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Gastric Sleeve Surgery (Sleeve Gastrectomy)

What Is Gastric Sleeve Surgery?

Gastric sleeve surgery, or sleeve gastrectomy, is a minimally invasive bariatric procedure that reduces the size of the stomach by approximately 75 to 80 percent. The remaining stomach is reshaped into a narrow, tube-like “sleeve,” which limits food intake and helps patients feel full more quickly.

In addition to physical restriction, the surgery lowers the production of ghrelin, the hormone responsible for hunger, supporting both appetite control and long-term weight loss.

How Is Gastric Sleeve Surgery Performed?

  • Performed laparoscopically under general anesthesia

  • A portion of the stomach is removed permanently

  • The digestive tract remains otherwise unchanged

  • Surgery typically takes 60–90 minutes

  • Hospital stays: 1–2 days

Patients usually begin walking the same day and gradually resume normal activity with guidance.

Benefits of Gastric Sleeve Surgery

  • Significant and sustained weight loss

  • Improvement or resolution of conditions like type 2 diabetes, high blood pressure, and sleep apnea

  • No foreign devices or intestinal rerouting

  • Faster recovery and lower risk compared to some other bariatric surgeries

  • Preserves natural digestion and nutrient absorption

  • Improves energy, mobility, and quality of life

Most patients lose 60–70% of their excess weight within 12–18 months.

Who Is a Good Candidate?

This surgery may be appropriate for individuals who:

  • Have a BMI of 40 or higher, or 35+ with obesity-related health conditions

  • Struggle with long-term weight loss despite diet and exercise

  • Are in good general health and cleared for surgery

  • Are prepared for lifelong lifestyle and dietary changes

  • Understand the risks, benefits, and commitment required

Each patient undergoes a full medical and psychological evaluation to determine eligibility.

Pre-Surgery Preparation and Evaluation

Before surgery, patients complete a comprehensive preoperative program that may include:

  • Blood work, imaging, and cardiac clearance

  • Nutritional and psychological assessments

  • A pre-op diet to reduce liver size and surgical risk

  • Smoking cessation and medication adjustments

  • Education sessions to prepare for life after surgery

This phase is essential to ensure safety, readiness, and long-term success.

What Is the Gastric Sleeve Diet Plan?

The post-surgery diet is structured into phases to protect healing and gradually introduce solid food:

  1. Clear Liquids (Days 1–3): Water, broth, sugar-free gelatin

  2. Full Liquids (Week 1–2): Protein shakes, milk, smooth soups

  3. Pureed Foods (Week 3–4): Blended vegetables, soft proteins

  4. Soft Foods (Week 5–6): Eggs, soft-cooked fish, tender meats

  5. Regular Foods (After 6+ weeks): High-protein, low-sugar, low-fat meals in small portions

Ongoing support from a nutritionist helps patients adopt healthy habits for lifelong success.

Life After Gastric Sleeve Surgery

Life changes significantly after surgery—but for the better. Patients experience:

  • Smaller appetite and improved control over food choices

  • Improved self-esteem and body confidence

  • Greater energy for physical activity and social engagement

  • Reduced need for medications

  • A renewed focus on nutrition, hydration, and mental wellness

Long-term success depends on commitment to healthy routines, including exercise, proper eating, hydration, and emotional self-care.

What If Weight Loss Plateaus or Reverses?

Life changes significantly after surgery—but for the better. Patients experience:

  • Smaller appetite and improved control over food choices

  • Improved self-esteem and body confidence

  • Greater energy for physical activity and social engagement

  • Reduced need for medications

  • A renewed focus on nutrition, hydration, and mental wellness

Long-term success depends on commitment to healthy routines, including exercise, proper eating, hydration, and emotional self-care.

What to Expect After Surgery

  • Hospital stays: 1–2 nights

  • Walking begins the same day; return to work in 2–3 weeks

  • Strict adherence to the post-op diet

  • Regular follow-ups for weight monitoring, labs, and vitamin checks

  • Lifelong vitamin and mineral supplementation

  • Ongoing support through bariatric teams and support groups

Treatment Summary

Number of Operations

One

Anesthesia

Local anesthesia

Back To Work

Immediately

Full Healing

7 days

Hospitalization

None

* For informational purposes only, be sure to consult your doctor for diagnosis and treatment.

 

Frequently asked questions

Most patients lose 60 to 70% of excess weight in the first 12 to 18 months, depending on adherence to lifestyle changes.

No. The removed portion of the stomach cannot be restored, but it may be revised to another bariatric procedure if needed.

Hunger is significantly reduced due to the removal of the stomach area that produces ghrelin. Some hunger may return over time based on habits and hormonal changes.

Yes, but it's advised to wait 12 to 18 months post-surgery to stabilize weight and nutritional levels for a healthy pregnancy.

As with any surgery, risks include bleeding, infection, leakage, or acid reflux. However, complication rates are low when performed by experienced bariatric surgeons.

Yes. Patients must take daily vitamins including B12, iron, calcium, and vitamin D to prevent deficiencies.

Most patients stay 1 to 2 nights for monitoring and initial recovery. Some may be discharged the next day if there are no complications.

Mild to moderate discomfort is normal in the first few days, but pain is well controlled with medications. Most patients report that recovery is easier than expected.

Some muscle loss is natural with rapid weight reduction. To minimize this, patients are advised to maintain protein intake and begin light exercise early, progressing to strength training as tolerated.

Overeating may cause discomfort, vomiting, or stretching of the sleeve over time. It’s important to eat slowly, stop when full, and follow the dietary guidelines closely.

Yes. Many patients experience complete remission or significant improvement in type 2 diabetes, hypertension, and other metabolic conditions shortly after surgery.

It depends on factors like age, genetics, amount of weight lost, and skin elasticity. Some patients consider body contouring or skin tightening procedures after major weight loss.

Light walking is encouraged within 24 hours. Most patients begin low-impact activities within 2–4 weeks and gradually resume normal exercise routines as advised.

Yes, but only slightly. Long-term weight maintenance depends on portion control, avoiding liquid calories, and following long-term habits, not just the size of the stomach.

Emotional changes are common. Support from a psychologist, counselor, or bariatric support group is highly recommended to manage lifestyle changes, stress, and body image adjustments.

Patients attend regular check-ups for weight tracking, lab tests, and nutritional assessments. Follow-up may continue for 12–24 months or longer, depending on clinic protocol.