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Laparoscopic Sleeve Gastrectomy (Gastric Sleeve)

The laparoscopic sleeve gastrectomy is a procedure in which the surgeon removes approximately 75% of the stomach, shaping the remaining stomach into a tube or “sleeve.”        


  • Performed laparoscopically
  • Average weight loss is 60% of excess in first year
  • Rapid weight loss due to immediate appetite control
  • Short, 45 minute surgery
  • Short, 1-2 night, hospital stay
  • Decreases Ghrelin appetite hormone
  • Controls portion sizes
  • Decreased pain (Usually pain medication is only needed for 7-10 days.)
  • Shorter recovery time (Most return to work in 2-3 weeks.)
  • Decreased nutritional deficiency because the intestine absorbs normally
  • Eat much more naturally
  • No food catching as in Lap-Band
  • No foreign body or plastic as in Lap-Band
  • No dumping as seen in gastric bypass
  • Significantly lower complications than gastric bypass


  • Permanent removal of 70-80% of the stomach (leads to permanent weight control)
  • Potential stretching of sleeve (could be revised if necessary)
  • Reflux (can increase heartburn so we repair any hiatal hernia that occurs)
  • Limited long term data (most studies out to 5-8 years)


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