Sleeve Gastrectomy
Vertical Sleeve Gastrectomy in New Jersey is a bariatric procedure that offers an excellent alternative to both gastric bypass and adjustable gastric banding. It is particularly effective for patients with mild to moderate Body Mass Index (BMI of 35 – 45) as a primary procedure and for very high BMI (greater than 70) as a staged procedure.
Vertical sleeve gastrectomy works mainly by reducing stomach volume. During surgery, the stomach is divided vertically and 80 to 85 percent of it is removed. What is left is a long vertical "sleeve" that is shaped like a banana. The nerves to the stomach and the outlet valve (pylorus) remain intact to preserve the functions of the stomach while reducing the volume it is able to hold. There is no intestinal bypass with this procedure, only stomach capacity reduction. A sleeve gastrectomy also works because it removes the part of the stomach that produces Ghrelin, a hormone that stimulates appetite. This reduces, but does not eliminate, a person's appetite.
Patients can expect to lose 50 to 70 percent of excess weight over a one- to two-year period after nj sleeve gastrectomy. Patients who may benefit from a sleeve gastrectomy over other procedures include those who have previously had small bowel surgery, very high BMI patients (>70) as part of a two-stage procedure, or low BMI (35 – 45) patients who prefer not to or cannot have an implanted device (band) or a malabsorptive (bypass or duodenal switch) procedure.
Other candidates include patients who have a family history of gastric cancer or need frequent EGD's, and patients who have a history of inflammatory bowel disease or who are scheduled to undergo another procedure (knee replacement, kidney transplant) and need a procedure to lose weight that will have minimal effect on absorption of medications.
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