27 August 2008

Advantages of the sleeve gastrectomy:
  • Although the stomach is reduced in size and the amount of food which can be eaten is restricted, the stomach otherwise functions normally.
  • The major part of the stomach which produces hormones responsible for stimulating hunger is removed from the digestive system.
  • The problem of dumping is avoided as the pylorus is retained.
  • Minimizes the possibility of the patient developing ulcers.
  • Avoids the problems associated with bypass forms of weight loss surgery including anemia, intestinal obstruction or blockage, osteoporosis and protein and vitamin deficiency.
  • Provides a solution for patients with conditions which place them at an unacceptably high risk from other forms of bariatric surgery.
  • Provides a laparoscopic solution to patients with a particularly high body mass index (BMI).
Disadvantages of the sleeve gastrectomy:
  • ·As this form of surgery does not provide any element of gastric bypass some patients may experience a disappointing weight loss or weight regain.
  • High BMI patients will often require follow-up weight loss surgery to achieve their goal. Although this may be seen as a disadvantage by some patients, in many cases, this two procedure option not only produces the results that the patient wants but may also provide a lower overall risk for the patient. This is something which need to de discussed with your physician.
  • Patients can slow weight loss if they do not stick to a strict diet following this form of surgery.
  • Complications may occur as the result of stomach stapling.
  • The procedure is not reversible as part of the stomach is permanently removed. It should be remembered though that the sleeve gastrectomy can be extended at a later date if required by performing additional bypass surgery.

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