• Gastric BalloonGastric Balloon

    Gastric Balloon

  • Gastric BandGastric Band

    Gastric Band

  • Sleeve GastrectomySleeve Gastrectomy

    Sleeve Gastrectomy

  • Mini Gastric BypassMini Gastric bypass

    Mini Gastric bypass

  • Gastric BypassGastric Bypass

    Gastric Bypass

  • Surgery for DiabetiesSurgery for Diabetes

    Surgery for Diabetes

  • Revisional Bariatric SurgeryRevisional Bariatric Surgery

    Revisional Bariatric Surgery

Tube Gastrectomy

Laparoscopic Adjustable Gastric Banding :: Biliopancreatic Diversion BPD Tube Gastrectomy :: Gastric Bypass

Tube Gastrectomy

This is a relatively new approach. It is the first component of the duodenal switch operation and involves removing the lateral 2/3rds of the stomach with a stapling device. It can be done laparoscopically (keyhole surgery), but is not reversible. It basically leaves a stomach tube instead of a stomach sack.

Tube Gastrectomy

This is the first component of a BPD-DS, where the stomach is reduced in size by removing the lateral 2/3rds, leaving the stomach in the shape of a tube.

Sometimes it is offered to patients as part of a two-stage Bypass operation, particularly if they are super obese (BMI>60) because it allows good weight loss until the patient gets down to a safe weight and the more radical bypass can then be offered laparoscopically when they are at a safer weight.

The residual stomach capacity is about 200 mls, so a generous entrée should be possible.

Issues with Tube gastrectomy

  • Stomach tube may stretch up over time leading to late weight regain. The extent of this is currently unknown.
  • The amount of weight reduction is in the region of 40-60% of excess weight lost over the first 1-2 years.
    • It is a good option for people living in remote areas because it is a "set and forget" operation, which requires little post-op follow up or nutritional supplements,
    • There is no malabsorption to nutrients,
    • If weight is regained, the second stage of the BPD, the intestinal bypass, can be added... often laparoscopically as well.