Hey, what's going on everybody I'm Dr.
Caban and welcome back to the channel I am a board-certified general surgeonand a fellowship-trained bariatric surgeon in Ocala Florida and today I'llbe talking to you about the most common weight loss surgery done in the UnitedStates in the last several years the sleeve gastrectomy now before we getinto the weeds of the sleeve gastrectomy don't forget to subscribe to the channelso you can get notified about future videos I'll be doing more videos aboutother bariatric and general surgery issues that might be of interest to youif this is the first time that you do any research about bariatric surgery youmight want to check out some of the previous videos on my channel they willhelp you figure out if you qualify for surgery or how to know what bariatricsurgery is best for you I also have a video about what you need to do beforebariatric surgery.
See the links in the description below ok so let's getstarted with what is the sleeve gastrectomy or the gastric sleeve it isalso known by some patients as the “stomach stapling”.
The sleeve gastrectomyis were approximately 75 to 80% of your stomach is removed in order to make itsmaller, this will restrict the amount of food that you can eat and subsequentlytriggering weight loss.
The surgery is done laparoscopically or roboticallywhat that means is that it's done through several small incisions in yourabdomen and with a TV screen and some fancy little instruments the surgery iscompleted that way.
By doing the surgery this way the patients experience less pain, faster recovery and significantly fewer complications.
The surgery takes around45 minutes to an hour and it's done under general anesthesia.
surgery time ishighly dependent on prior abdominal surgeries or your current weight.
A sleeve Gastrectomy on a 600-pound patient will take longer and it will be more difficultthan a sleeve gastrectomy on a 300-pound patient.
In most bariatric programsincluding mine, the patient will stay in the hospital overnight.
After dischargefrom the hospital, I'll see you back in my office in two weeks.
After that youwill follow up with me every three months for the first year.
Most patientswill follow up with me once a year thereafter.
Probably by now, you'rewondering ok that's all great but what about the weight loss, well the averageweight loss after the sleeve gastrectomy is around 60 to 70% of your excess bodyweight in around one to one and a half years.
Let's calculate the excess bodyweight of our favorite patient.
Her name is Debbie, we talked about her insome of the other videos.
Based on her height she should weigh around 150 pounds thatis her ideal body weight.
Her current weight is 350 pounds that means that herexcess body weight is 200 pounds.
That is the difference between her ideal bodyweight and her current weight.
So, on average she is expected to lose 60 to 70percent of those 200 pounds that she has in excess.
That is around 120 to 140pounds and she should expect to lose that in around 12 to 18 months.
Rememberthat this is an average.
Some patients will do better and others will do worse.
I did a full video about figuring out what bariatric surgery is best for you.
I went over why some patients might do better than others with one surgeryversus another.
check out the link in the description below.
Now let's talk aboutsome of the pros of the gastric sleeve and why it has become so popular around theworld number one is simplicity.
The sleeve gastrectomy is a relativelysimple surgery to do and the changes to your anatomy are minimal.
That makesit very attractive to many patients because it doesn't change your anatomythat much.
Number two is a short hospital stay and a quick recovery.
By doing thesurgery minimally invasive patients go home after one night in the hospital andthey can return to the regular activities very quickly.
Withimplementation of the fast recovery protocols before and after surgery thepatients are experiencing less pain and the use of pain medication hassignificantly decreased.
Some patients will go home without taking any painmedication at all.
Patients that have an office job can go back to work after twoweeks on average, for patients with more labor-intensive job they will be out ofwork between 4 to 6 weeks.
Number three is excellent weight loss.
The combination of surgery and adequate diet and moderate amounts of exerciseshould give you excellent long-term weight loss.
Remember that the sleeve isnot a one-size-fits-all, but on average most patients will see an excellentweight loss after the surgery.
Number four is low complication rate.
Ihave been a bariatric surgeon for ten years at the time of this video.
Myoverall complication rate after sleeve gastrectomy isless than 5%.
That is well below the national average.
Please remember that past performance is not indicative of future results, butwhen the surgery is done by an experienced weight loss surgeon the riskof surgery is very low.
But as you already know nothing in life is ahundred percent peaches-and-cream.
That is also true for the gastric sleeve.
Itis also true for pretty much any surgery.
I am going to make a video in the nearfuture about the complications that can present after bariatric surgery, but fornow I am going to mention the biggest disadvantage of this surgery.
Thatdisadvantage is that the gastric sleeve is irreversible.
After the portion of the stomach is removed there's no going back.
The sleevecan now be reversed.
It can be converted to a gastric bypass or a duodenal switchbut it cannot be reversed to a normal stomach.
That can be a deal-breaker forsome patients so you need to know about it.
Now, if you watch my previous videoabout the Lap-Band you probably remember that the Lap-Band is completelyreversible.
That is a big difference between a lap band and the sleevegastrectomy.
As I mentioned before I'll be making a full video about thecomplications of bariatric surgery including those of the sleevegastrectomy.
If this is of any interest to you don't forget to subscribe to thechannel so you can be notified when other videos are posted.
I hope thisvideo was informative to you.
Remember that if you have any questions pleaseleave them in the comments below and I'll be happy to answer them for you.
Thank you for watching and I'll see you on the next video.