Sleeve Gastrectomy
Sleeve gastrectomy is the second most performed operation within our team. It has also been the most performed operation in France since 2011. The sleeve is purely restrictive (“I eat less so I lose weight”).
Historically, the sleeve was the first part of the “duodenal switch” procedure and allowed patients to reach a first weight loss threshold.
The surgery consists in resecting about 80% of the volume of the stomach. The sleeve is irreversible and in case of fistula, healing can be difficult. The main complication is reflux. If the reflux becomes too troublesome, the conversion of the sleeve into a Roux-en-Y bypass is always possible. If the patient stills nibbles and has soft drinks after this operation, the risk of weight gain is high. In this case, the conversion into a Roux-en-Y bypass or into a gastric bi-partition (Santoro technique) can be offered after nutritional, dietary and psychological reas-sessments.
In some cases, it is possible to perform this procedure by installing a port via transumbi-lical access. This technique, called “single port sleeve”, is purely of aesthetic interest as the patient will have no visible scar contrary to the standard technique (see photos).
