Overview

ROUX-EN-Y GASTRIC BYPASS (RNY), LAPAROSCOPIC OR OPEN



LAP-BAND (LAPAROSCOPIC ADJUSTABLE BANDING)


BILIOPANCREATIC DIVERSION WITH DUODENAL SWITCH (BP-DS)



GASTRIC SLEEVE



COMPLICATIONS



• Procedures (cont...) 
   
   GASTRIC SLEEVE
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Although the gastric sleeve is a relatively new procedure in the United States, it has been performed in Europe for many years. The gastric sleeve is rapidly gaining acceptance in the United States for its safety; however, not all insurance companies will pay for it.

In this procedure, 60-70% of the stomach is removed using a stapling device.
 

The new stomach resembles a long tube or banana and can hold up to 60 to 100 cc of liquid or food. Although the gastric sleeve is a purely restrictive procedure, the removal of the stomach does affect certain hormones necessary for metabolism, and therefore, produces significant and durable weight loss. The estimated weight loss for this procedure is 40 to 60% of excess weight. The gastric sleeve is also the first part of the Biliopancreatic Diversion with Duodenal Switch (BP-DS) surgery.
   
   
 
   
 
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