Single Incision Gastric Sleeve
Gastric Sleeve is modification of an old technique called Magenstrasse and Mill procedure. This new technique removes the unused portion of the stomach permanently.
The gastric sleeve originated as stage 1 of the Duodenal Switch procedure in the super morbidly obese. In this procedure 75 to 85 percent of the stomach is removed and the remaining stomach is banana shaped leaving the outlet valve of the stomach intact. Currently the gastric sleeve is offered as a primary weight loss procedure and as a revision option for suitable patients. The Gastric Sleeve does not cause any significant malabsorption issues because the intestines are not bypassed. Some theory indicates that with the portion of the stomach that is removed the hunger producing hormones such as Ghrelin are reduced significantly thereby helping with the weight loss process.
The main advantage of this procedure is that long term complication risk is less. The procedure initial risks are very similar to gastric bypass surgery. Existing 5 year follow-up data indicates that weight loss with Sleeve gastrectomy is similar to the Gastric bypass procedure. This procedure is permanent with no options of reversibility. In 2010 many insurance policies started covering the Gastric Sleeve procedure.
Traditional Laparoscopic placement
In the standard laparoscopic approach for the Gastric Sleeve 5 or more small incisions are made on the upper abdomen the largest one being 1 ½ inches.
This approach is much better than the open surgery but still leaves visible scars and the associated healing.
Trans-umbilical single incision gastric sleeve
Dr. Ganta now offers the trans-umbilical single incision Gastric sleeve without leaving any visible scars on the abdomen.
This remarkable technique involves complete performance of the gastric sleeve procedure via the incision at the belly button and leaving no visible scars on the abdomen.
Dr. Ganta is one of the few surgeons in the U.S. to use this almost scarless approach for the Gastric Sleeve. This new technique of Trans-umbilical Gastric Sleeve allows patients to have significantly improved cosmetic results and possibly less pain and a faster recovery.
All patients are not candidates for this approach. Results can vary and are not guaranteed even for patients determined to be candidates before the surgery.
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