Laparoscopic sleeve gastrectomy—restrictive procedure

If anything, increased demand on surgeons of obesity surgery at hospitals of Bangalore in India due to medical tourism may result in their expansion. Of the procedures that are currently performed for the treatment of obesity, it is ideal for patients who have very high medical risk, high weight or BMI, complex surgical histories or those who are fearful of potential complications from an intestinal bypass. It is also ideal for lower BMI patients who wish to avoid a more complex intestinal bypass or the possibility of vitamin or nutritional deficiencies secondary to procedures which cause malabsorption. Patients interested in Gastric Banding may also want to consider this procedure, since it avoids the foreign body issue of a Band. Patients using anti-inflammatory medications also should consider this procedure because ulcer risk is probably less than after gastric bypass or band procedures.  This procedure greatly reduces Ghrelin-hormone production and helps reduce appetite and the hunger sensation.

 

Five-year results from England and three-year results from the United States suggest the Vertical Gastrectomy has weight loss similar to other procedures with lower risk of complication. The stomach is restricted by dividing it vertically and removing more than 85 percent of it. This part of the procedure is not reversible. The stomach that remains is shaped like a thin banana and measures from 2-5 ounces (60 – 150cc) depending on the surgeon performing the procedure. The nerves to the stomach and the outlet valve (pylorus) remain intact with the idea of preserving the functions of the stomach while reducing the volume. By comparison, in a Roux-en-Y gastric bypass, the stomach is divided, not removed, and the pylorus is excluded.  This is the newest and most promising procedure for obesity with lower complications than Gastric Bypass and better weight loss than LapBand.  Currently it is approved by some insurance companies, but may be considered investigational by others. Visit here for surgeons of obesity surgery at hospitals of Bangalore in India.