Laparoscopic resection of the stomach with the sleeve method (SLEEVE 1, SLEEVE 2): features, effectiveness, risks

Sleeve resection is not an analogue/modification of gastroplasty, a thing of the past due to the instability of the results. The fundamental difference between the two is in the removal of part of the stomach. During laparoscopic resection, the region that produces the hunger hormone is removed, while the organ itself remains fully functional. Accordingly, the result of the surgical procedure is incredible: patients have no desire to eat as much. In addition, the stomach ceases to perform the function of storage of food, and the process of its transition into the intestine is accelerated, thereby accelerating and saturation.
A laparoscopic resection of the stomach is not an abdominal surgery: with high efficiency, the surgical procedure is less traumatic because in the process of its implementation only a few punctures are made in the stomach, and the operated organ is reliably fixed with quality staplers. Thus, the risk of infection or seams is minimized, the postoperative period is shortened, which is important for obese people who are more prone to complications after such procedures.

Methods of conducting

For the implementation of this procedure, two main methods are used: gastroplication (SLEEVE 2) and longitudinal resection (SLEEVE 1). The first procedure is simple to perform and quite effective. It involves creation of folds on the stomach with the use of tightening sutures, which significantly narrow the lumen of the organ. Gastroplication is the best option for those who do not want to change their eating habits or do not have the opportunity to visit their doctor often. The duration of the postoperative recovery period is only 2-3 days in the hospital.

Longitudinal resection is a restrictive operation, i. e. in the process of its implementation part of the body is removed along the greater curvature. This method is considered one of the most promising. And all because it effectively solves the problem of obesity, providing intensive weight loss (50-70% of the original weight):

  1. Reduced organ volume does not allow consuming large amounts of food. Even small portions are enough to excite the baroreceptors that stimulate the feeling of fullness.
  2. Most of the hunger hormone is produced by the part of the stomach that is removed during the operation, respectively, the unmotivated desire to eat disappears.
  3. The process of passing food through the remaining part of the stomach is much faster, but its digestion is reduced. In this case, the brain receives glucose very quickly and gives a signal of saturation.

Indications and contraindications

The procedure is performed with a BMI (body mass index) of 40 or more. In case of detection of pathological conditions (diabetes, high blood pressure, varicose veins in the acute stage, joint diseases) provoked by obesity, it is recommended that a surgical procedure be performed with BMI 35.

Despite the low-impact of the operation, it is contraindicated in some cases:

  • Pregnancy;
  • Autoimmune diseases;
  • Cardiovascular pathology;
  • Age under 18 years;
  • Cirrhosis of the liver;
  • Drug use (including alcohol);
  • Taking steroids;
  • The presence of infection in the body.

Postoperative period

In the case of gastroplating, the postoperative period can be considered formal, since it is planned to spend less than 2 days in the hospital with minimal discomfort and no risk of complications.
When conducting a longitudinal resection, strict adherence to a diet for the recovery period is required, involving the use of extremely soft and liquid food. During the period of intense weight loss (the first couple of months), the intake of multivitamin preparations and mineral complexes is recommended, since at first after the surgical procedure, the absorption of nutrients is reduced.
All detailed recommendations will be explained by the doctor when you are leaving the hospital.

Subsequently, if necessary, you can remove loose skin in our clinic using abdominoplasty.