Bariatric Weight-Loss Surgery

Gastric Sleeve Surgery FAQs: Everything You Need to Know

Dr. Jason F. Moy
Dr. Brian T. Chin
Daniel Roman
August 16, 2024
Gastric Sleeve Surgery FAQs: Everything You Need to Know

Gastric sleeve surgery, also known as sleeve gastrectomy, has become one of the most popular weight-loss procedures worldwide. If you're considering this surgery, you likely have many questions. This comprehensive guide will answer your frequently asked questions about gastric sleeve surgery, helping you make an informed decision.

What is Gastric Sleeve Surgery?

Gastric sleeve surgery is a bariatric procedure that reduces the size of the stomach in order to limit food intake. The surgery removes a large portion of the stomach, resulting in a smaller, sleeve-shaped stomach. This smaller stomach restricts the amount of food you can eat, leading to significant weight loss.

Procedure Overview

Typically, the surgeon performs the surgery laparoscopically, ensuring minimal invasiveness. The surgeon makes small incisions in the abdomen and guides himself with a laparoscope, a thin, flexible tube with a camera. The surgeon then staples and divides the stomach, reducing its size by about 75–80%.

How It Works

The reduced stomach size limits the amount of food you can consume, leading to a feeling of fullness with smaller meals. Additionally, the surgery removes the part of the stomach that produces the hunger hormone ghrelin, which can help reduce appetite.

Who is a Suitable Candidate for Gastric Sleeve Surgery?

Eligibility Criteria

To be eligible for gastric sleeve surgery, you typically need to meet the following criteria:

  • Body Mass Index (BMI): A BMI of 40 or higher, or a BMI of 35 or higher with one or more obesity-related health conditions, such as type 2 diabetes, high blood pressure, or sleep apnea.
  • Health Conditions: You should be in excellent enough health to undergo surgery and anesthesia.
  • Previous Weight Loss Attempts: You have tried and failed to lose weight through diet and exercise alone.

Medical Evaluation

A thorough medical evaluation is essential to determining if you are a suitable candidate for the surgery. This may include blood tests, imaging studies, and consultations with various healthcare professionals.

Age and Lifestyle Considerations

While there is no strict age limit, most surgeons prefer to perform the surgery on adults who are committed to making long-term lifestyle changes. Your lifestyle, including your diet, exercise habits, and overall health, will also be considered.

Gastric Sleeve Surgery's Benefits

Weight Loss

Gastric sleeve surgery can lead to significant weight loss. On average, patients can expect to lose 60–70% of their excess weight within the first year after surgery.

Health Improvements

The surgery can also lead to improvements in various health conditions, including

  • Type 2 diabetes: Many patients see a significant improvement or even resolution of their diabetes.
  • Hypertension: Blood pressure often improves after surgery.
  • Sleep Apnea: Weight loss can help relieve sleep apnea symptoms.
  • Joint Pain: Reduced weight can ease pressure on joints, leading to less pain and improved mobility.

Quality of Life

Successful weight loss can greatly enhance your quality of life. You may experience increased energy, improved self-esteem, and the ability to participate in activities you previously found challenging.

Risks and Complications

While gastric sleeve surgery is generally safe, it does carry some risks and potential complications.

Common Risks

  • Leaks: The staple line can leak, resulting in infection and other complications.
  • Bleeding: Bleeding can occur during or after the surgery.
  • Infection: There is a risk of infection at the surgical site.
  • Blood Clots: Deep vein thrombosis (DVT) and pulmonary embolism are rare but serious complications.

Long-Term Complications

  • Nutritional Deficiencies: The reduced stomach size can lead to deficiencies in vitamins and minerals.
  • Weight Regain: If patients do not adhere to dietary and lifestyle changes, they may regain weight.
  • Gastroesophageal Reflux Disease (GERD): Some patients may develop or worsen GERD after surgery.

Mitigation Strategies

To minimize risks and complications, it is essential to follow your surgeon's instructions carefully, maintain a healthy diet, and attend all follow-up appointments.

Getting Ready for Gastric Sleeve Surgery

Pre-Operative Diet

Before surgery, you may be required to follow a specific diet to prepare your body for the procedure. This typically involves a low-calorie, high-protein diet to reduce the size of your liver and make the surgery safer.

Medical Tests

Various medical tests may be required, including blood tests, electrocardiograms (ECGs), and imaging studies, to ensure you are healthy enough for surgery.

Mental Preparation

Psychological support and counseling can help you prepare mentally for the surgery and the lifestyle changes that will follow.

What to Expect During the Surgery

Anesthesia

Gastric sleeve surgery is performed under general anesthesia, meaning you will be asleep during the procedure.

Surgical Technique

The surgery typically takes 1-2 hours. The surgeon will make small incisions in your abdomen and use a laparoscope to guide the procedure. The surgeon then staples and divides the stomach to create a smaller, sleeve-shaped stomach.

