Talk to your doctor about your medications, herbs, and dietary supplements. You may be asked to stop taking some medications up to one week before the procedure, like:
You may be given antibiotics.
You may be given laxatives or an enema.
Arrange for a ride to and from the hospital.
The night before, eat a light meal. Do not eat or drink anything after midnight.
will be given through an IV. It will block pain and keep you asleep through the surgery.
Description of the Procedure
An IV will be placed in your arm to give you fluids and medications. 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.
An 8-10 inch incision will be made to open the abdomen. Surgical staples will 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.
Staples or stitches will be used to close the incision.
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 and discomfort after the procedure can be managed with medications.
Average Hospital Stay
The usual length of stay is 4-6 days. If there are any problems, you will need to stay longer.
At the Hospital
A small thin tube with a camera will be used to look down your throat and into your stomach to check for problems.
You will receive nutrition through an IV at first, but slowly start eating again.
While 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 daily
During your stay, the hospital staff will take steps to reduce your chance of infection, such as:
Washing their hands
Wearing gloves or masks
Keeping your incisions covered
There are also steps you can take to reduce your chance of infection, such as:
Washing your hands often and reminding visitors and healthcare providers to do the same
Reminding your healthcare providers to wear gloves or masks
Not allowing others to touch your incision
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.
Walk every day.
Your doctor may recommend that you meet with a therapist to discuss emotional changes after surgery.
Bariatric surgery. EBSCO DynaMed website. Available at: ...(Click grey area to select URL) Updated December 2, 2013. Accessed December 8, 2013.
Gastric sleeve. University of California, San Diego Health System website. Available at: ...(Click grey area to select URL) Accessed December 8, 2013.
Laparoscopic sleeve gastrectomy. Cleveland Clinic website. Available at: ...(Click grey area to select URL) Accessed December 8, 2013.
Sleeve gastrectomy. Virginia Mason Medical Center. Bariatric Surgery Center of Excellence website. Available at:
https://www.virginiamason.org/SleeveGastrectomy. Updated October 2010. Accessed December 8, 2013.
Sleeve gastrectomy. Yale New Haven Health website. Available at:
https://www.greenhosp.org/upload/docs/FactSheets/English/bariatrics_sleeve.pdf. Updated May 2011. Accessed December 8, 2013.
Weight loss surgery. North Shore Medical Center website. Available at: ...(Click grey area to select URL) Accessed December 8, 2013.
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.