Gastric Sleeve Surgery

Diagram of Gastric Sleeve Surgery

Vertical Sleeve Gastrectomy (Gastric Sleeve)

For many people, the gastric sleeve surgery in San Antonio, Texas is appealing because it is not quite as drastic as a bypass and yet it does not involve an implant like the banding procedure. With the sleeve gastrectomy, there is NO dumping syndrome because there is no re-routing of the intestines.

The vertical sleeve gastrectomy, also called a “sleeve” or “gastric sleeve,” is a hybrid operation. 80 percent of the stomach is completely resected and removed from the body. The resection is done along the long axis of the stomach so that the new stomach looks like a banana or a hockey-stick. The new stomach is very stiff, tubular and narrow stomach, and does not let you eat very much food. The portion of the stomach that is removed is the most elastic.

With sleeve gastrectomy surgery, the weight loss results are very similar to bypass surgery for the first year or so. The procedure is usually covered by insurance.

Why the vertical sleeve gastrectomy helps people lose weight

The vertical sleeve gastrectomy is a metabolic surgery. By removing part of the stomach, we dramatically alter the neuro-hormonal pathways that control the sensation of hunger and the way our body manages the calories that we put in.

There is a hormone called ghrelin that is made primarily in the part of the stomach that we remove. It is the primary driver in the hunger pathway, and with the dramatic drops in ghrelin levels seen after the gastric sleeve surgery, we see a commensurate decrease in hunger! We also see up-regulation of a hormone called GLP1, which is involved with our body’s control of glucose. In fact, many of the newer diabetes treatment medications are designed to up-regulate GLP1. The sleeve surgery does this without medication and in this way, it can cause remission of diabetes and metabolic disease quite rapidly.

Advantages of sleeve gastrectomy surgery

Gastric sleeve weight-loss surgery offers the following advantages:

  • May reduce hunger, since less of the hunger-inducing hormone ghrelin is produced by your stomach following the procedure
  • Simpler, shorter operation than a gastric bypass (unlike a gastric bypass, gastric sleeve weight-loss surgery doesn’t re-route the intestines)
  • No adjustments are needed, unlike with lap bands
  • No foreign objects are left in your body
  • Significant weight loss is the norm
  • Weight loss is usually maintained
  • No “dumping syndrome” with unpleasant side effects that can be associated with gastric bypass surgery

Who makes a good candidate for gastric sleeve surgery?

The following are important criteria that can help determine whether you may be a good candidate for gastric sleeve surgery:

Sleeve gastrectomy may be a good option if you have a body mass index (BMI) of at least 40, meaning you’re at least 100 pounds overweight. You may also qualify with a BMI of 35 if you have a chronic weight-related health condition, such as type 2 diabetes, high blood pressure or sleep apnea. Depending on your weight and BMI, you may be too heavy for gastric bypass surgery but still a good candidate for a gastric sleeve procedure.

Overall health
If you’re considering sleeve gastrectomy surgery, you may also have weight-related health issues. However, you’ll need to be able to withstand the physical stress of surgery. That’s why we’ll talk to you at length about your medical history and current health, conducting any tests that might be needed to ensure you’re able to physically handle the surgery and recovery.

Commitment to diet maintenance
We’ll make sure you understand your dietary guidelines and help you avoid eating more than you should in the long term. If you do overeat, it’s possible to stretch your new, smaller stomach and regain weight. Our dietitians can help you follow a plan that meets your dietary requirements and maximizes nutrition.

Commitment to exercise
Exercise is another important component of your post-surgery success. You should be willing to commit to exercising at least three times a week – preferably even more. We have a staff of exercise physiologists who are specially trained to help bariatric patients.

Willingness to take needed nutritional supplements
Since your new, smaller stomach will hold a much smaller amount of food, you’ll need to take multiple vitamin and mineral supplements for the rest of your life.

Psychological readiness
Gastric sleeve surgery can have psychological effects as well as physical ones. For example, you may be used to dealing with stress by overeating, but if you do this after surgery, you could stretch your stomach and regain the weight you’ve worked so hard to lose. You may also find that some of your relationships change. With this in mind, we have behavioral counselors on staff to help you navigate any psychological challenges you may face.

What to Expect post-op with gastric sleeve weight loss surgery

With a sleeve, you should expect to stay in the hospital for one or two nights. Your immediate goals after surgery are to walk frequently and to do breathing exercises using a special tool called an incentive spirometer. In addition, we will give you some blood-thinning medication to prevent blood clots. Patients are usually allowed to begin sipping on liquids a few hours after surgery.

Post-op Day One goal: Transition completely from IV fluids and medications to oral intake and liquid pain medicine. We use a special three-day local anesthetic in the tiny incision sites so the pain will be very well-controlled.

Day Two: Most patients are ready to go home today. Don’t feel bad if you are not quite up to it, though. We realize that everyone is different, and we want you to be completely comfortable before we let you go home.

What type of weight loss can be expected?

Everyone is different, but people who have had gastric sleeve surgery usually lose about 60 percent of their excess weight over 12 to 18 months. In other words, if you’re 100 pounds overweight, you may lose 60 pounds within that time, although this amount can increase with proper diet and exercise. At the two-year mark, our patients have usually lost more than average thanks to our dietary, exercise and psychological support.

To learn more about sleeve gastrectomy, contact us today, watch a free seminar or chat with a BMI expert. We’ll help give you the tools you need to succeed in losing a significant amount of weight and keeping it off in the long-term, improving your health in the process!

If you would like more information or have a question, please Contact Us Today.
Or watch a free seminar!

Why Pay More?

Gastric Sleeve Surgery can range drastically in price, but you aren't necessarily getting better service for your money. BMI of Texas's state of the art facility allows us to cost effectively provide this proceedure while providing top quality service.

Example of how our Gastric Sleeve Sleeve Pricing Compares to the Competition
Dallas A$13,400
Dallas B$11,000
Houston A$16,000
Houston B$14,300
Houston B$14,300
Los Angeles A$12,000
Los Angeles B$25,000
BMI of Texas$9,900

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