Patient selection: The sleeve gastrectomy frequently used for patients with a BMI of 35-45 who like to eat big meals. The sleeve is less favourable for sweet-lovers (fizzy drinks, chocolate, ice cream, chips ect.) as sugar-craving will likely lead to more weight-regain over time after a sleeve. Moreover, the sleeve is less favourable for patients who already have (gastroesophageal) acidity reflux as this problem will very likely increase over times after s sleeve.
Procedure: In this procedure a stomach tube is created by resecting around 70-75% of the stomach alongside a gastric calibration tube. In other words the stomach is reduced in its size from a rugby ball to the size of a banana. As a result the sleeve reduces the amount of food that you can eat as well as your hunger feeling (due to lowered Ghrelin hunger hormone levels). Professor Guido is one of the few how can perform this procedure by scarless surgery approach (photo) resulting is less pain, faster recovery and far better cosmetic results
Result: Long-term average over-weight loss is around 60% and it lowers the hunger feeling (due to a lowered Grelin hormone level)
Disadvantage: It can in some cases (around 20%) lead to increased acidity reflux (therefore a sleeve is not recommended in patients who already have acidity reflux complaints).