ARH Bariatrics

Laparoscopic Gastric Sleeve


In this minimally invasive procedure, the camera and instruments are inserted through small incisions to remove the outer 85% of your stomach, converting your stomach into a thin, narrow “sleeve” or tube. Your smaller stomach holds much less food and allows you to get full on small portions. The smaller stomach results in decreased production of Ghrelin, thereby reducing appetite and hunger sensation. Digestion is normal and there is no re-routing of the intestines. Weight loss is rapid for most patients, about 50% of excess body weight in the first year.

Advantages of this procedure:

• Stomach volume is reduced.
• Decreased hunger and appetite.
• No Dumping Syndrome.
• Can be converted to other weight loss procedures (staged).
• Faster weight loss as compared to LAGB.
• No foreign body issues (slip or erosion).

Disadvantages of this procedure:

• Potential for the sleeve to stretch over time.
• At present time, the procedure is considered investigational by most insurance companies.

As with any surgical procedures, there are risks that include:
Wound infection, respiratory complications, bleeding, splenectomy, bowel injury, DVT/Pulmonary embolism, gastrointestinal leaks, stroke, heart attack and death.
Starting with liquids and protein supplements, you will slowly add foods to your diet until you reach a normal way of eating. This process will take approximately 2-4 months.