Gastric Sleeve Surgery: The history - CER Bariatrics Tijuana

The Evolution of Sleeve Gastrectomy Surgery: From Complex Beginnings to a Standalone Solution

Sleeve Gastrectomy Surgery has an interesting history that spans several decades of medical innovation. It evolved from earlier bariatric procedures and was initially part of more complex surgeries. Here’s a breakdown of its origins:

The Origins in Bariatric Surgery (1950s-1980s)

Bariatric surgery, aimed at treating obesity, began in the 1950s. Early surgeries, such as the jejunoileal bypass, involved rearranging the digestive system to limit calorie absorption. However, these procedures often had severe complications, leading to the development of more refined methods.

1980s: The modern era of bariatric surgery began with the development of the Roux-en-Y gastric bypass, which became the gold standard for weight loss surgery. It reduced the stomach size and rerouted part of the intestines, limiting food intake and nutrient absorption.

2. The Birth of Sleeve Gastrectomy (1990s)

The sleeve gastrectomy surgery as we know it today originated in the 1990s. It was initially conceived as the first step in a two-part procedure known as biliopancreatic diversion with duodenal switch (BPD-DS), which is a highly effective but complex surgery.

1990s: Surgeons performing the BPD-DS noticed that some patients who only underwent the stomach reduction (removal of a portion of the stomach) achieved significant weight loss. This led them to reconsider using the sleeve gastrectomy as a standalone procedure.

3. Rise in Popularity as a Standalone Procedure (2000s)

The real turning point for sleeve gastrectomy came in the early 2000s when it was recognized as a safe, effective standalone surgery. Surgeons found that by removing around 75-80% of the stomach, patients experienced significant weight loss without the complications of nutrient malabsorption seen in other bariatric surgeries.

2003: The first documented standalone sleeve gastrectomy surgeries were performed laparoscopically, reducing recovery time and risk of complications.
2007: Sleeve gastrectomy gained more attention as studies showed its effectiveness in weight loss and its lower complication rate compared to gastric bypass and adjustable gastric banding.

4. FDA Approval and Widespread Adoption (2010s-Present)

As research mounted on the benefits and safety of the procedure, it became more popular. The U.S. Food and Drug Administration (FDA) approved sleeve gastrectomy as a recognized weight-loss surgery in 2010. Since then, it has rapidly grown in popularity.

By 2014, sleeve gastrectomy became the most commonly performed bariatric surgery in the U.S., overtaking gastric bypass and adjustable gastric banding. Its simplicity and ability to retain normal digestive function made it a preferred choice for many patients and surgeons.

5. Current Status

Today, sleeve gastrectomy is a widely accepted and preferred bariatric surgery worldwide. It continues to evolve with advancements in surgical techniques and technology, improving safety and outcomes. Its ability to promote sustainable weight loss and significantly improve or resolve obesity-related conditions, like diabetes and heart disease, has cemented its place in modern medicine.

Sleeve Gastrectomy Surgery: The Lesser-Known Factors You Should Know

Sleeve Gastrectomy Surgery is a popular weight loss procedure that involves removing about 80% of the stomach, leaving behind a smaller, sleeve-shaped stomach. It’s considered one of the most effective solutions for those struggling with obesity. Patients who undergo this surgery typically experience significant weight loss, improved health, and better quality of life.

But beyond the basics, there are several factors about Sleeve Gastrectomy Surgery that are less commonly discussed but just as important to know. Let’s dive into these uncommon insights.

1

Enhanced Gut Hormone Regulation

One of the most surprising benefits of sleeve gastrectomy surgery is how it influences gut hormones. This surgery reduces the size of your stomach, but it also impacts hunger-related hormones like ghrelin. Patients report feeling fuller faster and having fewer cravings, which means the surgery helps control appetite on a hormonal level, not just through physical stomach reduction.
2

Improved Mental Health and Cognitive Function

Weight loss isn’t just physical—it’s mental too. Many patients report a boost in self-confidence and improved mood post-surgery. However, the lesser-known aspect is the positive impact on cognitive function. Studies suggest that patients experience sharper memory and better concentration after substantial weight loss. This is likely due to improved sleep, reduced inflammation, and enhanced overall well-being.
3

