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Sleeve Gastrectomy

Sleeve Gastrectomy

Sleeve gastrectomy is one of the most widely performed bariatric procedures worldwide, carried out at The Specialty Hospital under high safety standards and the supervision of a specialized surgical team. The procedure involves the removal of approximately 80% of the stomach along the greater curvature, creating a tubular, sleeve-shaped stomach — roughly the size and shape of a banana — that preserves core digestive functions while significantly limiting food intake. The procedure is performed laparoscopically, is considered permanent and irreversible, although mild dilation of the stomach may occur over time.

Surgical Mechanism:

Sleeve gastrectomy is classified as a restrictive procedure, as it reduces the stomach's food-holding capacity. The surgery is performed through small abdominal incisions through which precise surgical instruments are introduced. A laparoscopic camera provides continuous, clear visualization of the abdominal cavity throughout the procedure, ensuring accurate resection and reliable surgical outcomes.

Indications — Based on Updated ASMBS/IFSO 2022 Guidelines:

The previously established criteria have been replaced by updated, evidence-based guidelines issued by the American Society for Metabolic and Bariatric Surgery (ASMBS) and the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO). Current indications include:

  • BMI ≥ 35 kg/m² regardless of the presence or absence of obesity-related comorbidities
  • BMI between 30 and 34.9 kg/m² with type 2 diabetes (T2DM) or other obesity-related medical conditions
  • BMI between 30 and 34.9 kg/m² when non-surgical interventions have failed to achieve adequate weight loss or comorbidity improvement

Prior to surgery, all patients undergo a comprehensive multidisciplinary evaluation — including surgical, nutritional, psychological, and medical assessments — to confirm candidacy and ensure medical suitability for the procedure

What to Expect After Surgery?

Most patients are hospitalized for 1 to 2 days and resume normal physical activities within 4 to 6 weeks. Standard postoperative care includes:

  • Pain and nausea management; opioid medications are used minimally and only when clinically necessary
  • Prophylactic anticoagulation therapy to prevent deep vein thrombosis
  • Early mobilization and walking encouraged immediately after surgery, as part of the Enhanced Recovery After Surgery (ERAS) protocol
  • A progressive diet beginning with small volumes of clear liquids, advancing over several weeks to pureed and then solid foods

Regular follow-up with the nutrition team to assess protein and micronutrient levels, with prescribed vitamin and mineral supplementation to prevent deficiencies and malnutrition

Expected Weight Loss Outcomes

Evidence from multicenter studies and 2024–2025 systematic reviews indicates an average excess weight loss (EWL) of 55–65% over a follow-up period of 5 to 10 years. Outcomes are influenced by several factors, including:

  • Adherence to the postoperative dietary protocol and nutritional guidance
  • Consistent physical activity
  • Patient age and overall health status, which may affect weight loss rates
  • Long-term engagement with the multidisciplinary follow-up program

Comprehensive Care at The Specialty Hospital

The Specialty Hospital provides an integrated, multidisciplinary approach before, during, and after surgery — encompassing bariatric surgeons, internal medicine physicians, clinical dietitians, and psychological support Long-term follow-up, nutritional supplementation, and behavioral modification are considered fundamental pillars in achieving sustained weight loss and improved quality of life  

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