There are some new surgeries on the stomach for weight loss like the sleeve and there is another that is noninvasive and folds the stomach in half. What is you opinion on these alternatives to regular gastric bi pas.
What is Your Opinion of the Sleeve?
Doctor Answers 4
Opinion on sleeve
Sleeve is a safe and effective procedure
Gastric bypass is an effective weight loss procedure that has been around for over 30 years. People lose ~70% of their excess weight in ~12-18mos. Sleeve gastrectomy has been used as a primary procedure for over 8 years, and has been shown to provide similar weight loss, ~70% in 12-18 months. The sleeve is thought to be less aggressive as we are only cutting the stomach, whereas the bypass also involves cutting and re-routing bowels and creating anastamoses. Many prefer the gastric sleeve because there is also no malabsorption issues. In regards to gastric plication (folding the stomach on itself to shrink the size), this has only been around for 18-24mos. We do not have long term studies to show that after initial weight loss, that it will stay off. This is why most people offering plication are clearly explaining to patients that it is still considered investigational. That is official stance of the ASMBS as well. Hope this helps.
Sleeve versus Plication
I don't believe that many surgeons are recommending the gastric plication. It is difficult to reverse, and therefore a sleeve gives the same level of restriction with the added benefit of reducing the hunger hormone ghrelin. A gastric plication will have minimal impact on circulating ghrelin levels since the entirety of the stomach is still in place, even if it is all folded up inside itself.
Hope that helps!!
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