We greatly believe that keeping things simple is the easiest way for everyone concerned no matter what we do. In this regard, the beauty of the gastric sleeve is in its simplicity. Basically, we are removing 70-80% of the stomach in a vertical fashion, leaving behind a banana-like tube which creates a restrictive process in which patients can eat much less than before. Because we are not rerouting the intestines, there is no malabsorption and there are no food restrictions. There is no dumping, no internal hernias, and no marginal ulcers as seen with a gastric bypass. Also, because we are not placing a foreign body, there are no foreign body reactions, nothing to adjust, and no port problems… Therein lies its simplicity.
- Rapid weight loss
- Less hospital stay
- Food and nutrients are absorbed
- Not reversible
- Anatomy permanently altered
Nausea for the first few days is common as a result of the edema (swelling) caused by the invagination of the gastric tissue.
If the swelling persists or the tube has been created too narrowly or twists, obstruction may occur, necessitating a reversal of the plication or possibly even resulting in conversion to a gastric sleeve or a gastric bypass.
Gastric perforations or leaks are also possible as a result of the swelling or ischemia (poor blood supply) caused by the plication.
Bleeding and ulceration of the stomach may also occur as a result of poor blood caused by the invagination of the gastric tissue.
To date there are no long term studies. Preliminary results are encouraging and show similar weight loss to the gastric sleeve. Resolution of the co-morbidities is also unknown.
The effects of the plication on the gut hormones (that the gastric sleeve affects) are unknown.