The fight against obesity is one of the main health concerns in the world today. Overweight and obesity can bring with it a number of health problems that impair quality of life. The Gastric Sleeveby renowned experts such as the Dr. Luis Cano at Tijuana Mexicois presented as an effective solution for thousands of patients. In this detailed note, provided by Obesity OutWe will dive into the benefits, advantages, disadvantages and consequences associated with this procedure.

What are the benefits of having a gastric sleeve?

The Gastric Sleeve is a bariatric surgery that has gained popularity in the last decade, and not without reason. Let's take an in-depth look at the benefits it has brought to the lives of numerous patients:

1. Significant weight loss: The efficacy of this surgery in weight reduction is undeniable. Patients, on average, lose between 60% and 70% of their excess weight in the first year after surgery. This loss translates into improved mobility, self-esteem and physical appearance.
2. Improvement in comorbidities: Obesity is a triggering factor for multiple diseases. With weight loss, diseases such as type 2 diabetes, hypertension, heart disease and sleep apnea, among others, tend to improve significantly, reducing medication and, in some cases, achieving their complete resolution.
3. Feeling of satiety: The procedure reduces the size of the stomach, thus limiting the amount of food that can be consumed. This, combined with hormonal changes that decrease appetite, results in a lower caloric intake and a feeling of satiety with reduced portions.
4. No intestinal bypass: Unlike other bariatric surgeries, the Gastric Sleeve does not involve rerouting or bypassing the intestine. This means that there is less chance of suffering from nutrient malabsorption problems, which is common with other procedures.
5. Increased quality of life: Aside from the marked improvement in physical health, patients report significant improvements in their mental and emotional health. Looking and feeling better, the ability to perform activities that were previously difficult or impossible, and increased self-esteem are just some of the intangible but profoundly impactful benefits of this surgery.
6. Reduction of mortality: Studies have shown that people who undergo bariatric surgery, including gastric sleeve surgery, have a lower mortality rate compared to those who choose not to have surgery.

What are the consequences of gastric sleeve surgery?

Every medical procedure has its consequences, some positive and others that require consideration and preparation:

1. Recovery period: Although the Gastric Sleeve is less invasive than other bariatric procedures, it still requires a recovery period. During this time, it is essential to follow the medical indications to the letter, from rest to the initial liquid diet.
2. Change of diet: After the operation, the stomach will have a reduced capacity. This requires a drastic change in diet. The process starts with liquids, progresses to purees and eventually to solids. It is essential to adhere to the dietary guidelines to ensure a smooth recovery and effective weight loss.
3. Possible complications: Although the Gastric Sleeve has a low rate of complications compared to other bariatric surgeries, it is not without risk. Complications can range from mild, such as nausea or vomiting, to more serious, such as infection, bleeding or problems with the suture.

What is the gastric sleeve: advantages and disadvantages?

Over the years, the Gastric Sleeve has emerged as one of the most preferred bariatric procedures, and this preference stems from its clear advantages. However, like any medical intervention, it also has its disadvantages. Below, we will break down both aspects.

Advantages of the Gastric Sleeve:

1. Laparoscopic procedure: Performed through small incisions using a camera, this technique minimizes postoperative pain, reduces the risk of infection and speeds recovery.
2. No need for external devices: Unlike other procedures such as Gastric Banding, no external device is introduced into the body, which avoids the need for subsequent adjustments or risks associated with such devices.
3. Maintenance of the digestive tract: Since there is no rerouting of the intestine, food follows its natural path, thus reducing the risk of malabsorption.
4. Reversible to a certain extent: Although it is not possible to completely restore the original size of the stomach, should any serious complications arise, there are surgical options to partially reverse the Gastric Sleeve.

Disadvantages of the Gastric Sleeve:

1. Total irreversibility: Unlike procedures such as the Lap Band, it is not completely reversible. Once a portion of the stomach is removed, it cannot be returned to its original size.
2. Risk of reflux: Some patients may experience acid reflux after the procedure, which may require medication or, in extreme cases, another intervention.
3. Strict postoperative diet: The diet after surgery is restrictive and must be followed to the letter to avoid complications.
4. Need for vitamin supplements: Although malabsorption is not a common problem with Gastric Sleeve, some patients may need vitamin supplements to ensure adequate nutrition.

What are the disadvantages of a gastric sleeve?

Although we have mentioned some of them in the previous section, it is important to go deeper into the disadvantages and postoperative considerations of the Gastric Sleeve:

1. Stomach dilatation: Over time, there is a small chance that the remaining stomach will stretch, which could reduce the effectiveness of the surgery in terms of appetite control and stomach capacity.
2. Nutritional deficiencies: Although less common than in other bariatric procedures, some patients may experience vitamin and mineral deficiencies. It is essential to have regular check-ups and follow medical advice regarding supplementation.
3. Possibility of additional surgery: While rare, some patients may require additional surgeries, either to address complications or to continue weight loss if the Gastric Sleeve does not produce the desired results.
4. Emotional and psychological changes: Rapid weight loss and change in body image can trigger a variety of emotions, from euphoria to depression. It is essential to have good emotional support and to consider therapy or counseling.
5. Risks associated with any major surgery: These include, but are not limited to, infections, blood clots and adverse reactions to anesthesia.

The Gastric SleeveThe project, carried out in centers of excellence such as Obesity Out at Tijuana Mexico by the Dr. Luis Canois a valuable tool in the fight against obesity. However, like any medical procedure, it is essential to be well informed and consider both the benefits and disadvantages before making a decision.