Sleeve gastrectomy is one of the most trusted and widely performed procedures in Bariatric Surgery today. As a highly advanced form of Laparoscopic Surgery and Minimally Invasive Surgery, it has helped millions of people struggling with severe obesity, metabolic syndrome, and lifestyle-related disorders. Unlike traditional Abdominal Surgery, this technique uses tiny incisions, offers faster recovery, and ensures minimal pain, making it a preferred choice in many Obesity Clinics and Hospitals for Bariatric Surgery. It promotes rapid and sustainable weight loss by reducing stomach size, controlling hunger hormones, and improving metabolism.
About Dr. Sushil Lohiya
Dr. Sushil Lohiya, M.S. General Surgery and Fellow in Bariatric & Metabolic Surgery, is a highly respected Laparoscopic & Bariatric Surgeon based in Nagpur. Known for his expertise in Laparoscopic Surgery, Obesity Surgery, Gastric Bypass Surgery, Sleeve Gastrectomy, Gastric Balloon Insertion/Removal, and various Minimally Invasive Abdominal Surgeries, he is trusted for delivering excellent outcomes. His patient-centered approach, modern surgical techniques, and experience in Long-term Bariatric Care make him a preferred choice for individuals seeking safe and effective weight loss solutions.
What Is Sleeve Gastrectomy?
Sleeve Gastrectomy, also known as Laparoscopic Sleeve Gastrectomy, is a Minimally Invasive Abdominal Surgery where nearly 70–80% of the stomach is removed using laparoscopic instruments. This leaves behind a banana-shaped sleeve that limits food intake and reduces hunger by lowering ghrelin levels. It is simpler than Roux-en-Y Gastric Bypass (RYGB) because it does not involve intestinal rerouting, making it safer and more predictable. The procedure is commonly performed by skilled Bariatric Surgeons and is considered one of the best forms of weight loss surgery.
Why Sleeve Gastrectomy Is the Most Popular Weight Loss Surgery
Sleeve gastrectomy is the top choice for many patients due to its multiple benefits:
• Less complex than Gastric Bypass Surgery
• Fast recovery and shorter hospital stay
• Highly effective for severe obesity and metabolic disorders
• Significant improvement in GERD, diabetes, cholesterol, and hypertension
• Sustainable long-term weight loss with minimal complications
• Widely available at leading Obesity Surgery centers
The procedure’s success and minimal risk have increased its popularity among individuals opting for Minimally Invasive Surgery.
Symptoms That Indicate the Need for Sleeve Gastrectomy
• Persistent obesity unresponsive to lifestyle changes
• Breathlessness or reduced physical stamina
• Excess fat around abdomen or hips
• Type 2 diabetes or insulin resistance
• High cholesterol or fatty liver
• Sleep apnea
• Chronic joint pain
• Long-term acid reflux or GERD
These symptoms push many individuals to consider effective treatments like Bariatric Surgery.
Causes of Obesity That Lead to Sleeve Gastrectomy
• Sedentary lifestyle
• Overeating or high-calorie diet
• Genetic predisposition
• Hormonal imbalance
• Emotional or stress eating
• Metabolic syndrome
• Weight gain due to medical conditions
When these causes lead to uncontrolled obesity, Sleeve Gastrectomy becomes a safe and effective surgical option.
Procedure: How Sleeve Gastrectomy Is Performed
The procedure uses techniques similar to other laparoscopic operations such as laparoscopic gallbladder removal, laparoscopic appendectomy, and Hernia repair.
Step 1 – Pre-Bariatric Surgery Preparation
A full medical evaluation, including diet plans, blood tests, and psychological readiness. This is known as the Pre-Bariatric Surgery phase.
Step 2 – Laparoscopic Access
Small keyhole incisions are made to insert instruments used in Minimally Invasive Surgery.
Step 3 – Stomach Re-Shaping
The surgeon removes the outer curved part of the stomach, reducing its capacity by nearly 80%.
Step 4 – Hormonal Advantage
The part responsible for producing hunger hormone (ghrelin) is removed, helping patients feel full earlier.
Step 5 – Closure & Recovery
The tiny incisions are closed, and patients recover faster compared to open Abdominal Surgery.
Recovery and Long-Term Bariatric Care
After the surgery, patients follow a guided diet plan starting from liquids to solids. Regular follow-ups, nutritional monitoring, and lifestyle modifications play a vital role in long-term success. Many hospitals offer Long-term Bariatric Care programs to ensure sustained results. Some patients may undergo supportive treatments like Gastric Balloon Insertion/Removal based on medical advice.
Benefits of Sleeve Gastrectomy
• Sustainable weight loss
• Reduced appetite and improved satiety
• Improvement in diabetes, PCOS, cholesterol, and hypertension
• Less postoperative pain due to Minimally Invasive Surgery
• Fewer complications compared to bypass procedures
• Does not require rerouting the intestines
This makes sleeve gastrectomy the most preferred choice among various Bariatric Surgery techniques.
FAQs on Sleeve Gastrectomy
1. Is sleeve gastrectomy safe?
Yes, it is considered one of the safest weight loss surgery options with high success rates.
2. How much weight can I lose?
Most patients lose 60–70% of excess weight within 12–18 months.
3. How long is the recovery period?
Thanks to Minimally Invasive Surgery, recovery is usually 1–2 weeks.
4. Will I need dietary changes?
Yes. A structured diet plan is essential for long-term success.
5. Is it better than gastric bypass?
For many patients, yes—because it is simpler, safer, and offers excellent long-term results.
