Best Sleeve Surgery in Houston- Dr. Ferrari

Dr Carlos Ferrari
3 min readJan 24, 2023

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There are various types of gastric sleeves. As a result, not every gastric sleeve will produce the same level of ideal weight loss. Technique for gastric sleeve surgery is essential to achieving the best weight loss while also preventing issues like staple line leak and acid reflux development.

To provide the best sleeve surgery in Houston, it is essential to comprehend stomach anatomy and physiology, acid reflux pathophysiology, and most significantly, the mechanism of action of gastric sleeve surgery.

The possibility of problems and the emergence of acid reflux disease is increased by a twisted or constricted staple line. Most notably, it prevents faster emptying of the stomach, which is essential for losing weight. Similar to this, inadequate weight loss and acid reflux are caused by improper sleeve gastrectomy contouring and partial gastric fundus resection.

The most popular bariatric procedure worldwide and in the United States is the sleeve gastroplasty. This is a restrictive procedure that has a metabolic component that consistently reduces weight at any level of morbid obesity, from a low BMI for severe obesity to a high BMI for super obese. This procedure has a very low risk of complications and a quick recovery rate. The safety profile of this treatment has improved thanks to modern minimally invasive robotic technology and aesthetic advancements to the point where it can occasionally be performed without hospitalization. This method, which has a metabolic component, can treat various comorbidities, such as diabetes and hypertension. It is a strategy for achieving quick satiety. Other metabolic surgeries, such the RNY Gastric Bypass and Duodenal Switch, have problems like anemia, vitamin deficiencies, diarrhea, malnutrition, and intestinal blockage that are not present with this technique. Following surgery, there are few negative effects on life quality. This surgery is my favorite method for treating morbid obesity because of all of the aforementioned factors.

In terms of surgery, the Sleeve is substantially less complicated. While bypass surgery typically takes two to three hours to complete, sleeve surgery typically takes 40 to 70 minutes. With the Sleeve operation, there is a considerably decreased possibility of nutritional or vitamin shortage. Additionally, Sleeve patients do not experience internal hernias, intestinal blockage, marginal ulcers, or mal-absorption, which would normally happen with a bypass. These problems are extremely unlikely to occur in Sleeve patients.

In the procedure, the big portion of the stomach is removed, and the remaining portion is transformed into a long, tubular structure that resembles the shape of a banana. Similar to the RNY technique, weight loss also has a lower metabolic impact. There is no malabsorption, unlike the RNY operation, hence vitamin and dietary shortages are uncommon. The LSG involves a hospital stay of 24 hours and lasts around an hour.

Last but not least, patients who undergo gastric sleeve surgery without repairing a concurrent hiatal hernia experience significant acid and bile reflux symptoms. It is challenging to treat GERD after sleeve gastrectomy with medicines. Due to the migration of the gastric sleeve into the chest, GERD symptoms get worse with time, even after you’ve lost your extra weight. An effective hiatal hernia is a crucial component of a Houston gastric sleeve procedure because it effectively eliminates acid reflux.

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