Sleeve Gastrectomy: A Comprehensive Guide to Pros, Cons, Top Surgical Teams, and Patient Outcomes

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4 min

Sleeve gastrectomy is a laparoscopic procedure, which means it is minimally invasive and requires small incisions [1].

During the surgery, the surgeon removes approximately 75-80% of the stomach, leaving a narrow tube or "sleeve" shape [1, 2].

This smaller stomach restricts the amount of food that can be consumed, reducing the number of calories absorbed by the body.

As a result, the patient experiences significant weight loss [1, 2, 3].

Sleeve Gastrectomy Comprehensive Guide Pros Cons

Sleeve gastrectomy: pros and cons

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Like any surgical procedure, sleeve gastrectomy has its pros and cons [4]. One of the significant advantages of this procedure is its effectiveness in helping patients lose significant amounts of weight [1, 2, 3, 10].

Studies have shown that patients can experience up to 60% excess weight loss within the first year after surgery [1, 3].  Additionally, sleeve gastrectomy has been shown to improve or even resolve related health conditions such as type 2 diabetes, high blood pressure, and sleep apnea [5, 8, 10].

However, there are also potential drawbacks to consider [4]. One of the most significant risks of sleeve gastrectomy is the possibility of complications, such as bleeding, infection, and blood clots [4, 6].

Additionally, the surgery is irreversible, and patients must commit to a strict diet and exercise regimen for the rest of their lives [4, 6]. Some patients may also experience side effects such as acid reflux or nausea [4, 6].

It is essential to choose a reputable and experienced surgical team

When considering sleeve gastrectomy surgery, it is essential to choose a reputable and experienced surgical team [7]. 

In Europe, some of the best sleeve gastrectomy teams include the University Hospitals of Geneva in Switzerland, the University of Heidelberg in Germany, and the University of Lille in France [7]. 

The University Hospitals of Geneva have a team of experienced surgeons who specialize in bariatric surgery, including sleeve gastrectomy [7].  The team uses the latest techniques and technology to ensure the best possible outcomes for their patients [7]. 

The University of Heidelberg in Germany is home to one of the largest bariatric surgery centers in Europe, with a team of internationally recognized surgeons who have performed thousands of sleeve gastrectomy procedures [7]. 

The University of Lille in France is another top choice for sleeve gastrectomy surgery, with a team of experienced surgeons who specialize in minimally invasive techniques [7]. 

The team takes a multidisciplinary approach, working closely with other healthcare professionals to ensure the best possible outcomes for their patients [7]. In addition to the top teams in Europe, there are also several notable sleeve gastrectomy teams around the world [7]. 

Some of the best teams include the Mayo Clinic in the United States, the All India Institute of Medical Sciences in India, and the University of Tokyo Hospital in Japan [7]. The Mayo Clinic is a world-renowned medical institution with a team of experienced bariatric surgeons who specialize in sleeve gastrectomy [7].

The clinic has a patient-centered approach, providing personalized care and support for each patient [7].  The All India Institute of Medical Sciences is one of the top medical institutions in Asia, with a team of experienced bariatric surgeons who have performed thousands of sleeve gastrectomy procedures [7]. 

The team uses the latest techniques and technology to ensure the best possible outcomes for their patients [7]. The University of Tokyo Hospital in Japan is another top choice for sleeve gastrectomy surgery, with a team of experienced surgeons who specialize in minially invasive techniques [7].

The team takes a multidisciplinary approach, working closely with other healthcare professionals to ensure the best possible outcomes for their patients [7].

Sleeve gastrectomy: an effective weight loss procedure

Sleeve gastrectomy has been shown to be an effective weight loss procedure, with many patients experiencing significant improvements in their health and quality of life [1, 2, 3, 10]. 

Studies have shown that patients can experience up to 60% excess weight loss within the first year after surgery [1, 3].

Additionally, sleeve gastrectomy has been shown to improve or even resolve related health conditions such as type 2 diabetes, high blood pressure, and sleep apnea [5, 8, 10].

However, the success of the procedure depends on several factors, including the surgical team's experience, the patient's commitment to a healthy lifestyle, and the potential for complications [4, 6]. 

Patients must adhere to a strict diet and exercise regimen for the rest of their lives to maintain their weight loss and overall health [4, 6]. It is essential to discuss the potential risks and complications with their surgical team before undergoing surgery [4, 6, 9].

The cost of sleeve gastrectomy surgery

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The cost of sleeve gastrectomy surgery can vary significantly depending on several factors, including the surgical team's experience, the location of the hospital, and the patient's insurance coverage [11]. 

In general, sleeve gastrectomy surgery can cost anywhere from $10,000 to $25,000 [11].

Many insurance providers may cover the cost of sleeve gastrectomy surgery for patients who meet certain criteria, such as a BMI of 40 or higher, or a BMI of 35 or higher with related health conditions [11].

Sleeve gastrectomy surgery: preparing and recovery

Preparing for sleeve gastrectomy surgery involves several steps, including a consultation with the surgical team, preoperative testing, and lifestyle changes [12, 16].

