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Sleeve gastrectomy is a type of weight-loss surgery (bariatric surgery) in which approximately 75β80% of the stomach is removed, leaving a narrow, tube-shaped stomach resembling a sleeve or banana.
It helps people lose weight by reducing the amount of food they can eat and changing hormones involved in hunger and fullness.
Eligibility depends on BMI, medical conditions, previous weight-loss treatments and local guidelines.
People with severe obesity who have struggled to lose weight with nonsurgical treatment.
People with obesity-related conditions such as type 2 diabetes, high blood pressure or sleep apnea.
In some cases, people with a lower BMI and significant metabolic disease, following specialist assessment.
Significant, often sustained weight loss.
Improvement in type 2 diabetes and high blood pressure.
Possible improvement in sleep apnea, mobility and quality of life.
No intestinal bypass, unlike gastric bypass surgery.
Many patients lose roughly 20β30% of their starting body weight over 1β2 years, although results vary.
Like any major operation, sleeve gastrectomy has risks.
Early risks
Bleeding or infection.
Leakage from the staple line.
Blood clots.
Anesthetic complications.
Long-term risks
Acid reflux or worsening of existing reflux.
Vitamin and mineral deficiencies.
Weight regain.
Narrowing or twisting of the stomach sleeve.
Need for another procedure in some cases.
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