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Wednesday, January 2, 2008

‘Sleeve’ procedure offers unique option in weight-loss surgery


INDIANAPOLIS – Some patients seeking a surgical solution to weight loss have another alternative to consider now offered at the St. Francis Weight Loss Center.

It’s called the sleeve gastrectomy, an operation that removes part of the stomach and resizes it roughly to the shape and size of a banana. The smaller stomach helps patients become full faster when eating and decreases the appetite sensation.

“The sleeve gastrectomy doesn’t involve rerouting or reconnecting of intestines and is a simpler procedure than the gastric bypass or the duodenal switch,” said Jonathan Mandelbaum, M.D., the center’s surgical co-director. “Unlike the Lap-Band, the sleeve gastroectomy doesn’t require implanting an artificial device inside the abdomen.”

Sleeve gastretcomies are recognized as a first and single procedure for weight loss because it can achieve more than 50 percent excess weight loss in as little as 18 months.

For certain patients, in particular those with a body mass index greater than 60, the sleeve gastrectomy may be the first part of a two-stage operation. Patients may safely lose up to 100 to 150 pounds in a six-to-12 month period, at which point the weight loss may plateau and other procedures become less risky.

Both stages of the surgery can be performed laparoscopically – minimally invasive surgery – and offers the advantages of shorter recovery time, shorter incisions, and fewer incision-related problems and less pain.

Within one to two years after a sleeve gastrectomy, patients in medical studies have shown resolution for conditions such as diabetes, hypertension, high cholesterol and sleep apnea.

St. Francis Hospital & Health Centers is a nationally recognized as a Center of Excellence for bariatric surgery by the American Society for Metabolic & Bariatric Surgery. This honor recognizes quality surgical programs around the country.

More information about the St. Francis Weight Loss Center and surgical procedures is at www.stfrancishospitals.org/Weightloss.