Bariatric Surgery
Gastric Sleeve
Sleeve gastrectomy, or longitudinal gastrectomy, is a bariatric surgery procedure that involves removing approximately 80% of the stomach to create a reduced-volume gastric tube. This restrictive technique significantly decreases the amount of food that can be ingested and alters hunger hormones, resulting in significant and lasting weight loss.
Duration
1 to 1.5 hours
Anesthesia
General anesthesia
Hospitalization
2 to 3 nights
Security
Certified protocols
TECHNOLOGY
Why choose our clinic for this procedure?
- Proven and standardized technique
Complete multidisciplinary bariatric team
Personalized lifelong nutritional follow-up
Complication prevention protocol
Vitamin deficiency monitoring
Objectives and Benefits
- Significant and lasting weight loss (50-70% of excess weight)
Drastic reduction in stomach volume (reduced to 100-150 ml)
Decrease in hunger hormones (ghrelin)
Improvement or remission of type 2 diabetes
Correction of high blood pressure and sleep apnea syndrome
Improved quality of life and mobility
Indications
Security & Protocols
- Proven and standardized technique
Complete multidisciplinary bariatric team
Personalized lifelong nutritional follow-up
Complication prevention protocol
Vitamin deficiency monitoring
- BMI ≥ 40 kg/m² (morbid obesity)
BMI ≥ 35 kg/m² with comorbidities (diabetes, hypertension, sleep apnea)
Failure of weight loss attempts through diet and exercise
Age between 18 and 65 years (case-by-case assessment outside these limits)
Understanding of the necessary dietary changes
Commitment to long-term medical follow-up
Preoperative Preparation
Complete medical assessment: blood tests, cardiac, pulmonary, endocrine
Mandatory psychological evaluation
Dietary consultation with pre-operative diet plan
Gastroscopy to rule out gastric pathologies
High-protein diet 2-4 weeks prior (liver volume reduction)
Complete smoking cessation 2 months prior to surgery
Full information on post-surgical dietary changes
Procedure of the Intervention
The procedure is performed laparoscopically (4-5 small incisions of 5-12 mm). The surgeon removes approximately 80% of the stomach, primarily the fundus where ghrelin (the hunger hormone) is produced. The remaining stomach tissue takes the form of a tube or sleeve of approximately 100-150 ml. The removal is permanent and irreversible. A watertight staple line secures the incision.
Post-operative monitoring and recovery
Resumption of a liquid diet from day 1, followed by soft textures for 3-4 weeks before gradual reintroduction of solid foods. 2-4 weeks of sick leave. Lifelong vitamin supplementation is mandatory. Regular dietary monitoring is required. Rapid weight loss is expected during the first 6 months, stabilizing at 12-18 months.
Expected Results
The sleeve gastrectomy allows for a 50 to 70% loss of excess weight within 12 to 18 months. The feeling of hunger is significantly reduced thanks to the decrease in ghrelin. There is a dramatic improvement in comorbidities: remission of diabetes in 60-80% of cases, normalization of blood pressure, and resolution of sleep apnea.
