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Our surgeons can now provide this surgery using micro laparoscopic techniques making the operation nearly scarless. The gastric sleeve, or sleeve gastrectomy, was conceived as the first stage of a two-part procedure known as the duodenal switch. In many cases, this procedure was staged in two parts for patients with extremely high BMIs. The rationale is that the initial gastric sleeve would reduce the patient’s BMI to a more manageable level. Then, it would be safe to finish the operation with a duodenal switch (involving the intestine).

It became clear that in many cases, the gastric sleeve alone was sufficient to offer the patient exceptional weight loss and disease improvement or resolution. The gastric sleeve then became a standalone procedure.

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