What is a Sleeve Gastrectomy?

Gastric Restrictive Weight Loss

Vertical Sleeve Gastrectomy (VSG), also known as gastric sleeve, is a surgical weight loss procedure that is performed with the goal of helping individuals achieve significant weight loss by causing chemical changes in your body and restricting the amount of food the stomach can hold. Gastric sleeve surgery involves the removal of a large portion of the stomach to create a smaller, sleeve-shaped stomach.

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    How Sleeve Gastrectomy Works

    The Science Behind Gastric Sleeve Surgery

    Stomach Reduction

    During the surgery, a surgeon removes approximately 75-80% of the stomach, leaving behind a narrow tube or sleeve-like structure. The remaining stomach is shaped like a banana or sleeve.

    Restriction of Food Intake

    The primary mechanism of weight loss with a gastric sleeve is restriction. With a smaller stomach, individuals experience a feeling of fullness with smaller amounts of food, which helps in reducing caloric intake.

    Hormonal Changes

    Sleeve gastrectomy leads to changes in gut hormones such as ghrelin, by up to a 70% reduction, affecting hunger, satiety, and metabolic processes. This hormonal shift can contribute to the positive outcomes observed in weight loss and improvement in obesity-related health conditions.

    Resolution of Comorbidites after Sleeve Gastrectomy

    Gastric sleeve has been shown to resolve or improve:

    Type 2 Diabetes (45-58% Resolved)
    Sleep Apnea (60% Resolved)
    High Blood Pressure (50% Resolved)
    High Cholesterol (77% Resolved)

    Advantages of Vertical Sleeve Gastrectomy

    Learn the Benefits of Gastric Sleeve Surgery

    Gastric sleeve surgery offers several advantages for individuals seeking effective and lasting weight loss solutions. It’s important to note that while gastric sleeve surgery offers these advantages, it is not a one-size-fits-all solution. The decision to undergo any weight loss surgery should be made in consultation with healthcare professionals, considering individual health conditions, lifestyle factors, and personal goals.

    Significant Weight Loss

    Gastric sleeve surgery is known to result in substantial weight loss. Patients often achieve a reduction in excess body weight ranging from 55% to 70% within the first year after the procedure.

    Reduced Appetite

    The surgery removes a significant portion of the stomach, including the part responsible for producing the hunger-stimulating hormone ghrelin by up to 70%. This leads to a decreased appetite, making it easier for individuals to adhere to a reduced-calorie diet.

    Improved Obesity-Related Health Conditions

    Many individuals experience improvement or resolution of obesity-related health conditions such as type 2 diabetes, high blood pressure, and sleep apnea after gastric sleeve surgery. This can contribute to an overall improvement in health and well-being.

    Minimally Invasive Procedure

    Gastric sleeve surgery is typically performed using a laparoscopic approach, involving small incisions and a camera for visualization. This minimally invasive technique often results in a faster recovery, reduced pain, and a lower risk of complications compared to traditional open surgery.

    No Intestinal Bypass

    Unlike gastric bypass surgery, gastric sleeve surgery does not involve rerouting or bypassing a segment of the small intestine. The digestive process remains more natural, reducing the risk of absorption-related complications.

    No Foreign Objects

    Unlike gastric banding (lap band) procedures, gastric sleeve surgery does not involve the use of foreign objects. This eliminates the need for adjustments and reduces the risk of device-related complications.

    Preservation of the Pyloric Valve

    The procedure typically preserves the pyloric valve, which regulates the release of stomach contents into the small intestine. This helps maintain a more normal digestive process.

    Faster Recovery Time.

    Patients often experience a quicker recovery period with gastric sleeve surgery compared to some other weight loss procedures. Most individuals can return to normal activities within a few weeks

    Reduced Risk of Nutritional Deficiencies

    Because the surgery does not involve rerouting the intestines, there is a lower risk of nutritional deficiencies compared to some other weight loss surgeries. However, patients are typically advised to take nutritional supplements to ensure adequate nutrient intake.

    Enhanced Quality of Life

    Successful weight loss through gastric sleeve surgery can lead to an improved quality of life. Patients often report increased energy levels, improved mobility, and enhanced overall well-being.

    Meet the Surgeon

    New Jersey’s “Top Doc” in Bariatric Surgery

    Board certified bariatric surgeon in New Jersey, specializing in minimally invasive weight loss surgery.

    Dr. Alexander Abkin

    Dr. Alexander Abkin

    Board Certified Bariatric Surgeon

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    Dr. Alexander Abkin is board certified by American Board of Surgery since 1997 and has been voted as a “Top Doc” in bariatric surgery every year since 2007. His area of expertise is minimally invasive weight loss surgery. Under his leadership, the practice has performed over 11,000 bariatric procedures in the past 23 years.

    As a Director of Bariatric Surgery at Saint Clare’s in Dover and JFK Medical Center in Edison, Dr. Abkin’s practice is accredited and recognized as a Center of Excellence in Bariatric Surgery by Metabolic and Bariatric Surgery Accreditation Quality Improvement Program (MBSAQIP).

    Real Stories from Real Patients

    Our patients share their success stories, proving that with determination and expert care, a healthier, happier life after sleeve surgery is not just a goal – it’s a reality.

    Allison Lost over 80 lbs after Sleeve Gastrectomy
    Lost over 80 lbs

    I feel like a new person…

    5 Star Google Review

    “Dr. Abkin’s expertise in performing my gastric sleeve surgery in 2022 was truly remarkable. From our first consultation to post-op follow-ups, he demonstrated genuine care and professionalism. The procedure went flawlessly, and I felt well-informed and confident throughout. Thanks to Dr. Abkin’s skill and guidance, I’ve achieved significant weight loss and improved health. Grateful for his exceptional care on this transformative journey.”

