Gastric Sleeve, also named Sleeve Gastrectomy, is the bariatric procedure for extracting a large portion of the stomach, leaving just a narrow sleeve or tiny tube in the stomach, that will avoid having large amounts of food.
As a result, the patient will lose weight because he/she will feel satisfied with less food due to the small size of the stomach.
The gastric bypass is a bariatric surgery technique included within the techniques considered mixed, because it is restrictive and selectively malabsorptive. It is restrictive because it considerably reduces the size of the stomach and it is selectively malabsorptive because it alters the digestive cycle so that the intestine absorbs less fat and sugar. Both characteristics add up so that this technique achieves very satisfactory results in weight loss and in the improvement of diabetes, hypertension and other diseases associated with obesity. Through this technique, and laparoscopically, the surgeon cuts the stomach leaving a small cavity of between 15 and 30 ml (known as a reservoir or pouch) while the rest is isolated so that food does not pass through. Another incision in the small intestine allows the surgeon to connect it directly to the newly created small stomach. Thus, the food bypasses the stomach and a segment of the small intestine that surrounds the pancreas (origin of diabetes), so the body absorbs fewer calories and sugars. This also eliminates the top portion of the stomach that produces ghrelin, the so-called"hunger hormone". Without it, the patient will be satisfied with less food.
Another result is decreasing the production of the gastric acids that break down the food, reducing the absorption of food by the body.
The results are permanent, and the stomach will not grow again.
For the obese patient, Gastric Sleeve/Bypass is the opportunity for a dramatic weight loss, improving their health condition and self-esteem.
The Gastric Sleeve is one of the procedures that doctors recommend to patients with severe obesity to avoid many risks for health. Obesity puts the health in danger associated with conditions as high blood pressure (hypertension), heart stroke, diabetes, high blood cholesterol, or osteoarthritis, among others.
After the surgery, the patient loses weight month by month, and after a year, he/she reduces 60-70 percent of their weight.
Dr Jose Alvarez is a Bariatric surgeon with certification number #B180006 with high Specialty in Bariatric Surgery by UNAM at the Dr. Manuel Gea Gonzalez hospital, certified in general and bariatric surgery by CONACEM. In addition to being a member of the CMCOEM He is a Member of IFSO (International Federation for the Surgery of Obesity)
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