In a laparoscopic sleeve gastrectomy, also known as a vertical sleeve gastrectomy or gastric sleeve procedure. it has also been used as a staging procedure prior to a gastric bypass or duodenal switch in very high risk patients. A sleeve gastrectomy is a purely restrictive procedure.
The laparoscopic sleeve gastrectomy, by reducing the size of the stomach, This involves making five or six small incisions in the abdomen and performing the procedure using a video camera (laparoscope) and long instruments that are placed through these small incisions.
The sleeve gastrectomy, unlike the Lap-band, does not require the use of a banding device to be implanted around a portion of the stomach.
Procedure of Laparoscopic Sleeve Gastrectomy surgery
Laparoscopic sleeve gastrectomy surgery is done in a hospital under general anesthesia. Starting the surgeon with some cuts in your belly then using a telescope with the tine camera at the end. The instrument is placed through these small incisions. During this process about 75% of the stomach is removed.
Who will need of Laparoscopic Sleeve Gastrectomy surgery
Peoples who have a body mass of above 60, If you are older or have other risk factors for surgery like heart, lung, or liver problems, These include stomach ulcers or poor food absorption than other forms of weight-loss surgery
In patients who undergo LSG as a first stage procedure, the second is performed 12 to 18 months later after significant weight loss has occurred and the risk of anesthesia is much lower.
The risks with some forms of bariatric surgery are much higher for people with a BMI over 60
Advantage of Laparoscopic Sleeve Gastrectomy surgery
o In the first 2 years after LSG, most people will lose between 40% and 50% of their body weight.
o Surgical risk is lower than with gastric bypass while weight loss is similar
o Much obesity-related comorbidity improves or resolve after bariatric surgery
o The weight loss that occurs after LSG results in dramatic improvement in these medical conditions in the first year after surgery
o Less food intolerance than with the gastric band
o No dumping syndrome or nutritional deficiency
o Appealing option for people not fit for malabsorptive or combined procedures
Risks of Laparoscopic Sleeve Gastrectomy surgery
The risk of major post-operative complications after Laparoscopic Sleeve Gastrectomy is 5–10 percent, which is less than the risk associated with gastric bypass or malabsorptive procedures such as duodenal switch this is primarily because the small intestine is not divided and reconnected during Laparoscopic Sleeve Gastrectomy as it is during the bypass procedures.
Bleeding
Bleeding, or hemorrhage, can occur if a blood vessel is not sealed off during surgery which happens in approximately 0.5% of cases, a blood transfusion may be required
Leaks at the staple line
Gastric leak is one of the most serious and dreaded complications of LSG. Most suture line leaks, also known as suture line disruption or SLD, are discovered shortly after surgery. This happens in about 1% of cases and can be life threatening
Infection
Infection may occur, in which case antibiotics and sometimes repeated surgery are needed. This complication is common with all types of weight loss surgeries and is the result of skin stretching during the period of obesity
Nutritional deficiencies
It is a common one done after laparoscopic sleeve surgery. A high rate of nutritional deficiencies is common at 4 years post-LSG along with low adherence to the nutritional supplementation regimen. Therefore, the number of patients undergoing this procedure will continue to rise
