The majority of sleeve gastrectomy (LSG) LSG’s performed today are completed laparoscopic method. During the LSG, about 75 percent of the stomach is removed, leaving a narrow gastric tube or “sleeve.” The LSG procedure greatly reduces the size of the stomach and limits the amount of food that can be eaten at one time.
In addition to reducing the size of the stomach, the procedure reduces the amount of the “hunger hormone,” ghrelin, produced by the stomach. The duration of this effect is not clear yet, but most patients have significantly decreased hunger after the operation.
Decrease Ghrelin = Decrease Hunger
In laparoscopic surgery, a small video camera is inserted into the abdomen allowing the surgeon to conduct and view the procedure on a video monitor. Both camera and surgical instruments are inserted through small incisions made in the abdominal wall. The number of incisions will vary depending on the surgical procedure and surgeon experience like Dr Omer Avlanmis.
The Biliopancreatic Diversion with Duodenal Switch (BPD/DS) is often an open operative procedure; however, it may be performed laparoscopic.