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How does a gastric sleeve work?
The sleeve gastrectomy surgery involves removing a portion of the stomach, the fundus. This provides superior restriction when compared to a gastric band since the restriction extends the length of the stomach. Gastric sleeves also significantly reduce hunger, in part by decreasing the hunger hormone ghrelin. When patients are hungry, their appetites are quickly satisfied with a small amount of food. Unlike gastric or lap bands, the gastric sleeve does not require the implantation of an artificial device. Patients with gastric sleeves can tolerate denser types of foods than those who have lap bands.
The LapSleeve is a simpler operation than the gastric bypass, since there is no “rerouting” of the intestines. Weight loss with gastric sleeves is very similar to those who have gastric bypass surgery. Patients with lower body mass index (BMI) are losing close to 100% of their excess weight the first year*.
Historically, patients with a body mass index greater than 60 had the sleeve gastrectomy surgery as the first part of a 2-stage operation (the duodenal switch). Surgeons found that doing the gastric sleeve alone resulted in significant weight loss and many did not need the second stage (intestinal bypass) of the duodenal switch.
At Eviva, we are proud to have the most experience with the vertical sleeve gastrectomy in the Pacific Northwest and to be the first center worldwide doing same day LapSleeve surgery. We offer the LapSleeve as a primary weight loss operation for patients more than 50 pounds overweight*.
We attribute patient success to our detailed patient selection and education, as well as our board-certified surgeons’ meticulous technique with short operative times and careful postoperative management. As a result, postoperative pain, nausea, and scarring have been minimal, and patient satisfaction is quite high. Within days, our gastric sleeve patients are back to usual activity and return to work in one to two weeks.