What Is a Laparoscopic Sleeve Gastrectomy?

Laparoscopic gastric sleeve resection, the full name of laparoscopic gastric reduction surgery, the principle of gastric reduction surgery is to use laparoscopy to cut out the large curvature of the stomach, mainly for weight loss and type 2 diabetes treatment.

Laparoscopic gastric sleeve resection

The full name is laparoscopic gastric reduction surgery, also known as laparoscopicSleeveGastrectomy. The principle of gastric reduction surgery is to use laparoscopy to cut the large curvature of the stomach vertically, so that the stomach will form a small gastric sac with about 150cc Holds 4-5 ounces of food. Its benefits are that it does not require foreign objects to be inserted into the body, and the weight loss effect of the surgery is significant.

Method: Keep the gastric antrum above the pylorus 2-6cm along the direction of the great curvature of the stomach, remove the large part of the stomach along the long axis of the stomach, remove all the fundus, and make the remaining stomach "banana-shaped" with a volume of about 60-80ml

Principle: Reduce stomach capacity, reduce hormone secretion that stimulates hunger

Advantages: Does not change the physiological state of the gastrointestinal tract, does not interfere with the normal digestion and absorption process of food

Evaluation: Sleeve gastrectomy has a good therapeutic effect on type 2 diabetes and is currently widely used in Europe for weight loss and diabetes surgery

Studies have shown that patients undergoing weight loss compared with patients undergoing diabetic surgery who were treated only with traditional medications were able to completely relieve blood sugar in patients with type 2 diabetes. Two years after receiving gastric bypass, the patient's diabetes remission rate reached 75%.

Definition of diabetes remission: glycated hemoglobin <6.5% without medication

In addition, weight loss and diabetes surgery can significantly resolve or improve type 2 diabetes and other obesity complications. Studies have shown that 86% of patients with weight loss and diabetes surgery can resolve or improve diabetes, 70% or more of those with high blood lipids, 78.5% of those with hypertension or high blood pressure, and Hun En can resolve sleep 85.7% of patients with apnea

l While controlling blood sugar, undergoing weight loss and diabetes surgery can also reduce the use of drugs such as diabetes, hypertension, and hyperlipidemia, which can affect patients' overall health, emotional health, physical and social functions, pain relief, and personal energy recovery. There are various degrees of improvement.

The course of type 2 diabetes is 15 years, and the islet still has a certain insulin secretion function. The fasting serum C peptide level is 2/1 of the lower limit of normal value.

BMI27.5kg / m²

When the waist circumference of men is 90cm, and the waist circumference of women is 85cm, the recommended surgery level can be increased as appropriate

Recommended age 16-65

Patients with BMI between 25.0-27.4kg / m² need to consider surgery carefully

The above standards, doctors also need to consider the patient's metabolic syndrome components or the existence of comorbidities, please consult the doctor in detail

Patients with a clear diagnosis of non-obese type 1 diabetes

Patients with T2DM who have basically lost islet -cell function, low serum C-peptide levels, or low C-peptide release profiles under glucose load

Surgery is not currently recommended for patients with BMI <25kg / m²

Gestational diabetes and some special types of diabetes

Patients with drug or alcohol addiction or with uncontrollable mental illness

Patients with mental retardation or mental immature who cannot control their behavior

Patients whose expectations for surgery are not realistic

Patients unwilling to bear the risk of potential complications from surgery

Patients who cannot cope with changes in diet and lifestyle after surgery, and patients with poor compliance

Patients with poor general conditions who cannot tolerate general anesthesia or surgery ^[1-2]