Dr Mohamed Abu Al Nagah Clinic
استشاري جراحات السمنة

Banded Gastric Sleeve

What is a Gastric Sleeve?
Gastric Sleeve is one of the bariatric surgeries, including cutting about 70% of the stomach. So, the patient can get rid of obesity quickly and recover from obesity-related diseases gradually without any effort.

What is the Banded Gastric Sleeve?
The Banded Gastric Sleeve is the outcome of what doctors and surgeons have achieved with technological development. Banded Gastric Sleeve is the surgery that ensures that the excess weight will not come back again.
Banded Gastric Sleeve is the most recent global bariatric surgery, where a ring is placed around the stomach after cutting 70% of it. Therefore the stomach will not expand again even if the patient eats more than the stomach capacity.

Is there a difference between Gastric Sleeve surgery and Banded Gastric Sleeve?
Of course, there is a different surgical step between the two surgeries.
In Gastric Sleeve surgery, Dr. Mohamed Abo El Naga, consultant of bariatric and laparoscopic surgeries, removes 70% of the size of the stomach. Accordingly, the size of the stomach is greatly reduced. Hence, the patient feels saturated with small amounts of food. This surgery is performed laparoscopically through 4 small incisions in the abdominal area, the length of which does not exceed 2 cm.
Through this surgery, the hormone responsible for hunger sensation, the Ghrelin hormone, is eliminated. The feeling of hunger will be much less than in the past.

In Banded Gastric Sleeve surgery,  Dr. Mohamed Abo El Naga places a silicone ring around the stomach after being cut. This additional step ensures that the stomach will never expand again under any circumstances.

Why do patients resort to Banded Gastric Sleeve surgery?
First: Because it is a recent surgery that ensures that the stomach does not expand again and then does not return to weight gain, because of the silicone ring placed around the sleeved stomach.
Second: Because it is done through the laparoscope, which means much less pain and more aesthetic appearance with the best results.
Third: Because it is the magic surgery that helps you get rid of excessive obesity and overweight-related diseases.

What is the function of the band in Banded Gastric Sleeve?
The step of placing the ring around the stomach is the difference between Banded Gastric Sleeve and other surgeries. This ring is made of silicone and has benefits that include:
* It prevents the stomach from expanding again and thus ensures that the excess weight does not return, especially if the patient is likely to eat more than the size of the new stomach.
* The new ring maintains pressure on a particular nerve in the stomach. In case of excessive eating, the nerve will give the patient a feeling of fullness, so the patient will stop eating.

What is the history of the silicone ring used in the Banded Gastric Sleeve surgery?
Dr. Mathias Fobe, one of the famous bariatric surgeons in the world, is the one who thought about the idea of placing a ring around the stomach.

Benefits of Banded Gastric Sleeve surgery:
All bariatric surgeries, including Banded Gastric Sleeve surgery, have many short-term and long-term benefits.
In the short term, the patient gets rid of excess weight and accumulated fat, easily and quickly without any effort.

We believe that getting rid of obesity offers many benefits in the long term, including:
- Recovery from obesity-related type 2 diabetes.
- Recovery from hypertension.
- Recovery from hypercholesterolemia.
- Recovery from joint and bone pain related to excessive obesity.
- The ability to exercise healthily after getting rid of the accumulated fat that hindered the free body movement.
- Reducing the chances of heart disease related to excess weight and accumulated fat, and avoiding the occurrence of angina pectoris, atherosclerosis, or any clots as a result of the accumulation of fats in the blood.
- Increasing the chances of pregnancy in women after eliminating the fat accumulated around the uterus and the ovaries.
- Improving the health status of men, sexual ability, and sperm efficiency after getting rid of the accumulated fat and excess weight.
- General improvement of the sexual relationship between married couples after getting rid of obesity.
- Improving the psychological state and self-confidence due to the improvement of the overall shape of the body, consistency, and beauty.
- Improvement of the continuous sleep periods, without insomnia or sleep apnea, after getting rid of the accumulated fat around the respiratory system.
 
Is there any harm to bariatric surgery?
Despite the prevalence of bariatric surgeries and the high success rates that may reach 90%, some damages and complications may occur after bariatric surgery. Complications may not occur together but in varying proportions according to each case, such as:

Anorexia:
Anorexia means reduced desire to eat, except in very small quantities that are not enough to nourish the body, preventing eating useful foods or introducing vitamins and minerals that are necessary to build the body in a healthy and integrated manner.
** This point can be avoided by drinking enough water, about 3 liters per day, in the first period after surgery and following the doctor’s instructions regarding the gradation of food in quantities and types.

Hair loss:
In the first five months after surgery, hair may fall heavily, as a result of not eating the essential nutrients that improve the circulatory system thus affecting skin and hair feeding.
** This point can be avoided by taking vitamins and supplements prescribed by the therapist, which compensates for all the minerals, vitamins, and nutrients needed for good health.

Depression:
Although dealing with severe obesity that causes depression,  the patient may feel depressed after bariatric surgery due to the rapid changes in his body, such as rapid weight loss and not eating the food he craves.
** To go beyond that point, you should talk to your doctor to find out the cause of that feeling and how to deal with it, which is mostly resolved by psychological support and with the help of relatives and friends. Also, performing sports helps to get rid of any negative energy.