Gastric Sleeve

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What is a Gastric Sleeve?

A Gastric Sleeve Gastrectomy (VSG) commonly known as Gastric Sleeve, is the most common type of bariatric surgery up to date, that helps reduce calorie intake by reducing stomach capacity to held food. In this surgery, around 75% of the stomach is extirpate and the open end is closed with special staples, leaving only a stretch banana shaped tube or "sleeve", hence the name of Gastric Sleeve.

How the Gastric Sleeve Works?

Gastric Sleeve Surgery is a powerful tool to weight loss with impressive results. There are two mechanisms at work. First, is the oral restriction. With a significant reduced stomach there is, obviously, a much smaller room to receive food. As a result, patients who have underwent Gastric Sleeve Surgery can only eat and drinks small portions at a time. The second mechanism is a physiological appetite diminished. The removal of a part of the stomach produces chemical changes in the body that reduce the appetite. Specific hormones like Grehlin and leptine, two hormones that have a major influence on energy balance and appetite control.

By removing the part of the stomach that produces these hormones, Gastric Sleeve Gastrectomy alters the hormonal balance and dramatically diminishes appetite. These two mechanisms, restrict the amount food and diminish appetite, resulting in life saving and long-term weight loss.

How is the Gastric Sleeve surgery done?

The Gastric Sleeve was originally performed as a modification of another bariatric procedure, the duodenal switch, and then as the first part of a two-stage gastric bypass operation in extremely obese patients for whom the risk of gastric bypass surgery was considered too high. The initial weight loss in these patients was so successful that it began to be investigated as an independent procedure. The procedure involves a longitudinal resection of the stomach starting from the antrum at the 5-6 cm point from the pylorus and ending at the bottom near the cardia. The remaining gastric sleeve is calibrated with a bougie. Most surgeons prefer to use a bougie between 36-40 Fr with the procedure and the approximate ideal remaining size of the stomach after the procedure is approximately 150 ml.

What are the benefits of the Gastric Sleeve?

Gastric sleeve, unlike other bariatric surgeries, does not introduce implantable devices into the body or reroute the digestive pathway. Many patients experience a decrease of greater than 50 percent of excess body weight within the first three to five years, and more than 50 percent are able to keep it off. There are several studies mentioning the benefits of a substained weight loss through Gastric Sleeve Surgery wich include:

  • Long-term remission for type 2 diabetes.
  • Improved cardiovascular health.
  • Relief of depression.
  • Eliminate obstructive sleep apnea.
  • Joint pain relief.
  • Improve fertility.

What are the risks of the Gastric Sleeve Surgery?

There are risks associated to any major surgery, and there are risks exclusive to the Gastric Sleeve. The Gastric sleeve related risks are:

  • Leaking.
  • Bleeding.
  • Obstruction.
  • Gastroesophagic reflux.
  • Ulcers.
  • Twisting of the sleeve.
  • Abscess.

Longer term risks and complications of sleeve gastrectomy surgery can include:

  • Gastrointestinal obstruction.
  • Hernias.
  • Gastroesophageal reflux.
  • Low blood sugar (hypoglycemia).
  • Malnutrition.
  • Vomiting.

What is the cost of a Gastric Sleeve Surgery in Tijuana?

With the special packages in place, gastric sleeve surgery prices begin from $3,995 in Tijuana, Mexico, as opposed to $14,900 in the United States.

How to find out if I am a good candidate for Gastric Sleeve Surgery?

Not all overweight people qualify for the gastric sleeve. There are some criteria that must be fulfilled before a patient is approved for surgery.

Generally, gastric sleeve surgery is indicated for obese adults — that is, people between 18 and 65 with a body mass index (BMI) of 40 or higher. 

People with a body-mass index of 35 can also qualify. Usually, this requires at least one additional health problem related to obesity. Some common weight-related health conditions include diabetes, sleep apnea, hypertension, asthma and joint pain.

You must also be able to handle the physical stress of surgery. Some people have health complications that make major surgery very risky. In some cases, these complications stem from obesity itself, and some initial weight loss can improve the health of the patient enough for surgery.

Psychological readiness is another important factor. Gastric sleeve entails a series of dramatic lifestyle changes, which can be stressful or cause unexpected reactions. Having the right attitude toward food, exercise, and health is important, and most major insurance companies require a psychological consultation as part of the pre-operative evaluation process.

You can start the process by filling the following Health Questionnaire

What to do next

Contact us to start your FREE evaluation at 1 (833) 868 7633 or send us an email to info@medicaltourismtj.com here are some tools you need to continue your research and learn if having a Gastric Sleeve is the right choice for you:

  1. Join a support group. It's important to stay motivated and focused and truly understand what this change means.
    1. Weight Loss Surgery in Tijuana
    2. Dr. Alberto Carlos Support Group
  2. Recommended webforums.
    1. RealSelf.
    2. ObesityHelp.
  3. Recommended Apps.
    1. Baristatic
    2. Bariapps
    3. Waterlogged
    4. Fooducate.
  4. Recommended Readings.
    1. The Big book on the Gastric Sleeve
    2. The Sleeved Life
    3. Ultimate Gastric Sleeve Success





CONTACT INFO Ave. Rí Colorado 9839-D COl. Revolución, Tijuana México1 (833) MED TOUR+52 (664) 210 7985info@medicaltourismtj.com

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