Sleeve Gastrectomy



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This video demonstrate laparoscopic sleeve gastrectomy performed by Dr R K Mishra at World Laparoscopy Hospital. The laparoscopic sleeve gastrectomy (SG) or gastric sleeve surgery, involves re-shaping the stomach from a pouch-like shape into a long tube, or “sleeve”. Pre-surgery the stomach looks like a kidney bean and can expand to the volume of several liter-size bottles of soda. With staples, the stomach is converted to look like a banana. This weight loss surgery reduces the capacity and prevents the stomach from expanding significantly. Before sleeve gastrectomy a regular stomach can hold about six cups of food. The new small stomach can hold about a half cup in volume, resulting in a ‘restrictive’ weight loss of the person. This type of laparoscopic sleeve gastrectomy bariatric surgery can be done as a stand-alone procedure or as part of a staged operation. The weight loss is projected to be in the range of 55 to 70 percent of excess body weight. There is no malabsorption created and no foreign body or implant involved. Long-term results are becoming available and the data suggest the weight loss is similar to gastric bypass.