Robotic Sleeve Gastrectomy
What Is Robotic Sleeve Gastrectomy Surgery?
In a robotic sleeve gastrectomy, Dr. Brown permanently removes a large portion of the stomach. And, forms the remaining portion into a thin tube or “sleeve.” This procedure reduces the stomach to about the size of a banana, which encourages weight loss by restricting the amount of food the body can take in. Vertical sleeve gastrectomy also encourages weight loss by removing the part of the stomach that produces ghrelin, the hormone that stimulates appetite. Gastric sleeve surgeries are usually completed within one to two hours, and patients typically leave the hospital within one or two days. Here is an example of a robotic sleeve gastrectomy narrated by Dr. Brown. It’s a good example of the efficiency of the robot in that the instruments move just like he moves his hands, which results in minimal bleeding and trauma to the surrounding tissues.
Expectations Following Robotic Sleeve Gastrectomy
Following the sleeve gastrectomy procedure, you will have to stay on a clear liquid diet for two weeks, followed by pureed foods for one week. You will then be able to eat soft solid foods, gradually returning to your long-term maintenance diet by six months following surgery. A gastric sleeve patient can expect to lose about 70% of excess weight within one year of the surgery. Weight loss may be dramatic at first, continuing after the first weeks or months at a steady but slower rate. In addition, about 70% of patients suffering from type 2 diabetes will experience remission, making them no longer dependent on insulin or medication. For those with sleep apnea or hypertension, 60% can expect these comorbidities to go into remission, allowing medications to be eliminated.
Ideal Candidates for Robotic Sleeve Gastrectomy
Gastric sleeve surgery is not ideal for all people who struggle with obesity. Some criteria must be fulfilled before a patient is approved for surgery. Ideal candidates are people who are:
- Between the ages of 18 and 65
- Morbidly obese with a BMI of 40 or higher
- Obese with a BMI of 35 or higher and have another weight-related condition like diabetes, high cholesterol, sleep apnea, hypertension, or joint pain
- Unsuccessful after trying multiple diet and exercise programs
- Dedicated to maintaining the lifestyle changes that accompany the surgery