A change of shape

Laparoscopic Sleeve Gastrectomy

Transformation inside and out – that’s the way we view minimally invasive sleeve gastrectomy surgery at Indiana University Health Goshen Physicians Team:Bariatrics. This surgery removes approximately 85 percent of your stomach and reshapes the remaining portion into a tube, or sleeve. With a smaller stomach, you feel less hunger and take in less food. And that leads you on a life-changing journey as you lose the weight that has burdened your health and happiness.

Our specialized bariatric surgeons use laparoscopic technology to perform the surgery. That means smaller incisions than traditional surgery, fewer possible complications and a shorter recovery time for you. The restrictive procedure leaves the continuity of your stomach intact. But it reduces the portion size of meal that your body can tolerate.

Unlike other gastric procedures, the sleeve gastrectomy does not change your digestive process. Your intestinal system remains intact and continues to empty your stomach the same way. However, excess stomach volume is removed, which helps you control your hunger.

How it works

A sleeve gastrectomy decreases the size of your stomach, so you more quickly reach a sense of fullness. During the procedure, your stomach is divided vertically and more than 85 percent of it is removed. The remaining stomach is stitched together into a banana-like shape.

Nerves to the stomach and the outlet valve remain intact to preserve the functions of the smaller-sized stomach. It does not involve rerouting or reconnecting the intestines, like in other gastric bypass surgeries. In addition, the surgery does not require foreign bodies, such as a gastric band.

Because a large portion of the stomach is completely removed, this surgery cannot be reversed.

Advantages of a sleeve gastrectomy

With a sleeve gastrectomy, you can quickly begin your life-changing journey.

  • You can consume most food items in small amounts, since the smaller sized stomach continues to function normally.
  • Your sense of hunger is reduced because the portion of the stomach that produces hunger-stimulating hormones is eliminated.
  • The valve at the outlet to the stomach (pylorus) is preserved to eliminate the possibility of dumping syndrome.
  • The procedure minimizes the chance of an ulcer.
  • By avoiding the intestinal bypass, your chances of intestinal obstruction, anemia, osteoporosis, protein deficiency and vitamin deficiency are almost eliminated.
  • Patients with existing anemia, Crohn's disease and other conditions can consider this procedure, even though they carry too high a risk for intestinal bypass procedures.

What is Laparoscopic Surgery?

In laparoscopic surgeries, a small video camera is inserted into the abdomen. The surgeon views the procedure on a separate video monitor. This gives the laparoscopic surgeon better visualization and access to key anatomical structures.

The surgeon inserts the camera and surgical instruments through small incisions made in the abdominal wall. This approach is considered less invasive because it replaces the need for one long incision to open the abdomen, as is used in open surgeries.

A recent study highlighted advantages of having  laparoscopic weight loss surgery versus open surgery.

  • Smaller incision for faster healing
  • Less pain after surgery
  • Easier breathing and lung function and higher overall oxygen levels
  • Fewer wound complications, such as infection or hernia
  • Quick return to work and pre-surgical levels of activity

To learn more, attend one of our free informational seminars or order a free resource packet today.