Sleeve gastrectomy


Sleeve gastrectomy is a technique in which the surgeon removes two thirds of the length of the stomach.

The “staple” technique creates a smaller reservoir by stapling off part of the stomach. As a result, less food reaches the intestines to be absorbed by the body.

Moreover, the section of the upper part of the stomach suppresses the production of a hunger hormone: ghrelin. This hormone manages satiety by filling the stomach but does not control pleasure.

To satisfy a small hunger, you can choose between an apple and a millefeuille: 70 Kcal versus 500 Kcal.

It also has a role in the treatment of diabetes (remission rather than cure, reduction of drug doses).

It is proposed in its own right for morbid obesity with a BMI of more than 33-40 in patients over the age of 18.

Our team has performed more than 1800 Sleeves (including 100 N-Sleeves) with an average operating time of 45 min to 60 min and a hospital stay of 2 days.

Sleeve gastrectomy is an irreversible procedure that can reduce excess weight by 70% in 12 to 18 months.

Nevertheless, the stomach can expand if the eating behaviour does not follow.

This procedure is proposed in its own right for morbid obesity with a BMI of more than 35-40 and also has a role in the treatment of diabetes.

Its advantage over the ring is the absence of foreign bodies and the dependence on the tightening and loosening of the housing.

This technique does not interfere with food digestion. Longitudinal gastrectomy is sometimes the first step in a biliopancreatic diversion.

  • Average duration of the intervention: 45 minutes
  • Average length of stay: 2 to 3 days

Complications of sleeve gastrectomy are fortunately rare, but are important to know.

  • Fistula or staple laceration: this complication is seen quickly and treated appropriately
  • Ulcers, leaks or strictures in the remaining stomach
  • Early postoperative bleeding
  • Possible nutritional deficiencies (to be monitored)
  • Astroesophageal reflux (acid and food reflux into the oesophagus) and inflammation of the oesophagus
  • Stomach dilatation

The mortality rate related to the intervention remains low, at 0.2%..

The sleeved patient should take vitamins from the first month for one year (MVM PROWELL – SURGILINE – FITFORME)

Before leaving the clinic, an orthopaedic surgeon will come and measure your belly to provide you with a tailor-made girdle, to prevent excessive sagging of the skin.