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General Information

Banded Sleeve Gastrectomy is a surgical procedure that can be performed by miniinvasive (Video)surgery. The procedure reduces the size of the stomach to about 10% of its original volume and results in a limited capacity of food intake. Patients feel full after eating a very small amount of food. The volume of the stomach after LCSG is between 80 and 120 ml. In sleeve gastrectomy, the left side of the stomach is surgically removed by cutting and stapling. This results in a new stomach which is roughly the size and shape of a 20 cm tube. A silastic ring is implanted in upper part of the sleeve. This operation does not involve any “rerouting” or reconnecting of the intestines, it is a simpler operation than the gastric bypass. Also very important is the fact that the operation preserves the pylorus, the muscle that regulates emptying of the stomach. This acts as “natures own functional gastric band” and allows food to remain in the stomach for a while, making the person feel full while the food trickles out. Coupled with the fact that there is no rearrangement of the bowel, it also means dumping and marginal ulcers are not a problem. The normal satiety mechanism is almost always regained by the operation.

Typical LSG Patient

• Patient with BMI over 40 with contraindications for bypass surgery
• No sweet eaters
• No binge (volume) eaters
• No stress eaters
• Patient who accepts follow-up program
• No heartburn
• Patients in whom there are clear contraindications against gastric bypass or BPD procedure
• Patients in whom it is assumed to be the only operative possibility to introduce surgical obesity treatment
• Patients who need to take medication which depends on exact and reliable intestinal resorption.

Hospitalisation Time

The procedure requires 2 night stay in the hospital after the operation.

After Surgery

After surgery, the patient must follow special diets and vitamin intake to lose weight in a controlled manner.

Advantages

• May be used as the first stage of a 2-stage operation. 
• The operation eliminates the portion of stomach that produces the hormone ghrelin which stimulates hunger
• Low complications rate
• Technically a simpler operation than gastric bypass
• Does not require disconnecting or reconnecting the intestines