TUBULAR GASTROPLASTY,
TUBE SHAPED OR
GASTRIC SLEEVE (SLEEVE GASTRECTOMY)
An 80% gastric reduction of its capacity is performed. The stomach capacity becomes around 80 ml. The stomach will have a tubular form, shaped as a banana. It is a relatively simple and reproducible restrictive surgery. Nowadays this type of surgery is the most commonly performed bariatric surgery in the world.
History
The gastric sleeve was developed as an intermediate surgery for super-obese patients. Throughout time we verified that most of the patients were losing enough weight and that they were recovering from their illnesses without a second surgery.
Weight loss and illnesses resolution
Good short and long term results
Within 5 years, between 50-80% of excess weight is usually lost
Within 5 years the complete resolution rate of type 2 diabetes is approximately 65%
Contraindications
Indications
Severe gastro esophageal reflux disease
Barret’s esophagus
Large hiatal hernia
Restrictive technique of choice
BMI and ages in both extremes
High surgical risk patients
History of kidney or liver transplant