What is the 3-Incision Gastric Sleeve at Idaho BMI?

In the realm of bariatric surgery, the quest for effective weight loss solutions has led to the evolution of various techniques, each aimed at addressing obesity and its associated health risks. Among these procedures, the gastric sleeve operation stands out as a popular choice for individuals seeking substantial and sustainable weight loss. One variation of this surgery gaining attention is the 3-incision gastric sleeve at Idaho BMI, performed by Dr. David Brown. In this comprehensive guide, we’ll delve into what exactly this procedure entails, its benefits, potential risks, and who might benefit most from it.

What is a 3-Incision Gastric Sleeve?

The traditional gastric sleeve surgery, also known as sleeve gastrectomy, involves the removal of a large portion of the stomach, leaving behind a sleeve-shaped pouch. This operation involves stapling across the stomach wall and causes significant neurological and hormonal changes, leading to weight loss. The procedure typically requires 5-6 incisions in the abdomen for the insertion of surgical instruments and a camera for visualization.

At Idaho BMI, our approach to the vertical sleeve gastrectomy, is the 3-incision gastric sleeve, which is a modification of this procedure where Dr. Brown utilizes only three small incisions instead of the traditional five or six. These smaller incisions are made strategically to minimize scarring and reduce postoperative discomfort. The difference with the 3-incision gastric sleeve at Idaho BMI is the number of skin incisions required to perform the procedure. It is the least invasive method available for performing the sleeve gastrectomy. It typically takes 30-40 minutes for Dr. Brown to perform a 3-incision sleeve, and is performed with tri-staple technology to reduce the risks of leaks.

How Does the Procedure Work?

During a 3-incision gastric sleeve surgery, Dr. Brown employs a laparoscopic technique, which involves making small incisions in the abdominal wall and using specialized instruments and a camera (laparoscope) to perform the operation, along with a 40 French Bougie to section off the stomach. Dr. Brown removes a large portion of the stomach, leaving behind a narrow tube or sleeve.

By stapling across the stomach during a sleeve gastrectomy, branches of the vagus nerve are divided, causing profound and rapid changes in communication between the stomach and the brain. This “reset” in the communication between stomach and brain results in many overnight alterations noticed by patients including change in smell, taste, appetite, and of course- how much a person can drink or eat. 

The most dramatic change caused by the sleeve gastrectomy is the change in sensory communication between the brain and stomach.  These changes in communication between brain and stomach create a window of time in which the brain is easily reprogrammed, which is generally around 6 months. This period of time is crucial for forming the new habits and lifestyle that will provide a person with long-term success.  Knowing and following the appropriate daily tasks during this “honeymoon period” after surgery is critical to avoid weight regain. This list of tasks is taught clearly and consistently at Idaho BMI.

Benefits of the 3-Incision Gastric Sleeve

Minimized Scarring: With only three small incisions, the procedure results in less noticeable scarring compared to traditional gastric sleeve surgery, which can enhance the aesthetic outcome.

Optimized Pre- and Post-Op Care: Medications are specially formulated for recovery, and include post-op IV Fluids. 

Reduced Pain and Discomfort: Smaller incisions typically translate to less postoperative pain and a quicker recovery time for patients.

Shorter Hospital Stay or Surgery Center stay: Patients undergoing the 3-incision gastric sleeve may experience shorter hospital or surgery center stays compared to those undergoing traditional open surgery, leading to a faster return to normal activities.

Lower Risk of Infection: Fewer incisions means few sites for the skin to become infected.

Potential Risks and Considerations

While the 3-incision gastric sleeve offers several advantages, it’s essential to consider potential risks and limitations associated with the procedure:

Surgical Risks: As with any surgery, there are risks of complications such as bleeding, infection, blood clots, and adverse reactions to anesthesia.

Long-Term Effectiveness: While many patients experience significant weight loss following the procedure, maintaining long-term results requires commitment to lifestyle changes, including dietary modifications, stress management, optimized sleep, and regular exercise as outlined with the Idaho BMI program.

Patient Selection: Not all individuals may be suitable candidates for the 3-incision gastric sleeve. Factors such as BMI, overall health, previous abdominal surgeries, hernia repair, or tissue access are considered when determining eligibility.

Is the 3-Incision Gastric Sleeve Right for You?

Deciding to undergo bariatric surgery is a significant decision that should be made in consultation with a qualified healthcare provider. While the 3-incision gastric sleeve offers several benefits, it’s essential to weigh the potential risks and benefits based on individual circumstances.

Ideal candidates for the procedure typically include individuals with a BMI (Body Mass Index) of 35 or higher, or those with a BMI of 30 or higher with obesity-related health conditions such as type 2 diabetes, hypertension, or sleep apnea.

Idaho BMI, Dr. David Brown, and Everest Surgical Institute are dedicated to providing the highest quality care in bariatric surgery in Idaho. The first step in determining if you are a candidate for bariatric surgery or our Quickstart program, is to Inquire Now.