Before the surgery, patients may need to undergo blood tests, imaging tests, and other diagnostic tests to ensure they are healthy enough for surgery [12]. 

Additionally, patients must commit to a healthy lifestyle before and after surgery, including a low-calorie diet and regular exercise [12, 16]. Quitting smoking and reducing alcohol consumption can also improve the chances of a successful surgery and recovery [12, 16].

Recovery after sleeve gastrectomy surgery can vary depending on several factors, including the patient's overall health, the surgical team's experience, and the complexity of the procedure [13, 14, 15].

In general, patients can expect to spend one to two days in the hospital after surgery [13].  After leaving the hospital, patients must adhere to a strict diet and exercise regimen, as well as attend regular follow-up appointments with their surgical team [13, 16]. Patients may also need to take vitamin and mineral supplements to ensure their body gets the nutrients it needs [13].

Sleeve gastrectomy surgery can be a life-changing procedure for patients struggling with obesity

In conclusion, sleeve gastrectomy surgery can be a life-changing procedure for patients struggling with obesity, providing them with a new lease on life and improved health and wellbeing [1, 2, 3, 10].

However, patients must choose a reputable and experienced surgical team, prepare for surgery by undergoing diagnostic tests and making lifestyle changes, and adhere to a strict diet and exercise regimen after surgery to maintain their weight loss and overall health [4, 6, 7, 12, 16].

The success of the procedure depends on several factors, and patients must discuss the potential risks and complications with their surgical team before undergoing surgery [4, 6, 9].

Sources

  1. Angrisani L, Santonicola A, Iovino P, et al. IFSO Worldwide Survey 2016: Primary, Endoluminal, and Revisional Procedures. Obes Surg. 2018 
  2. Brethauer SA, Kim J, el Chaar M, et al. Standardized outcomes reporting in metabolic and bariatric surgery. Surg Obes Relat Dis. 2015;11(3):489-506.
  3. Chang SH, Stoll CR, Song J, et al. The effectiveness and risks of bariatric surgery: an updated systematic review and meta-analysis, 2003-2012. JAMA Surg. 2014;149(3):275-287. 
  4. DeMaria EJ. Bariatric surgery for morbid obesity. N Engl J Med. 2007;356(21):2176-2183.
  5. Dixon JB, Zimmet P, Alberti KG, et al. International Diabetes Federation Taskforce on Epidemiology and Prevention. Bariatric surgery: an IDF statement for obese Type 2 diabetes. Diabet Med. 2011;28(6):628-634. 
  6. Mechanick JI, Youdim A, Jones DB, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient--2013 update: cosponsored by American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery. Obesity (Silver Spring). 2013;21 Suppl 1:S1-S27.
  7. Noel P, Nedelcu M, Gagner M. Laparoscopic sleeve gastrectomy: review of a new bariatric surgery procedure. Arch Surg. 2008;143(10):847-853.
  8. Puzziferri N, Roshek TB 3rd, Mayo HG, et al. Long-term follow-up after bariatric surgery: a systematic review. JAMA. 2014;312(9):934-942.
  9. Schauer PR, Bhatt DL, Kirwan JP, et al. Bariatric surgery versus intensive medical therapy for diabetes--3-year outcomes. N Engl J Med. 2014;370(21):2002-2013.
  10. Tarnoff M, Kaplan LM, Shikora S. An evidenced-based assessment of preoperative weight loss in bariatric surgery. Obes Surg. 2008;18(9):1059-1061.
  11. Wang Y, McPherson K, Marsh T, et al. Health and economic burden of the projected obesity trends in the USA and the UK. Lancet. 2011;378(9793):815-825.
  12. World Health Organization. Preoperative Evaluation of Patient Undergoing Anaesthesia. 2018. Available from: https://apps.who.int/iris/bitstream/handle/10665/260227/9789241513553-eng.pdf;jsessionid=4963AC06C22E5CA26A5E5ED5A5CC0D5E?sequence=1.
  13. American Society for Metabolic and Bariatric Surgery. Postoperative Bariatric Surgery Diet Guidelines. 2020. Available from: https://asmbs.org/app/uploads/2020/12/ASMBS-Postoperative-Bariatric-Surgery-Diet-Guidelines.pdf.
  14. Sjöström L, Peltonen M, Jacobson P, et al. Bariatric surgery and long-term cardiovascular events. JAMA. 2012;307(1):56-65.
  15. Peterli R, Wölnerhanssen BK, Peters T, et al. Effect of laparoscopic sleeve gastrectomy vs laparoscopic Roux-en-Y gastric bypass on weight loss in patients with morbidobesity: the SM-BOSS randomized clinical trial. JAMA. 2018;319(3):255-265
  16. Kim J, Eisenberg D, Azagury D, et al. ASMBS position statement on insurance mandated preoperative weight loss requirements. Surg Obes Relat Dis. 2016;12(1):7-12 

 

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