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Is Gastric Sleeve Surgery Effective for Long-Term Weight Loss?

1 month ago

How effective is gastric sleeve surgery for long-term weight loss?

Asked By Anika Dhingra | Female

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1 month ago

Answers (1)

Dr. Shashank Subhashchandra Shah

MBBS, MS-General & Bariatric Surgery | 36 Years Experience Overall

Answered 10/10/2025

So at Laparoscopic Center, we are offering laparoscopic sleeve gastrectomy. Since 2004, right from that time, we conducted clinical research on sleeve gastrectomy with the inventor of sleeve. So we have experience of almost 22 years after sleeve gastrectomy.

Everyone’s genetics is different. Everyone’s behavior is different. However, one can maintain weight loss after sleeve gastrectomy with some lifestyle change, being conscious of calories and whenever required, addition of medications 70% of the procedures in the world performed are sleeve gastrectomy. However, there is a chance of weight regain over 7 to 10 years. With the advent of newer anti-obesity medication, that weight gain can be delayed.

However, who must undergo sleeve gastrectomy or who should undergo sleeve gastrectomy still, in spite of knowing all this, those with previous multiple intestinal obstruction, complicated hernias, those who are high risk, those who have weight or BMI very high, those who are not very fit for a longer duration procedure, they can still undergo a laparoscopic sleeve gastrectomy and a multidisciplinary team from Center of Excellence can help that patient maintain the weight loss for a longer period. Whichever procedure one performs, genetics still can compensate and certain weight regain is known after any procedure just like after any other disease. However, treatments are available.

There could be medication, there could be some change in your diet and there could be another option of adjusting the operation or offering a second stage procedure. So, one should look at every bariatric procedure positively. Every procedure gives significant weight loss at the end of 2 years.

However, long-term maintenance is a factor of genetics, environment, right time, right intervention and the Center of Excellence getting treated at Center of Excellence. Of course, technical importance while performing a sleeve is also equally important. If the sleeve is completely uniform and the topmost curvature is properly removed, that sleeve gastrectomy can last for a longer period.

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