Laparoscopic Sleeve Gastrectomy

Can my procedure be done using single incision laparoscopic surgery?
Calvin Selwyn, Jr., MD, can accomplish Laparoscopic Sleeve Gastrectomy using the SILS technique.  The Single Incision Laparoscopic Surgery (SILS) technique is accomplished through the belly button using only one incision. In addition to potentially reducing scar visibility, the SILS technique also may eliminate the wound pain associated with multiple points of entry required by standard laparoscopic surgery. You may also benefit from a shortened recovery time from a single incision in the belly button compared to the long incision used in a traditional open procedure.

Will I be sick a lot after surgery?
Undergoing laparoscopic sleeve gastrectomy limits food intake.  If you feel nauseated or sick on a regular basis, it may mean that you are not chewing your food well enough or that you are not following your diet plan properly.  However, it could also be a temporary side effect of the surgery, so contact your physician’s office if the problem persists.

Is part of the stomach removed after Laparoscopic sleeve gastrectomy?
The sleeve gastrectomy is a restrictive procedure meaning it does not involve any surgery on the intestine.  It basically consists of making a stomach that looks like a pouch into a long tube; therefore, the name “sleeve”.  During this procedure your surgeon will remove 2/3 of your stomach, thus creating quicker satiety (sense of fullness) and decreased appetite.

Why choose the sleeve gastrectomy?

  1. With the sleeve gastrectomy there is no implantation of a foreign body such as a silastic ring used in gastric banding.
  2. The procedure mechanically decreases the size of the stomach but also decreases the secretion of the hormone Ghrelin which is responsible for the feeling of satiety (fullness).

The procedure offers the benefit of initially decreasing the body weight in the severely obese patient to prepare this patient for a staged procedure or other surgery at a later date.

Will I suffer from constipation?
There may be some reduction in the volume of your stools, which is normal after a decrease in food intake because you eat less fiber.  This should not cause you severe problems.  If difficulties do arise, check with your physician.  They may suggest you take a mild laxative and drink plenty of water.  Your needs will vary, but you should drink at least 48 oz. of fluid daily.

Will I need to take vitamin supplements?
Yes.  It’s difficult to get enough vitamins from four small meals a day.  At your regular check-ups, your physician will evaluate whether you are getting enough vitamin B12, folic acid, and iron.  You may be required to take additional supplements every day.

When can I go back to work?
Your ability to resume pre-surgery levels of activity will vary according to your physical condition, the nature of the activity, and the type of weight loss surgery you had.  Many patients return to full pre-surgery levels of activity within six weeks of their procedure.  Patients who have had a minimally invasive laparoscopic procedure may be able to return to these activities sooner.

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