A sleeve gastrectomy is a restrictive surgical procedure in which a large section of the stomach is removed. After this procedure, the patient can only consume small quantities of food in one sitting. Gastroenterology in Germany performs this kind of surgery on the highest technological level. At our clinic in Friedrichshafen, Germany, we specialise in a variety of surgical methods to counteract obesity.
At our clinic in Germany, a sleeve gastrectomy is performed laparoscopically (keyhole gastric surgery), with the added advantage that the incisions on the skin are small and heal quickly. In this operation, a large portion of the stomach is removed, leaving only a narrow, vertically positioned tube-shaped organ to connect the oesophagus to the intestines. This reduces the volume of the stomach considerably, ensuring that the patient cannot eat large quantities of food or drink large volumes in one sitting. The production of the “hunger” hormone, ghrelin, is also affected, so that the patient no longer feels constantly hungry.
A sleeve gastrectomy is suitable for patients who adhere to regular mealtimes, do not snack between meals and prefer savoury foods to sweet foods. In the first year after the operation, the patient’s excess weight can be reduced by 60 – 70%.
A sleeve gastrectomy is particularly rewarding in the case of extreme obesity that is accompanied by several other disorders and the existence of metabolic syndrome. Such method is less invasive than a gastric bypass and the results with the regard to the control of accompanying disorders (better adjustment or healing of diabetes, influence on insulin resistance) are very satisfactory. However, long-term results of sleeve gastrectomy are not yet available.
A sleeve gastrectomy results in rapid weight-loss, but a gastric bypass remains the more effective method. A sleeve gastrectomy is not indicated in the case of eating disorders such as binge eating or sweet eating (preference of sweets and high-calorie drinks such as fruit juice and lemonade). Neither is it indicated for patients who suffer from heartburn, as this unpleasant condition can be aggravated by this type of surgery. Our specialists at Friedrichshafen Clinic in Germany will advise you on the best option in your specific case.
In a sleeve gastrectomy, the stomach is reduced by over 85% via keyhole surgery. This part of the procedure is irreversible. The formation of a gastric sleeve reduces the volume of the stomach, thereby reducing the volume of food that can be consumed in a single sitting. The portion of the stomach that is removed in a sleeve gastrectomy is formed into a tube. It has a volume of no more than 200 - 300ml. The excess stomach tissue is surgically removed. Ghrelin, the hormone responsible for hunger, which is mostly produced in the part of the stomach that is removed, is produced in much smaller quantities. Therefore, a sleeve gastrectomy also reduces craving for food in the patient. However, the normal functioning of the stomach is retained after a sleeve gastrectomy. The small portion of stomach that is retained can still be examined endoscopically and the oesophagus is unaffected. For more information, feel free to contact us at our clinic in Germany.
In the period immediately following a sleeve gastrectomy, there is a danger of the wound bursting and causing inflammation. A high degree of compliance on the part of the patient is essential after a sleeve gastrectomy. The eating habits must be acutely adapted to suit the surgical method used. An incorrect diet can result in the stomach expanding, thereby making the procedure less effective with regard to weight-loss. Pre-existing acid reflux can increase considerably after a sleeve gastrectomy. Due to the reduction of the stomach volume after a sleeve gastrectomy, only very small quantities of liquids can be consumed, especially to begin with. Usually it is recommended that patients take a vitamin and trace element preparation daily to balance the lower nutrient intake by the smaller stomach. In certain cases, a sleeve gastrectomy might have to be modified into a gastric bypass. Our surgeons at Friedrichshafen Clinic in Germany have a great deal of experience in this type of surgery.
In addition to sleeve gastrectomy operations, our surgeons at the Friedrichshafen Clinic in Germany also perform gastric bypass surgery, gastric balloon surgery and gastric band surgery.
The Adiposity Centre of the Friedrichshafen clinic in Germany offers optimal care and therapy for all patients whose lives are affected by morbid obesity. A sleeve gastrectomy is just one of the options.
The basis of the interdisciplinary multi-modal, multi-level approach at the Friedrichshafen clinic in Germany is the close cross-discipline specialist competence of our physicians and surgeons in the treatment of obesity, which provides excellent medical and therapeutic care of the patient, 24 hours a day, both before and after major surgical procedures such as a sleeve gastrectomy.