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The specifics of your surgery depend on your individual situation and the hospital's or doctor's practices. Some sleeve gastrectomies are done with traditional large (open) incisions in the abdomen. But sleeve gastrectomy is typically performed laparoscopically, which involves inserting small instruments through multiple small incisions in the upper abdomen. Li L, Wu LT. Substance use after bariatric surgery: A review. J Psychiatr Res. 2016;76:16-29. doi:10.1016/j.jpsychires.2016.01.009 After surgery reduced food intake may increase your risk of vitamin and mineral deficiencies. Daily, life-long vitamin and mineral supplementation is essential. Bariatric surgery procedures. American Society for Metabolic and Bariatric Surgery. https://asmbs.org/patients/bariatric-surgery-procedures. Accessed June 8, 2020.

Your BMI is 35 to 39.9 (obesity), and you have a serious weight-related health problem, such as type 2 diabetes, high blood pressure or severe sleep apnea. In some cases, you may qualify for certain types of weight-loss surgery if your BMI is 30 to 34 and you have serious weight-related health problems.

Why it's done

Singh Y, Cawich S, Aziz I, Naraynsingh V. Delayed splenic abscess after laparoscopic sleeve gastrectomy. BMJ Case Rep. 2015;bcr2014208057. doi:10.1136/bcr-2014-208057 During the first 6-9 months after your surgery, you will experience rapid weight loss and hair loss can occur. By following a healthy balanced diet with enough protein and taking your vitamin and mineral supplements, should result in your hair returning to normal. Constipation Levy JL, Levine MS, Rubesin SE, Williams NN, Dumon KR. Stenosis of gastric sleeve after laparoscopic sleeve gastrectomy: clinical, radiographic and endoscopic findings. Br J Radiol. 2018;91(1089):20170702. doi:10.1259/bjr.20170702 Dunlap JJ, Patterson S. Peptic ulcer disease. Gastroenterol Nurs. 2019;42(5):451-454. doi:10.1097/SGA.0000000000000478

Now is a good time to plan ahead for your recovery after surgery. For instance, arrange for help at home if you think you'll need it. What you can expectArndtz K, Steed H, Hodson J, Manjunath S. The hidden endoscopic burden of sleeve gastrectomy and its comparison with Roux-en-Y gastric bypass. Ann Gastroenterol. 2016;29(1):44-9.