Our Summary
A new surgical procedure has been developed to help people lose weight. It’s named the Stomach Sparing Gastric Sleeve (SSGS). This surgery reduces the size of the stomach by folding it inwards to form a sleeve-like shape. Patients who were eligible for gastric banding surgery according to the National Institutes of Health standards were treated with this new procedure between March 2012 and August 2015.
The procedure involves the use of a specialized device to fold the stomach inward in two layers. Stitches are then used to hold the new shape. The stitches start 1 cm below the area where the esophagus meets the stomach and continue down to about 3-4 cm from the bottom of the stomach. The stitches are evenly spaced and the stomach is ensured to be evenly folded.
The surgery was performed on 624 people, who were all followed up for three years. Patients lost around 56.36% of their excess weight in the first year, maintaining a loss of 49.37% by the third year. Patients who were mildly to moderately obese (BMI 20-30) lost more weight, around 60.46% in the first six months and 74.84% in the first year, maintaining a loss of 60.45% after 3 years. The average surgery time was 45 minutes, there were no deaths, and only 1.12% of patients had complications.
This new technique is an improvement over older methods because it specifically addresses problems seen in previous surgeries. The benefits of this surgery are that it does not require any cutting, dividing, or rerouting of the intestines, and it does not involve implanting any foreign devices into the body. The drawbacks are that it is complex to learn and there was no standardized technique until this paper was published.
FAQs
- What is the Stomach Sparing Gastric Sleeve (SSGS) procedure?
- What are the benefits and drawbacks of the Stomach Sparing Gastric Sleeve (SSGS) procedure?
- What were the results of the study conducted from March 2012 to August 2015 on patients who underwent the SSGS procedure?
Doctor’s Tip
One important tip that a doctor might tell a patient about gastric sleeve surgery is to follow a strict post-operative diet plan. This typically involves consuming small, frequent meals that are high in protein and low in carbohydrates and fats. It’s also important to stay well-hydrated and avoid sugary and high-calorie beverages. Following the recommended diet plan will help ensure successful weight loss and prevent complications after surgery.
Suitable For
Patients who are typically recommended for gastric sleeve surgery (SSGS) are those who are mildly to moderately obese with a BMI of 20-30. This procedure is especially beneficial for patients who may not have been eligible for traditional gastric banding surgery. The surgery is considered safe and effective, with minimal complications and a high success rate in terms of weight loss. It is important for patients to consult with their healthcare provider to determine if they are a good candidate for this procedure.
Timeline
Before the surgery, the patient will go through a series of consultations and evaluations with their healthcare team to determine if they are a suitable candidate for the procedure. They will also need to follow a pre-operative diet and lifestyle changes to prepare their body for the surgery.
After the surgery, the patient will need to follow a strict post-operative diet and exercise regimen to support their weight loss goals and ensure a successful outcome. They will also have regular follow-up appointments with their healthcare team to monitor their progress and address any concerns or complications that may arise.
Overall, the timeline for a patient before and after gastric sleeve surgery involves a period of preparation, the surgery itself, and then ongoing support and monitoring to help them achieve their weight loss goals and maintain a healthy lifestyle.
What to Ask Your Doctor
- What are the potential risks and complications associated with the Stomach Sparing Gastric Sleeve procedure?
- How long is the recovery time after the surgery?
- Will I need to make any dietary or lifestyle changes after the procedure?
- How much weight can I expect to lose and how quickly can I expect to see results?
- Are there any long-term effects or considerations I should be aware of?
- What type of follow-up care will be required after the surgery?
- Are there any specific criteria or qualifications I need to meet in order to be a candidate for this procedure?
- How does the Stomach Sparing Gastric Sleeve procedure compare to other weight loss surgeries in terms of effectiveness and safety?
- What is the success rate of this procedure in terms of long-term weight loss maintenance?
- Are there any support groups or resources available for patients who have undergone the Stomach Sparing Gastric Sleeve procedure?
Reference
Authors: Rodríguez G, Martínez A, Viramontes-So M, Sanmiguel L, Jiménez JA, Limon J, Chávez L, Gradillo L, Lagardere AO. Journal: Surg Technol Int. 2015 Nov;27:116-22. PMID: 26680388