LapSleeve® Sleeve Gastrectomy

LapSleeve has a number of advantages over other bariatric procedures.

  • Performed in under an hour and home same day
  • No rerouting of intestines
  • No device implanted with need for maintenance
  • Nutritional concerns less than the bypass patient
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Puget Bariatrics

LapSleeve is a minimally invasive laparoscopic procedure that is a modification of a known procedure called the vertical gastrectomy To date we have done over 1000 outpatient procedures with safety results similar to outpatient gastric banding. Puget Sound Bariatrics Center was the first center in the world to provide this procedure as a same day surgery

Patient success is due to detailed patient selection and education, meticulous technique with short operative times, and careful postoperative management. Pain, nausea and scarring have been minimal. Patient satisfaction is quite high. Within days patients are back to usual activity and return to work in one to two weeks.

The surgery involves removing a portion of the stomach, the fundus. This provides superior restriction when compared to gastric banding, since the restriction extends the length of the stomach. Also, the LapSleeve significantly reduces hunger in part by decreasing the hunger hormone ghrelin. When patients are hungry, appetite is quickly satisfied with a small amount of food. Unlike gastric banding, the LapSleeve does not require the implantation of an artificial device. Patients with the LapSleeve can tolerate denser types of foods than those who have gastric banding.

LapSleeve is a simpler operation than the gastric bypass, since there is no “rerouting” of the intestines. Weight loss with LapSleeve is very similar to those who have gastric bypass surgery. Patients with lower body mass index (BMI) are losing close to 100% of their excess weight the first year.

Historically, patients with a body mass index greater than 60 had the sleeve gastrectomy as the first part of a 2-stage operation (the duodenal switch). Surgeons found that doing the sleeve gastrectomy alone resulted in significant weight loss and many did not need the second stage (intestinal bypass) of the duodenal switch.

We are proud to have the most experience with the sleeve gastrectomy in the Pacific Northwest and to be the first center worldwide doing same day LapSleeve surgery. We offer the LapSleeve as a primary weight loss operation for patients more than 50 pounds overweight.