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Attempts to lose weight (about 10%) through medically approved diets
Meetings with a registered dietitian
Mental health test and counseling
Prior to the procedure:
Talk to your doctor about any medicines, herbs, and dietary supplements you are taking. You may be asked to stop taking some medicines up to one week before the procedure, like:
or other anti-inflammatory drugs
Before the procedure:
You may be given antibiotics.
You may be given laxatives or an enema.
Arrange for a ride to and from the hospital. Arrange for help at home.
The night before, eat a light meal. Do not eat or drink anything after midnight.
will be given through an IV (needle) in your hand or arm. It will block pain and keep you asleep through surgery.
Description of the Procedure
A nurse will place an IV line in your arm to give you fluid and medicines. A breathing tube will be placed through your mouth and into your throat. This will help you breathe during surgery. You will also have a catheter placed in your bladder to drain urine.
Your doctor will make several small cuts in your abdomen. Gas will be pumped in to inflate your abdomen, making it easier for the doctor to see. A laparoscope and surgical tools will be inserted through the incisions. A laparoscope is a thin, lighted tool with a tiny camera. It sends images of your abdominal cavity to a monitor. Your doctor will operate while viewing the monitor.
The doctor will use surgical staples to divide the stomach vertically. The new stomach will be the shape of a slim banana. The rest of the stomach will be removed. Your new stomach can hold 50-150 mL (milliliters) of food, about 10% of what a normal adult stomach can hold. Incisions will be closed with staples or stitches.
In some cases, the doctor may need to switch to open surgery.
Immediately After Procedure
The breathing tube and catheter will be removed.
How Long Will It Take?
About two hours
How Much Will It Hurt?
Anesthesia will prevent pain during surgery. Pain medicine will be given after surgery.
Average Hospital Stay
The usual length of stay is 2-3 days.
At the Hospital
The doctor may use a small tube with a camera to look down your throat and into your stomach to check for problems.
You will receive nutrition through an IV, but then slowly start eating again.
In the hospital, you may be asked to:
Use a device called an incentive spirometer to prevent breathing problems
Wear elastic surgical stockings or boots to promote blood flow in your legs
Get up and walk
For a smooth recovery:
Ask your doctor about when it is safe to shower, bathe, or soak in water.
Do not drive or lift anything heavy for at least two weeks or until advised by your doctor.
Take walks daily.
Your doctor may recommend that you meet with a therapist if you have emotional ups and downs after surgery.
Follow your doctor’s instructions.
You should be able to return to normal activities in 2-3 weeks.
Bariatric surgery. EBSCO DynaMed website. Available at:
https://dynamed.ebscohost.com/about/about-us. Updated November 2010. Accessed November 22, 2010.
Gastric sleeve. University of California, San Diego Health System website. Available at:
http://health.ucsd.... Accessed November 22, 2010.
Laparoscopic sleeve gastrectomy. Baylor College of Medicine website. Available at: ...(Click grey area to select URL) Updated November 2010. Accessed November 22, 2010.
Sleeve gastrectomy. Cleveland Clinic website. Available at:
http://weightloss.clevelandclinic.org/Sleevegastrectomy.aspx. Accessed November 22, 2010.
Sleeve gastrectomy. Virginia Mason Medical Center. Bariatric Surgery Center of Excellence website. Available at:
https://www.virginiamason.org/SleeveGastrectomy. Updated October 2010. Accessed November 22, 2010.
Sleeve gastrectomy. Yale New Haven Health website. Available at:
https://www.greenh.... Updated January 2010. Accessed November 22, 2010.
Walsh J. Sleeve gastrectomy as a stand alone bariatric procedure for obesity. California Technology Assessment Forum website. Available at: ...(Click grey area to select URL) Updated October 2010. Accessed November 22, 2010.
Weight loss surgery. North Shore Medical Center website. Available at:
http://nsmcweightloss.org/web/surgical_procedures.aspx. Accessed November 22, 2010.
EBSCO Information Services is fully accredited by URAC. URAC is an independent, nonprofit health care accrediting organization dedicated to promoting health care quality through accreditation, certification and commendation.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.