    Allison

    Sleeve Gastrectomy

    Judith Lost over 76 lbs after Sleeve Gastrectomy
    Lost over 76 lbs

    The best choice I’ve made…

    5 Star Google Review

    “After undergoing gastric sleeve surgery, I am amazed by the positive impact it has had on my life. The procedure was smooth, and the medical team was extremely supportive throughout the process. I’ve experienced significant weight loss and newfound energy. My confidence has soared, and I’m enjoying a healthier lifestyle. Grateful for this life-changing surgery.”

    Judith

    Sleeve Gastrectomy

    Nicole Lost over 159 lbs after Sleeve Gastrectomy
    Lost over 159 lbs

    Enormously thankful and forever grateful…

    5 Star Google Review

    “Enormously thankful to Dr. Abkin for changing my life! Lost over 150 lbs after having sleeve surgery in 2019. His expertise and support made my transformation possible. Forever grateful!”

    Nicole

    Sleeve Gastrectomy

    Jennifer Lost over 69 lbs after Sleeve Gastrectomy
    Lost over 69 lbs

    Still losing weight and extremely happy…

    5 Star Google Review

    “Dr. Abkin was so friendly and explained each procedure thoroughly. I never felt forced or not heard, which really made me feel very comfortable with going forward with the surgery. Well a year later and I’m reflux free and still losing weight and extremely happy with all my services from him and his staff! I have referred him several times to my friends and co workers and will keep referring him!”

    Jennifer

    Sleeve Gastrectomy Revision

    AllisonJudithNicoleJennifer

    Lose the weight. Regain your Health! Confidence! Life!

    Our surgeons will assess your BMI, health history, and target weight to determine if Gastric Sleeve Surgery is right for you.

    Gastric Sleeve Surgery

    Reach your weight loss goal and make it a lasting reality.

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      Frequently Asked Questions

      Answering Your Common Questions About Sleeve Gastrectomy

      Gastric sleeve surgery, also known as sleeve gastrectomy, involves the removal of a large portion of the stomach, creating a smaller, sleeve-shaped stomach. This restricts the amount of food the stomach can hold, leading to weight loss.

      The ASMBS Guidelines now recommends bariatric surgery for individuals with a BMI of 35 or more regardless of presence, absence, or severity of obesity-related conditions and that it be considered for people with a BMI 30-34.9 with significant comorbidities such as Type 2 Diabetes, Obstructive Sleep Apnea, Uncontrollable Hypertension.  It is also recommended that obesity definitions using standard BMI thresholds be adjusted by population and that Asian individuals consider weight-loss surgery beginning at BMI 27.5.

      Gastric sleeve surgery is a relatively quick procedure, often taking about under one hour.

      Some patients are concerned about “irreversibility” of certain procedures, sleeve gastrectomy in particular. We used to get that question a lot when VSG (Vertical Sleeve Gastrectomy) first came out – more than 15 years ago!

      The way it should be looked upon is the following.

      1. Obesity is a chronic, debilitating disease, and needs to be addressed permanently, not temporarily. Most of the patients who come to us for help, have the “obesity gene”, and therefore looking for a permanent solution, and have been struggling with weight problems their entire life.
      2. Having a “normal portion size” stomach capacity of 6-8 ounces after sleeve gastrectomy allows our patients to live a healthy, normal life, and there is no need to be concerned, therefore, with permanency of the procedure. It also allows for reduction of the hunger hormone, called ghrelin, by a factor of 70% in majority of the patients. Leaving a larger stomach may lead to weight loss plateau, possible weight regain.

      All these discussions take place during the initial visit, and we make every effort to customize the treatment plan, based on the individual patients needs and goals. Please always ask our surgeons about different options available and which one is best for you.

      Most individuals can return to normal activities within 1-2 weeks after surgery. However, strenuous activities may need to be avoided for a longer period.

      Yes, adopting a healthier lifestyle is crucial for long-term success. This includes dietary modifications, regular exercise, and adherence to post-operative guidelines.

      While complications are rare, they can include infection, bleeding, leakage, and adverse reactions to anesthesia. A thorough discussion of potential risks will occur during the pre-operative consultation. Our practice has a complication rate below the national average of .01% and recognized as a Center of Excellence in Bariatric Surgery by both the American College of Surgeons and the American Society for Metabolic and Bariatric Surgery (ASMBS).

      Weight loss varies, but many individuals can expect to lose 55% to 70% within the first year after the procedure.

      Since our nutrients are absorbed in the digestive system through the foods we consume, and the portions are reduced, nutritional supplementation  will be recommended early after surgery. Our healthcare team will provide guidance on necessary supplements to prevent nutritional deficiencies.

      Yes, many individuals experience improvement or resolution of conditions such as type 2 diabetes, high blood pressure, and sleep apnea following gastric sleeve surgery. However, individual results may vary.

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        Disclaimers:

        *Before and after images reflect actual patient results. Although individual results may vary, treatment is only promised to provide permanent results. A guarantee is neither provided nor implied. Statements estimating treatment duration and the number of treatments required are based on the typical experience of our patients. However, individual experiences may vary.

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        Contact Information

        83 Hanover Road
        Suite 190
        Florham Park, NJ

        Phone: (855) 949-9344

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