Understanding the Surgical Gastric Sleeve Procedure

Understanding the Surgical Gastric Sleeve Procedure

In the realm of weight loss surgery, the surgical gastric sleeve has emerged as a popular and effective option for individuals struggling with obesity. عمل اسلیو معده دکتر مهدی سلیمی Also known as sleeve gastrectomy, this procedure involves reducing the size of the stomach to promote significant weight loss and improve overall health. Let’s delve into the details of this transformative surgery, from its rationale to the recovery process.

What is a Surgical Gastric Sleeve?

The surgical gastric sleeve is a minimally invasive procedure designed to help individuals achieve substantial weight loss by altering the size and shape of their stomach. During the surgery, a portion of the stomach is removed, leaving behind a smaller, sleeve-shaped organ resembling a banana. This reduction in stomach size restricts the amount of food that can be consumed, leading to a feeling of fullness with smaller portions.

How Does it Work?

The principle behind the surgical gastric sleeve is twofold: restriction and hormonal changes. By reducing the size of the stomach, the procedure limits the amount of food a person can eat at one time, promoting portion control and calorie restriction. Additionally, the surgery alters the production of certain hormones in the gastrointestinal tract, which can help regulate appetite and enhance feelings of fullness.

Who is a Candidate?

Candidates for the surgical gastric sleeve typically include individuals who have been unsuccessful in achieving significant weight loss through diet and exercise alone and have a body mass index (BMI) of 40 or higher, or a BMI of 35 or higher with obesity-related health issues such as diabetes or hypertension. Additionally, candidates should be committed to making long-term lifestyle changes to support their weight loss journey.

The Procedure

The surgical gastric sleeve is performed under general anesthesia and typically takes between one to two hours to complete. During the procedure, the surgeon makes several small incisions in the abdomen and inserts a laparoscope, a thin tube with a camera attached, to view the internal organs. Using specialized instruments, the surgeon removes approximately 75-85% of the stomach, leaving behind a narrow tube or sleeve.

Benefits of Surgical Gastric Sleeve

  • Significant Weight Loss: Studies have shown that patients can expect to lose 50-60% of their excess body weight within the first year following surgery.
  • Improvement in Obesity-Related Health Conditions: Many patients experience remission or improvement in obesity-related conditions such as type 2 diabetes, hypertension, and sleep apnea.
  • Enhanced Quality of Life: Weight loss following the surgical gastric sleeve can lead to increased mobility, improved self-esteem, and a better overall quality of life.
  • Long-Term Results: Unlike some other weight loss procedures, the effects of the surgical gastric sleeve are typically long-lasting, especially when combined with healthy lifestyle habits.

Risks and Considerations

While the surgical gastric sleeve is generally considered safe, like any surgical procedure, it carries certain risks and considerations, including:

  • Complications: Potential complications include infection, bleeding, blood clots, and leaks from the staple line.
  • Nutritional Deficiencies: Because the surgery restricts the amount of food that can be consumed, patients may be at risk for nutritional deficiencies, particularly of vitamins and minerals such as vitamin B12, iron, and calcium.
  • Changes in Digestion: Some patients may experience changes in digestion, including nausea, vomiting, and acid reflux, particularly in the immediate post-operative period.
  • Lifestyle Changes: Success with the surgical gastric sleeve requires a commitment to making long-term lifestyle changes, including dietary modifications and regular exercise.

Recovery and Follow-Up

Following the surgical gastric sleeve, patients typically stay in the hospital for 1-2 days for monitoring and pain management. Most individuals can resume normal activities within 2-4 weeks, although strenuous exercise should be avoided for a few weeks. Regular follow-up appointments with the surgical team are essential to monitor progress, address any concerns, and provide ongoing support and guidance.


The surgical gastric sleeve is a highly effective option for individuals struggling with obesity who have been unable to achieve significant weight loss through traditional methods. By reducing the size of the stomach and altering hormonal signaling, this procedure can help patients achieve substantial weight loss, improve obesity-related health conditions, and enhance overall quality of life. However, it is important to carefully consider the risks and benefits and make a commitment to long-term lifestyle changes to ensure the best possible outcomes.