Sleeve Gastrectomy / Advanced Surgical Partners of Virginia / Realize
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Sleeve Gastrectomy / Advanced Surgical Partners of Virginia / Realize

August 10, 2019

– [Narrator] To gain access
to the abdominal cavity, small incisions are
created on the abdomen. Trocars, which serve as passageways for the surgical instruments,
are placed into the incisions. The surgical instruments are
passed through the trocars to access the abdominal cavity. The surgeon examines the abdominal cavity using a laparascope or video camera. The average human stomach can expand to hold around
one to 1.5 liters of food. While in the stomach, food is
mixed with digestive enzymes to help break down the
food to a more simple form so that it can be more easily digested and absorbed when it
is in the small bowel. During a sleeve gastrectomy, a thin, vertical sleeve is created by using a stapling device. This sleeve will typically hold between 50 and 150 milliliters or is about the size of a banana. The egg-sized portion of
the stomach is removed. By altering the anatomy of
the gastrointestinal tract, sleeve gastrectomy changes
signals in the body, resulting in decreased
hunger and increased feelings of fullness after meals. The bile and pancreatic fluid from the liver and
pancreas mix with the food and allow it to be completely digested and absorbed in the bowel. There is no re-routing of the small bowel or post-operative adjustments needed for the sleeve gastrectomy. As with all weight loss procedures, behavior modification
and dietary compliance plays a critical part in determining the long-term success of the procedure. All surgery presents risks. Weight, age and medical history determine your specific risks. As your doctor if bariatric
surgery is right for you.

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