Reduced Risk of Cancers

While the link between weight loss and reduced risk of heart disease and diabetes is well-known, fewer people realize that sleeve gastrectomy surgery can also reduce the risk of certain cancers. Excess weight increases inflammation in the body, a cancer risk factor. By reducing body fat, you lower your inflammation levels, which may decrease your chances of developing obesity-related cancers like breast, ovarian, and colorectal cancer.
4

Longer Lifespan and Better Quality of Life

Beyond the obvious health benefits, sleeve gastrectomy surgery has been associated with increased longevity. Losing excess weight reduces the strain on your organs, lowers blood pressure, and alleviates sleep apnea, all of which contribute to a longer, healthier life. The improvement in quality of life is immediate—many patients find they can engage in physical activities they previously avoided and enjoy social interactions more fully.
5

A New Relationship with Food

Unlike diets that often leave people feeling deprived, sleeve gastrectomy surgery offers a unique approach to managing food intake. With a smaller stomach, patients learn to listen to their body’s signals more carefully, eating only when truly hungry and stopping when full. Over time, this fosters a healthier relationship with food and promotes sustainable eating habits that can last a lifetime.

Here are some key statistics related to Sleeve Gastrectomy Surgery:

Weight Loss Success: On average, patients lose 60-70% of their excess body weight within 12-18 months after sleeve gastrectomy surgery.
Diabetes Improvement: Approximately 80% of patients with Type 2 diabetes see a significant improvement or complete remission of their condition after surgery.
Reduction in Mortality Risk: Bariatric surgeries, including sleeve gastrectomy, reduce the risk of premature death from obesity-related conditions by 30-40%.
Improved Quality of Life: Over 95% of patients report an improvement in quality of life post-surgery, including better mobility, less joint pain, and enhanced mental health.
Long-Term Results: Studies show that 60% of patients maintain their weight loss long-term, over 5 years after surgery.
Surgery Safety: The mortality rate for sleeve gastrectomy is extremely low, around 0.1%, making it a safe procedure compared to other major surgeries.

These stats highlight the effectiveness and overall health benefits of sleeve gastrectomy surgery.

Here is a bar chart that visually represents the key statistics for Sleeve Gastrectomy Surgery, including weight loss success, diabetes remission, reduced mortality risk, and more. This chart helps highlight the effectiveness and safety of the procedure.

Key Stats of Your Body During Sleeve Gastrectomy Surgery

Objective: To provide a clear overview of the essential physiological metrics and key statistics monitored during sleeve gastrectomy surgery, helping patients understand what to expect and how their body is managed throughout the procedure.

During Sleeve Gastrectomy Surgery, your body undergoes several changes to ensure a safe and effective procedure. With minimal blood loss (typically between 50 to 150 milliliters), careful monitoring of heart rate and blood pressure, and the use of general anesthesia, the surgery lasts around 60 to 90 minutes. Intravenous fluids maintain your hydration, while reduced stomach size and hormonal changes aid in long-term weight management. Understanding these stats can help you better prepare for the surgery and recovery process.

Vital Signs Monitoring

0beats

breaths: Continuously monitored to ensure it remains within a safe range, typically between 60 and 100 beats per minute.

0mmHg

Blood Pressure: Regularly checked to maintain normal levels, generally around 120/80 mmHg.

0breaths

Respiratory Rate: Observed to stay within the normal range of 12-20 breaths per minute.

Oxygen Saturation: Measured via a pulse oximeter to ensure adequate oxygen levels, typically above 95%.

Body Temperature

0°F

Core Temperature: Maintained within a safe range of approximately 36.5-37.5°C (97.7-99.5°F) to prevent hypothermia or hyperthermia.

Fluid Balance

0beats

Intravenous Fluid Intake: Monitored to ensure proper hydration and electrolyte balance. The amount depends on the patient’s needs and can range from 1-2 liters per hour.

Surgical Metrics

0hours

Duration of Surgery: Usually lasts 1.5 to 3 hours, depending on complexity.

Surgical Site: The area of the stomach being resected is carefully documented; typically, 70-80% of the stomach is removed.

Understanding these key statistics helps to provide insight into the meticulous monitoring and management that takes place during sleeve gastrectomy surgery, ensuring patient safety and optimal outcomes.

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