This video demonstrate laparoscopic sleeve gastrectomy performed by Dr R K Mishra at World Laparoscopy Hospital. The laparoscopic sleeve gastrectomy (SG) or gastric sleeve surgery, involves re-shaping the stomach from a pouch-like shape into a long tube, or “sleeve”. Pre-surgery the stomach looks like a kidney bean and can expand to the volume of several liter-size bottles of soda. With staples, the stomach is converted to look like a banana. This weight loss surgery reduces the capacity and prevents the stomach from expanding significantly. Before sleeve gastrectomy a regular stomach can hold about six cups of food. The new small stomach can hold about a half cup in volume, resulting in a ‘restrictive’ weight loss of the person. This type of laparoscopic sleeve gastrectomy bariatric surgery can be done as a stand-alone procedure or as part of a staged operation. The weight loss is projected to be in the range of 55 to 70 percent of excess body weight. There is no malabsorption created and no foreign body or implant involved. Long-term results are becoming available and the data suggest the weight loss is similar to gastric bypass.

Sleeve Gastrectomy, also known as Laparoscopic Sleeve Gastrectomy (LSG), is one of the most commonly performed bariatric (weight-loss) surgeries worldwide. It is a minimally invasive procedure designed to help people with obesity achieve significant and sustained weight loss while improving obesity-related health conditions.

What Is Sleeve Gastrectomy?

Sleeve Gastrectomy is a surgical procedure in which approximately 75–80% of the stomach is removed, leaving behind a narrow, tube-shaped stomach resembling a sleeve. This smaller stomach limits the amount of food a person can eat and reduces hunger by lowering the production of the hunger hormone ghrelin.

The surgery is performed laparoscopically, using small incisions, a camera, and specialized instruments, which ensures faster recovery and minimal scarring.

How Sleeve Gastrectomy Works

Sleeve Gastrectomy helps in weight loss through two main mechanisms:

1. Restriction – The reduced stomach size limits food intake.

2. Hormonal Effect – Decreased ghrelin levels reduce appetite and cravings.

Unlike gastric bypass, the intestines are not rerouted, making digestion more natural.

Who Is an Ideal Candidate?

Sleeve Gastrectomy is recommended for individuals who:

• Have a BMI ≥ 40, or

• Have a BMI ≥ 35 with obesity-related conditions such as diabetes, hypertension, sleep apnea, or joint problems

• Have failed to achieve long-term weight loss through diet and exercise

• Are committed to lifestyle changes and long-term follow-up

Benefits of Sleeve Gastrectomy

• Significant and sustained weight loss

• Improvement or resolution of type 2 diabetes, high blood pressure, and sleep apnea

• Reduced appetite and better portion control

• No foreign body implantation

• No intestinal bypass

• Short hospital stay and faster recovery

The Surgical Procedure

• Performed under general anesthesia

• Duration: 60–90 minutes

• 4–5 small incisions are made

• Most patients are discharged within 1–2 days

Recovery and Post-Surgery Care

• Patients usually return to normal activities within 1–2 weeks

• A phased diet plan (liquids → soft foods → solid foods) is followed

• Regular follow-ups with the bariatric team are essential

• Lifelong commitment to healthy eating and physical activity is required

Possible Risks and Complications

Although Sleeve Gastrectomy is generally safe, possible risks include:

• Staple line leak

• Bleeding

• Infection

• Acid reflux

• Nutritional deficiencies (rare but manageable with supplements)

Choosing an experienced surgeon and a specialized bariatric center minimizes these risks.

Long-Term Results

Most patients lose 60–70% of excess body weight within the first 12–18 months. With proper lifestyle changes, weight loss can be maintained long-term, leading to improved quality of life and increased life expectancy.

Conclusion

Sleeve Gastrectomy is a proven, safe, and effective solution for individuals struggling with obesity and related health issues. When combined with lifestyle modifications and regular medical follow-up, it offers long-lasting weight loss and significant improvement in overall health.