3.
Has a higher early
complication rate than the AGB
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