Sleeve Gastrectomy

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Dr. Randeep Wadhawan

  • M.S, FIAGES, FMAS, FAIS, FICS ( U.S.A.), MBBS
  • 22 years experience

Dr. Shashank Shah

  • MS, FAIS, FICS, Honorary FMAS, Honorary FIAGES, Honorary FALS DLS (France)
  • 22 years experience

Dr. V K Garg

  • MBBS, MS , FICS, , FIAS
  • 21 years experience

Dr. Aashish Shah

  • 14 years experience

Dr. Jayant Sharma

  • DM (Gastroenterology)
  • 24 years experience

Dr. Sujoy Maitra

  • CCST training in Gastroenterology Northern Deanery UK, MRCP(UK), MD(Gen. Medicine) [University of Calcutta], MBBS (University of Calcutta)
  • 23 years experience

Dr. Veerendra Sandur

  • 23 years experience

Dr. Randeep Wadhawan

  • M.S, FIAGES, FMAS, FAIS, FICS ( U.S.A.), MBBS
  • 22 years experience

Dr. Shabeer Ahmed

  • 0 years experience

Dr. Rajiv Anandh

  • 0 years experience

Dr. P P Dhakshayani

  • FMMC, FICS, MS
  • 21 years experience

Dr. Sudhir Sharma

  • MS, MBA
  • 20 years experience

Dr. Ramesh Agarwalla

  • FRCS, FIAGES, FAIS, FALS, MS
  • 20 years experience

Dr. Yogesh Palshetkar

  • MBBS, MS General Surgeon, FACRSI
  • 18 years experience

Dr. K. M. Nanjappa

  • M. S - LTMCMNAMS (Genito- Urinary surgery)
  • 17 years experience

Dr. M G Shekar

  • MS, MRCS, MCh (Uro), FMAS
  • 13 years experience

Dr. Shrinivas Narayan

  • MCh(Urology)
  • 13 years experience

Dr. Manish Ahuja

  • M.Ch. (Urology) from King George Medical university, Lucknow, M.S. ( Surgery) from Christian Medical College, MBBS from Govt. Medical College, Patiala
  • 10 years experience

Dr. Sandeep Gupta

  • DNB (Urology)
  • 10 years experience

Dr. Ashish Jindal

  • M.B.B.S FROM Govt Medical College, M.S (General Surgery) and DNB (Urology)
  • 8 years experience

Dr. M. R. Pari

  • MCh (Urology), MS
  • 8 years experience

Dr. Feroz Amir Zafar

  • Robotic Surgery Training and Certification, Intuitive Surgical, Atlanta, USA, Observership Training in Men’s Health, Cleveland Clinic, Florida, USA, Fellowship in Kidney Transplant, Medanta – The Medicity, Gurgaon, India, MRCS, Royal College of Surgeons, England, DNB Urology, Apollo Hospitals, Hyderabad, India, FMAS(Fellowship in Minimal Access Surgery), AMASI, India, M.S.(Gen. Surgery), RIMS, Ranchi, India, MBBS (Hons.), MGMMC, Jamshedpur, India
  • 7 years experience

Dr. Piyush Varshney

  • M.Ch. (UROLOGY), M.S. (GENERAL SURGERY), M.B.B.S.
  • 6 years experience

Dr. Aman Gupta

  • M.Ch (Urology) (2009), M.S. (Gen. Surgery) (2003), M.B.B.S. (2000)
  • 6 years experience

Dr. Pushkar Shyam Chowdhury

  • MCh. (Urology)- Bombay Hospital Institute of medical Sciences (MUMBAI) , MS- General Surgery – Ramakrishna Mission Seva Pratishthan , M.B.B.S.- Calcutta Medical College
  • 6 years experience

Dr. Sudarshan kanti Baishya

  • DNB UROLOGY superspeciality. , M.S. (Safdarjung hospital, new delhi) , M.B.B.S.( JIPMER)
  • 4 years experience

Dr. Rahul Gupta

  • M.B.B.S., M.S. General Surgery , M.Ch. Neurosurgery
  • 0 years experience

Dr. Priyadarshi Ranjan

  • M.Ch Urology-2008
  • 0 years experience

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About Sleeve Gastrectomy

Sleeve Gastrectomy is basically a weight loss procedure that is meant to detach some part of the stomach and limit the amount of food that can be consumed. Similar to other metabolic procedures, it paves the way for weight loss by modifying hormonal signals to brain from the stomach and setup a lower set point.

With more and more people suffering from overweight, this procedure has become more prevalent among people who look for a feasible way to lose their excessive weight. This surgical procedure is typically carried out laparoscopically and doctor removes approximately 75% of the stomach. Although initially planned as the first stage of a two stage procedure for excessively obese or high-risk patients, the sleeve gastrectomy is now usually and positively used as an endpoint procedure for weight loss in individuals with BMI greater than 40.

In sleeve gastrectomy procedure, there is no external element implanted, as with the adjustable gastric band, and there is no complicated intestinal reorganization, similar to the gastric bypass. A majority of patients discover that after a sensible recovery, that they are able to securely consume a wide range of foods, containing meats and fibrous vegetables. Contrary to the adjustable gastric band and the gastric bypass, the sleeve gastrectomy is a permanent procedure and it is not meant to be upturned.

Eliminating a part of the stomach lowers the body’s level of a hormone known as ghrelin, which is generally referred to as the “hunger hormone.” Therefore, most of the people find that they are much less hungry after the procedure is done. Ghrelin also plays a crucial role in blood sugar metabolism, so people with type II diabetes hardly see an instantreduction in their need for diabetes medications (particularly oral medications) after the sleeve gastrectomy.

Sleeve gastrectomy encourages fast and effective weight loss in comparison to gastric bypass surgery. Patients can be supposed to lose 50% or more of their excess weight in three years. The procedure does not need implantation of a band, nor does it re-plan the digestive process. Hormonal alterations after the procedure assist patients to feel gorged, eat less, as well as improve or treat diabetes.

Advantages of Sleeve Gastrectomy

  • Can make significant weight loss (average of 66% of excess body weight)(19)
  • Can ensure major improvement of obesity-related health conditions
  • Doesn’t involve the use of an external object (like the gastric band) and doesn’t redirect the digestive tract (like the gastric bypass)
  • Lesser hospital stays and recovery time due to minimally invasive procedure
  • Restricts the amount of food that can be eaten
  • Makes significant changes to digestive organs and hormones that lead to decreased hunger and enhanced metabolism
  • Permanent (won’t need more surgeries or readjustments, like the gastric band)

Disadvantages of Sleeve Gastrectomy

  • Warrants lifelong commitment to specific diet and exercise routines
  • Permanent (cannot be upturned)
  • Could cause vitamin deficiencies
  • Probable complications may include:
  • Gastric leakage
  • Separation of tissue
  • Ulcers
  • Dyspepsia (stomach ache)
  • Esophageal dysmotility (swallowing disorders)
  • Dumping syndrome

Metabolic and bariatric surgery is found to be safer as compared to other generally performed procedures, such as gallbladder surgery. When carried out at a reputed Bariatric and Metabolic Surgery Center, bariatric and metabolic surgery boasts of a mortality rate of 0.13 percent. This refers that out of 10,000 people who undergo this kind of surgery, on average 9,987 are found to survive surgery and 13 not. Gallbladder eliminations have a mortality rate of 0.4 percent. This means of 10,000 people who have their gallbladder detached, on average 9,960 people survive surgery and 40 not.

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