The gastric sleeve surgery is the most common operation in the world to treat obesity. In this procedure, the reduction creates a new stomach in the form of a tube, thereby limiting the capacity for eating. The stomach volume after the operation is around 80-120 ml, while this otherwise is an average of 2000-3000 ml, which means that the patients feel full even after eating very little. In addition, the area of the stomach that produces the appetite-stimulating hormone gherlin is being removed.
Unlike gastric bypass, no rerouting and reconnection of the bowel is performed. For this reason, the procedure is technically not that complex and does not require a lifelong intake of nutritional supplements.

The gastric sleeve operation, together with the gastric bypass, constitue the two proven standard operations in obesity surgery. The establishment of these procedures is the reason why there is a high level of data in studies. The fact that the procedures are well researched ensures that the costs can be covered by health insurance companies in some cases. The sleeve gastric reduction is based on the principle of food restriction and is suitable for patients who do not want to lose their natural intestinal anatomy.
However, it requires greater dietary discipline than gastric bypass surgery, which also reduces the absorption of food.
If the patient the patient does not follow the instructions given by the postoperative nutritionists and eats uncontrollably after the operation, a continued dietary error will lead to an enlargement or stretching of the small stomach. For this reason, aftercare is also an essential factor in gastric sleeve surgery.
Consultation with the operating doctor via video conference
Advice and support before and after the operation
Transfer service
Blood draw & laboratory costs
Hospitalization
Medication in the hospital
German-speaking support
Nutrition counselling
As with all surgical procedures, gastric sleeve surgery certain risks that cannot be ruled out. A distinction must be made here between the general risks of general anesthesia, intolerance to medication, including local anesthesia, and the specific risks of gastric sleeve surgery addition to the general risks of an operation, the following specific risks are to be assessed as increased in an gastric sleeve surgery:
After the hospital stay you can start with moderate training again.
You can go back to work after your stay in the clinic.
After a gastric sleeve surgery, a weight loss of 50-60 percent of the excess weight can be expected within 6-12 months. This makes it almost as efficient as the gastric bypass, where the rate is 60-70 percent. In order to achieve this quota, the eating habits must be changed after the surgery. For this reason, you not only need support regarding to medical aftercare, such as laboratory tests, but also nutritional coaching that will enable you to make a long-term change.
The procedure lasts 30-45 minutes. You should plan a hospital stay of 4-5 days.
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