The Laparoscopic Sleeve Gastrectomy procedure is relatively new in the United States. Dr Richards is among the first surgeons to perform this procedure. Dr. Richards has experienced great success with patients losing the expected amount of weight while staying healthy.
Laparoscopic Sleeve Gastrectomy is performed laparoscopically through five very small incisions. Sophisticated instruments and a small camera are inserted through these incisions to conduct the operation. The use of small incisions creates less tissue damage, fewer complications, and an earlier discharge from the hospital.
In this procedure, most of the stomach is removed and a ‘vertical sleeve' or tube is fashioned from the remaining stomach. The food goes through the stomach into the small intestine in a normal fashion. Since the stomach is so much smaller a much smaller portion size of food fills you up and reduces food intake. The food does not bypass any of the intestines so there is a much lower risk of malabsorption with the sleeve gastrectomy.
The production of the "appetite hormone" ghrelin is reduced since it is made by the stomach. The reduction of this hormone reduces hunger and contributes to the success of the procedure.
Sleeve gastrectomy is associated with minimal to no dumping.
In the long term, laparoscopic procedures, including sleeve gastrectomy, are better than open procedures, with a much lower risk of formation of adhesions under the abdomen. This decreases the risk of bowel obstruction.
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