Laparoscopic Sleeve Gastrectomy
Laproscopic sleeve gastrectomy was intially the first component of the duodenal switch operation and involves removing the lateral 3/4s of the stomach with a stapling device. Over the last 5 years sleeve gastrectomy has become accepted as a primary bariatric operation. It is done laparoscopically ( keyhole surgery) and is not reversible. It basically leaves a stomach tubeor sleeve instead of a stomach sack.
The stomach is reduced in size by removing the lateral 3/4s leaving the stomach in the shape of a tubeor sleeve.
The residual stomach capacity is about 200mls so a generous entree should be possible.
Issues with Sleeve Gastrectomy
- Stomach tube may stretch up over time leading to late weight regain. The extent of this is currently unknown
- The amount of weight reduction is in the region of 40-60% of excess wt lost over the first 1-2 years
- It is a good option for people living in remote areas because it is a "set and forget"
operation which requires little post op follow up or nutritional supplements
- There is no malabsorbtion to nutrients
- If weight is regained the second stage of the BPD the intestinal bypass can be added
The cost of Sleeve Gastrectomy can be discussed with the practice manager on Tel: (08) 9246 2314.