Laparoscopic Vertical Sleeve Gastrectomy

The gastric sleeve procedure, or vertical sleeve gastrectomy, is a restrictive surgery that permanently removes approximately 70% of your stomach. The laparoscopic approach to making the sleeve — long and tubular, resembling a “banana shape,” allows each working section of the stomach to remain intact with the outlet being your pyloric sphincter.


The design also benefits the patient by removing much of the “appetite hormone” Ghrelin producing cells, so patients receive additional help with suppressing their hunger or appetite.

The vertical sleeve gastrectomy had been used for decades in conjunction with another procedure that is mal-absorptive. Bariatric surgeons began omitting the second part of this procedure in the early 2000’s, studying the sleeve as a standalone approach. The five-year data demonstrated very favorable outcomes in weight loss, reduced post-op complications and mortality, and saw favorable resolution of patients’ co-morbidities.

This makes the gastric sleeve a strong choice for balancing benefits and risks in comparison to combination choices such as gastric bypass.


Excess weight loss in the average patient ranges from 50 to 75% and almost all patients will see an improvement or elimination of type II diabetes, high cholesterol, high blood pressure and sleep apnea.

Benefits of the Gastric Sleeve:

Considerations and Risks of the Gastric Sleeve: