Gastric sleeve is a simple procedure. Laparoscopically we access the abdominal area (keyhole surgery) and get about 80% of it by cutting the stomach along its length. After sleeve surgery, the food you eat enters and exits the stomach in the same place as before (unlike gastric bypass), but you have a much smaller stomach.
The sheath helps you lose weight in two ways. It reduces the capacity of your stomach and also changes the balance of hormones and proteins in the stomach. The change in intestinal hormones, including GLP1, alters and reduces appetite. Therefore, we expect patients with hives to lose weight quickly.
It is important to note that your weight loss is not directly related to the size of your remaining stomach. The change in bowel hormones will ease weight loss, whether you have a relatively “tight” or “loose” sleeve.
A group of weight-loss surgeries in which changes are made to the digestive system, some of which are non-reversible. The idea behind these types of surgeries is to help the patient lose weight by limiting the amount of food they can consume/digest at any one time. Bariatric surgeries should only ever be the final option when diet and exercise have proved inadequate and there are now serious health concerns caused by a person's weight.
The three most common types of Bariatric Surgeries are as follows:
1. Gastric Sleeve - The most common surgery, in which the stomach is irreversibly reduced to about 15% of its original capacity by surgically removing a large portion of it, resulting in a sleeve or tube-like structure.
2. Gastric Bypass - A more complicated procedure in which the stomach is divided into two parts; a small upper pouch and a large lower ‘remnant’ pouch. The small intestine is rearranged accordingly, bypassing the large pouch and thus significantly reducing the volume of the stomach.
3. Gastric Band - An inflatable silicone device is fitted around the top portion of the stomach to create a smaller stomach pouch. The device can be removed when the patient reaches their desired weight.
Alternatively, there is a non-surgical Bariatric procedure, known as the Gastric Balloon. This involves an inflatable device being temporarily inserted into the stomach via endoscopic placement. The balloon or balloons obstruct a sizable area of the stomach, thus reducing the amount of food it can contain at any one time and thus leading to eventual weight loss. The balloons are usually removed after 6 or 12 months.
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The gastric bypass is a weight loss surgery procedure. It is usually done in one of two ways, the traditional ‘Roux en Y’ bypass and the ‘Mini’ (or ‘Loop’) bypass. On this page we deal with the Roux bypass as this accounts for the vast majority of cases. You can read more about the mini bypass here.
The bypass is done laparoscopically (keyhole) and under general anaesthetic. You can expect to be in theatre for between 60 and 90 minutes only assuming your procedure is uncomplicated. You will then normally have 3 days and nights in hospital during which time we can observe you and make sure you are on track to full recovery.
The Roux en Y gastric bypass is generally regarded as the premier weight loss surgery procedure as it combines excellent weight loss with significant health benefits. It has also been established for over 30 years, so we have lots of long-term data to show it delivers great results for the long term as well as the short
The gastric balloon is a small silicone balloon that is filled with saline (salt water). When filled it is about the size of asmall orange and occupies about half of your stomach. The balloon is usually filled with between 450 and 600ml but this can vary from person to person.
Type of balloon we use
We use the longest established type of gastric balloon. There is a 6 months version called (Medsil) and a longer term 12 months version called (Spatz 3). These balloons have been used safely across the world in over 250,000 people.
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