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PreOp® Patient Education - https://PreOp.com What is Laparoscopic Gastric Sleeve Surgery? Your doctor has recommended a laparoscopic Gastric Sleeve to help you lose weight. When we swallow, the esophagus carries food down to the stomach to be digested. Digestion breaks the food into smaller bits that can be used by the body. These small bits of digested food then pass to the small intestine, where water, fat, protein, and other nutrients are taken up by the body. Weight loss procedures also called bariatric surgery, make the stomach smaller so that a person cannot eat as much food as they used to. This type of surgery is intended for someone who is significantly above their ideal body weight, has health problems because of the weight, and other treatment options, including diet and exercise, have failed to help. With bariatric surgery, up to 80% of people lose weight and keep it off. Not all of the extra weight is lost; patients tend to lose about half. For example, someone may lose 50 pounds if they are 100 pounds overweight. Some patients are able to lose more, and some lose less. The weight loss after surgery usually helps with diabetes, sleep apnea, joint pain, and high blood pressure. Before this procedure, you must work with a care team for up to 6 months to make lifestyle changes. This can include a nutritionist, an exercise trainer, and a counselor for support and depression management. You may need a sleep study if you have never had one to check your breathing while you sleep. Surgery does not guarantee permanent weight loss. Keeping the weight off depends on you having a healthier lifestyle forever. It will help your body reset to a new weight, but your new good habits keep the weight off. Recommending surgery as an option is commonly based on a person’s BMI or body mass index, which is related to a person’s height and weight. Surgery may be an option for adults that are 100 pounds overweight or have a BMI of 40. Surgery may also be advised for a BMI of 35 if there are weight-related health problems such as sleep apnea, type 2 diabetes, or heart disease. The laparoscopic gastric sleeve is a procedure that makes the stomach smaller by cutting away part of it. It is shaped like a banana afterwards and can fit less than half a cup of food, or 100 cc’s. Since most of the stomach is taken out, it is a permanent procedure. Benefits of the sleeve procedure are : a decreased appetite from less of the hunger hormone Ghrelin, which is made by the section of stomach that is removed. a smaller stomach, so you cannot eat as much, and no change to your intestines so vitamins and food can be absorbed normally There are several different types of bariatric surgery, some are more, and some are less invasive, including Gastric Bypass, Laparoscopic Gastric Sleeve, Gastric Banding, and Endoscopic Gastric Sleeve It is very important that you understand why the laparoscopic gastric sleeve has been recommended for you. If you have questions, ask. Your surgeon has recommended a laparoscopic procedure. A long instrument with a light and camera called a laparoscope is used. The scope makes it possible to see and operate on hard-to-reach delicate tissue. This is a minimally invasive surgery that uses very small incisions instead of a classic large incision. Healing and return to normal activity are usually faster, with less bleeding and fewer complications. With all laparoscopic procedures, the surgical team is prepared to change your surgery to an open procedure with a larger incision if this becomes necessary. An open procedure is sometimes needed to treat unexpected bleeding or other findings during a procedure that make it impossible to use a laparoscope. If this happens, your stay in the hospital and recovery will be longer than you originally expected. Now let’s talk a little more about what happens during a Laparoscopic Gastric Sleeve Procedure. General anesthesia and medications to make you asleep and pain-free during your procedure are given. Your abdomen is then carefully filled with carbon dioxide gas, CO2 (say “C” “Oh” “2”). 4 or 5 small cuts, called incisions, are then made to place tools for the procedure. The surgeon looks at your stomach and intestines for scar tissue or problems that may need to be fixed before making the sleeve. Fatty attachments to the outside wall of the stomach are carefully clipped. A special tool is then used to staple and cut the stomach—the staples work like stitches to seal the wall of the stomach and stop bleeding. The surgeon carefully makes the stomach into a banana-shaped tube by placing the staples one section at a time. Finally, a large part of the stomach is cut away and taken out thru one of the small incisions. The surgeon carefully checks the stomach for bleeding and places extra stitches if needed.

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