NJ Sleeve Gastrectomy | New Jersey Surgical Weight Loss
Sleeve gastrectomy is a restrictive bariatric procedure.
The gastric sleeve procedure is also known as a “sleeve gastrectomy” and is a relatively new procedure for surgical weight loss. It is similar to the gastric band surgery, in that it is a restrictive procedure.
The stomach is reduced by approximately 80 %, which creates a much smaller stomach. Therefore less food is needed to make a person feel full and satisfied. The stomach will now resemble a long, narrow tube, much like a banana in shape. There is no implant like with the gastric band surgery and no re-routing of intestines like with the gastric bypass.
With the NJ Sleeve Gastrectomy, the digestive anatomy remains exactly the same with the exception of a narrow stomach size. When early fullness occurs, less food and calories are consumed and weight loss occurs. Like all surgical weight loss procedures, adherence to a healthy hi-protein, low carbohydrate diet, regular movement, certain vitamin supplementation and a healthy positive attitude toward change is needed for the gastric sleeve patient to be successful and to maintain their success.
Nutrition After Gastric Sleeve
The diet for gastric sleeve begins with pureed protein and progresses to include all food groups in all textures. The diet progressive occurs over five weeks. Patients are able to tolerate sugars and milk (unlike gastric bypass patients) but generally follow a fluid plan of water and sugar-free, low calorie drinks.
The key with nutrition after sleeve surgery is mindful eating, following new eating techniques, consuming high quality food, prioritizing protein and learning when “fullness” occurs.
Duodenal Switch Surgery
The duodenal switch is a complex but effective procedure that combines restriction and malabsorption for effective and rapid weight loss. It is also known as “biliopancreatic diversion with duodenal switch”. The duodenal switch is performed less often than the three major bariatric procedures – gastric bypass, gastric sleeve and gastric band. It does however offer the potential for exceptional weight loss and all the benefits that go with it. The duodenal switch was conceived to take advantage of the benefits of the gastric bypass while avoiding some of its common pitfalls such as dumping syndrome.
The DS is regularly performed laparoscopically, avoiding some of the pain, blood loss and possible complications of an open bariatric surgery. The duodenal switch is often used as a revisional procedure for a failed gastric sleeve and other procedures as potential weight loss is exceptional.
How It Works
The first part of the procedure is essentially a gastric sleeve whereby a portion of the stomach (about 70-75%) is cut along the greater curvature and removed from the abdomen. This is the restrictive part of the procedure – limiting the amount of food a patient can eat. Unlike a gastric bypass, the pyloric valve (the valve separating the stomach and small intestine) is left intact which means that food passes through the stomach and into the small intestine normally.
The malabsorptive part of the procedure is performed by rerouting the duodenum or small intestine into two tubes. The first tube processes food and the second acts as a duct for bile and other digestive fluids. These two tubes meet to form a common channel lower in the digestive system. Because there is less surface area in the food tube, fewer calories are absorbed into the blood stream.
Results of the Duodenal Switch
Results will vary between patients. The patient’s willingness and ability to follow their post-operative lifestyle changes will go a long way in determining ultimate weight loss potential. On average however, the duodenal switch has shown the greatest weight loss potential of any bariatric procedure widely available today.
Benefits of the Duodenal Switch
- Exceptional weight loss potential
- Exceptional disease resolution potential
- No dumping syndrome – common in bypass patients
- No implanted medical device such as a gastric band
Risks and Considerations of the DS
- The procedure is not adjustable
- Staple lines may leak requiring emergency intervention
- Possibility of injuring the biliopancreatic tree
- Significant dietary restrictions must be followed to be successful
- There is a slight risk of malnutrition so patient should be monitored regularly
- The possibility of increased flatulence