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The result is a sleeve or tube like structure. The procedure permanently reduces the size of the stomach, although there could be some dilatation of the stomach later on in life. The procedure is generally performed laparoscopically and is irreversible.
Sleeve gastrectomy was originally performed as a modification to another bariatric procedure, the duodenal switch , and then later as the first part of a two-stage gastric bypass operation on extremely obese patients for whom the risk of performing gastric bypass surgery was deemed too large.
The initial weight loss in these patients was so successful it began to be investigated as a stand-alone procedure. Sleeve gastrectomy is the most commonly performed bariatric surgery worldwide. This weight-loss independent benefit is related to the decrease in gastric volume, changes in gut peptides, and expression of genes involved in glucose absorption.
Most surgeons prefer to use a bougie between Fr with the procedure and the ideal approximate remaining size of the stomach after the procedure is about mL.
Endorsed by the International Federation for the Surgery of Obesity and Metabolic Disorders  and the American Society for Metabolic and Bariatric Surgery ,  sleeve gastrectomy is gaining popularity in children and adolescents. Studies by Alqahtani and colleagues have found that sleeve gastrectomy causes large weight loss in children and adolescents aged 5 to 21 years.