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Type of Surgery
Types of Bariatric surgery
There are 3 main types of surgeries
Laparoscopic Sleeve Gastrectomy
Laparoscopic Sleeve Gastrectomy is a restrictive procedure without the malabsorptive component present in other bariatric procedures.
Also known as the Greater Curve Gastrectomy, Vertical Gastrectomy, or, simply, the “Sleeve“). The procedure involves a longitudinal resection of the stomach starting from the antrum at the point 5–6 cm from the pylorus and finishing at the fundus close to the cardia. The remaining gastric sleeve is calibrated with a bougie and the ideal approximate remaining size of the stomach after the procedure is about 150 mL. The result is that, with a minimum amount of food, you, the patient, will feel full very quickly and subsequently reduce your food intake. More importantly, the portion of the stomach that is removed secretes.
Laparoscopic mini gastric bypass
The Mini Gastric Bypass (MGB) is a short, simple, successful, reversible laparoscopic gastric bypass weight loss surgery. It has been recently renamed as One Anastomosis Gastric Bypass. The operation usually takes shorter time, with lesser or similar hospital stay as regular bypass.
Your stomach be divided into two pouches, an upper pouch and lower pouch. The lower portion of your small intestine is fused to the smaller upper pouch. The creation of a smaller stomach pouch, which holds less than a cup of food, will help you get fuller quicker and feel fuller longer, and you will ultimately lose weight faster. By surgically resecting the small, upper pouch to the lower portion of your bowels, food will not be completely broken down, absorbed, or processed within your system prior to exiting your body
Gastric bypass is one of the most commonly performed types of bariatric surgery. Gastric bypass is done when diet and exercise haven’t worked or when you have serious health problems because of your weight.
Lap. Roux en Y gastric bypass
During gastric bypass surgery, the surgeon creates a small pouch from the upper part of the stomach and connects it directly to the small intestine. This bypasses the rest of the stomach and the first part of the small intestine, which reduces the amount of food and nutrients that the body can absorb.
Laparoscopic gastric bypass surgery achieves weight loss by combining a reduction in stomach size with a reduction in the length of the small intestine used for absorption of food and calories. The combination of eating less food and lower absorption of calories leads to weight loss. In this complex operation, a small pouch is made from the top section of the stomach and is connected to a loop of the jejunum (bypassing the duodenum and the first part of the jejunum). Smaller portions of food are consumed, and as a large section of the small intestine is skipped, the energy absorbed from the food is consequentially less.
Gastric bypass is one of the most commonly performed types of bariatric surgery. Gastric bypass is done when diet and exercise haven’t worked or when you have serious health problems because of your weight.
Sleeve Plus Procedure
The Sleeve Plus procedure is a type of bariatric surgery that combines the benefits of a Sleeve Gastrectomy and an intestinal bypass
What makes Sleeve Plus unique?
The Sleeve Plus procedure supplements an intestinal bypass to a Sleeve Gastrectomy. This results in a simpler technique that has the physiological advantages of Roux-en-Y gastric bypass (RYGB) but with minimized adverse effects.
The term for such procedures was coined as “sleeve-plus” by Dr. Chih-Kun Huang in 2015. These procedures show better technical feasibility and are associated with less post-operative morbidity.
Sleeve Plus procedures permanently adopt the digestive tract to the present lifestyle, by eliminating the gastric storage of hypercaloric and excessively processed food, and providing the ileum with the needed stimulus for incretin release.
Benefits of Sleeve Plus Procedure
The Sleeve Plus procedure offers several benefits:
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It’s simpler and technically easier to perform than other bariatric surgeries.
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It has fewer postoperative complications.
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It provides satisfactory outcomes in weight loss and resolution of morbidities.
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It helps to prevent long-term weight regain and recurrence of co-morbidities.
Metabolic surgery
“Metabolic surgery” is the term used to describe surgical procedures to treat metabolic diseases, especially, type 2 diabetes, dyslipidemia and Insulin resistance.
A. Sleeve gastrectomy with loop duodenojejunal bypass (LDJB-SG)
This procedure involves creating a small pouch from the upper part of the stomach and connecting it directly to the small intestine. This bypasses the rest of the stomach and the first part of the small intestine, which reduces the amount of food and nutrients that the body can absorb.
is a relatively new procedure. The pyloric preserving mechanism could decrease the incidence of dumping syndrome. Also, the mixture of alkaline bile and pancreatic enzyme with gastric acid around anastomosis also decrease the incidence of marginal ulcer. The acid and intrinsic factor secretion would be maintained. Thus, iron, vitamin and protein deficiency should be less because some part of antrum is preserved
During gastric bypass surgery, the surgeon creates a small pouch from the upper part of the stomach and connects it directly to the small intestine. This bypasses the rest of the stomach and the first part of the small intestine, which reduces the amount of food and nutrients that the body can absorb.
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B. Sleeve Gastrectomy With Ileal Transposition (SGIT)
SGIT proved to be as effective as RYGB on obese diabetic rats as a weight loss procedure. Also, glucose homeostasis improved in SGIT, similar to RYGB, in spite of the absence of duodenal-jejunal exclusion.
Sleeve gastrectomy is typically performed laparoscopically, which means that the surgeon makes several small incisions in the abdomen and inserts thin surgical instruments to perform the procedure. This makes for a shorter hospital stay and faster recovery time than traditional open surgery.
This procedure involves removing about 80% of the stomach, leaving a long, tube-shaped pouch. This reduces the amount of food that the stomach can hold and also reduces the production of hormones that stimulate hunger.
Surgical Journey
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