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Unlike the gastric bypass, the Sleeve is only a restrictive procedure. This surgery can be performed open or laparoscopic.  The stomach is decreased to approximately 60-120ml by one long staple line.  The remainder of the stomach is removed.  The small intestine remains the same, and food digests like it normally would.  This allows for normal absorption of vitamins and minerals. 

This is a newer procedure and has many advantages and disadvantages.  Advantages include no foreign materials, no adjustments and can be converted into other procedures.  There could be some stapling complications and this procedure is irreversible.  As of now, there has not been much long-term research done on this procedure, but the three year follow-up has been shown to be comparable to that of the gastric bypass.  Only four insurances cover this procedure: Blue Cross/Blue Shield, Aetna, Cigna and United Health Care.

  • You will always need to eat small amounts more often.
  • You will never be able to starve all day and then eat a huge Thanksgiving dinner.
  • How you view food will change.
  • After surgery your stomach will only be able to hold clear liquids 2 ounces every 25 minutes.  The average stomach holds 5 cups, your stomach will only hold ½ cup.  Eventually, the stomach swelling will decrease.  After your new stomach pouch heals, the most it can hold is 4-8 ounces at a time.

    Eating after the surgery

    It is important to eat the right foods after surgery because the small amounts you are allowed has to go towards healing and preventing vitamin/mineral deficiencies.

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