This is a relatively new approach. It is the first component of the duodenal switch operation and involves removing the lateral 2/3rds of the stomach with a stapling device. It can be done laparoscopically (keyhole surgery) but is not reversible.It basically leaves a stomach tube instead of a stomach sack. Sometimes it is offered to patients as part of a two stage Bypass operation particularly if they are super obese ( BMI>60) because it allows good weight loss until the patient gets down to a safe weight and the more radical bypass can then be offered laparoscopically when they are at a safer weight.
The residual stomach capacity is about 200mls so a generous entree should be possible.
The weight loss seems to be a little better and more rapid than the lap band (60-70% EWL) over two years but it is not adjustable.
It might also be a good option if patients have a problem with their lap band requiring revision, have already lost a lot of weight and don’t want a full bypass.
Hospital Stay : 3 nights
Days Required in Istanbul : 1 week
Find out more about Sleeve Gastrectomy with the following links.