What is Sleeve Gastrectomy? How is it performed?

What is Sleeve Gastrectomy? How is it performed?

Sleeve gastrectomy is a surgical weight-loss procedure in which the stomach is reduced to about 25% of original size by removing of the major curve of stomach. It can be performed with laparoscopic or robotic technique. The remaining stomach is like a sleeve or a banana. It is a restrictive procedure.


It is performed under general anesthesia. Five trocar technique is used. After identification of pylorus, greater omentum is divided by the aim of ultrasonic scalpel. Before dividing the stomach, anesthesiologist places a bougie to the stomach. Stomach is divided with a stapling device in guidance of the bougie. After controlling for bleeding and leakage, remaining stomach is stitched to the omentum. Divided stomach is taken out of the abdomen.

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