Duration of Surgery

The average duration of the surgery is about 1–2 hours, but this can vary depending on individual factors.

Post-Operative Care and Recovery

Hospital Stay

Most patients stay in the hospital for 1–2 nights after surgery. During this time, you will be monitored closely to ensure there are no complications.

Post-Operative Diet

After surgery, you will need to follow a specific diet to allow your stomach to heal. This typically involves a liquid diet for the first few weeks, followed by a gradual transition to solid foods.

Follow-Up Appointments

Regular follow-up appointments are crucial to monitor your progress and address any concerns. These appointments may include blood tests, nutritional counseling, and psychological support.

Support Groups

Joining a support group can provide valuable emotional and practical support during your recovery and weight-loss journey.

Long-Term Results and Maintenance

Expected Weight Loss

On average, patients can expect to lose 60–70% of their excess weight within the first year after surgery. Long-term weight loss depends on adherence to dietary and lifestyle changes.

Diet and Exercise

Maintaining a balanced diet and regular exercise routine is essential for long-term success. Your healthcare team will provide guidance on nutrition and physical activity.

Follow-Up Care

Long-term follow-up care is crucial to monitor your health and address any issues that may arise. Regular check-ups, blood tests, and nutritional counseling are typically part of the follow-up care.

Cost and Insurance Coverage

Average Cost

The average cost of gastric sleeve surgery can vary widely depending on your location, the surgeon's fees, and the hospital's charges. On average, the cost can range from $10,000 to $20,000.

Insurance Coverage

If deemed medically necessary, many insurance companies cover gastric sleeve surgery. It is essential to check with your insurance provider to understand your coverage options.

Financing Options

If insurance does not cover the surgery, financing options may be available. Many bariatric centers offer payment plans and financing to help make the surgery more affordable.

How to Find the Best Bariatric Surgeon Near You

Frequently Asked Questions (FAQs)

Common Concerns

  • Will I regain the weight? Weight regain is possible if you do not adhere to dietary and lifestyle changes. Following your healthcare team's recommendations is crucial for long-term success.
  • How long will I be off work? Most patients can return to work within 2-4 weeks after surgery, depending on their job and recovery progress.
  • Will I need additional surgeries? In some cases, additional surgeries may be required to address complications or achieve further weight loss.

Success Stories

Many patients have achieved significant weight loss and improved their health through gastric sleeve surgery. Reading success stories and testimonials can provide inspiration and reassurance.

Expert Opinions

Bariatric surgery experts agree that gastric sleeve surgery is a safe and effective option for many patients. Consulting with a qualified surgeon can provide valuable insights and guidance.

Conclusion

Gastric sleeve surgery is a life-changing procedure that can help you achieve significant weight loss and improve your health. By understanding the benefits, risks, and what to expect before, during, and after the surgery, you can make an informed decision.

If you're considering gastric sleeve surgery, take the time to research, consult with healthcare professionals, and prepare mentally and physically for the journey ahead. With the right support and commitment, you can transform your life and achieve your weight-loss goals.

Ready to Transform Your Life with Gastric Sleeve Surgery?

If you're considering gastric sleeve surgery, don't wait any longer to take the first step towards a healthier, happier you. The expert doctors at BASS Bariatric Surgery Center are here to support you every step of the way.

Contact BASS Bariatric Surgery Center today to schedule a consultation and discuss your options with our experienced surgeons.

Call us at 925-281-3711 or request a consultation through our website to start your weight-loss journey. Our dedicated professionals will provide you with personalized care and guidance to ensure your success.

Don't let weight hold you back any longer. With the BASS Bariatric Surgery Center, you can take control of your health and your future.

About The Author

Daniel Roman, Content Writer

Daniel Roman is a Digital Content Writer at BASS Medical Group. He received his Masters in Journalism from UC Berkeley in 2021. Daniel has published multiple newspaper articles covering public health issues. His latest was a magazine cover story on pandemics and diseases that he co-wrote with Dr. Elena Conis, a historian of medicine, public health, and the environment.

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Ozempic vs. Bariatric Surgery: Key Differences

Feature
Ozempic (Semaglutide)
Bariatric Surgery
Mechanism of Action
Appetite suppression, slowed gastric emptying
Restriction, malabsorption, hormonal changes
Invasive/Non-Invasive
Non-invasive (injection)
Invasive (surgery)
Expected Weight Loss
15-20% of body weight
40-70% of excess weight
Duration of Treatment
Ongoing (weekly injection)
One-time procedure
Reversibility
Yes
Varies (some procedures reversible)
Cost
Lower initial cost, ongoing medication expense
Higher initial cost, potential long-term savings
Side Effects
Nausea, vomiting, diarrhea, constipation
Surgical risks, nutritional deficiencies, digestive issues

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