The sleeve gastrectomy was initially used as the first in a two-stage weight loss procedure for the super morbidly obese. However it has gained popularity as a stand alone operation and is now the most commonly performed weight loss procedure in Australia.
It involves removing approximately two-thirds of the stomach. This is done via a laparoscopic (key-hole) technique. A plastic tube, known as a Bougie, is placed down the gullet and into the stomach to calibrate the amount of stomach remaining. Once in place, a surgical stapling device is used to create the new stomach tube. The excess stomach is then removed from the abdomen.