The Sleeve Gastrectomy (SG) is a laparoscopically performed “restrictive” procedure which does not involve any surgery on or re-routing of the intestine. It is also known as tube or vertical sleeve gastrectomy, and is different from the stomach stapling procedures used in the past.

SG removes about three quarters of the stomach, which results in a decreased appetite and early feeling of fullness with smaller amounts of food. Food passes as normal down the oesophagus, through the resized stomach and into the small intestine.

Advantages

• Significant weight loss
• Improvement of type 2 diabetes
• Lower blood pressure
• Lower cholesterol
• Relief of sleep apnoea
• Decreased joint pain, improved mobility
• Improved mood and self-esteem.

Disadvantages

• An internal infection from leakage of digestive juices into body cavity
• Wound infections at incision sites
• Hernias – a weakening of the abdominal wall
• Development of gall bladder disease and/or gall stones due to rapid weight loss
• Blood clots may cause a more serious condition called a pulmonary embolism
• As with any surgical procedure, there is a risk of death.

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