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A sleeve gastrectomy involves removing the top 80 percent of your stomach. “The top areas of the stomach are more involved with storage, while the bottom of the stomach serves as the grinder that sends food downstream to the intestines,” Dr. Dutson explains. “So we’re removing that top portion while leaving the bottom.” Since your stomach is much smaller following the procedure, it holds less food, causing you to feel full very quickly. The removal of the top half of the stomach also causes beneficial changes to hunger hormones and gut-brain communication. “We’ve found that three weeks after the procedure, there is already a profound change in the way the brain responds to food and appetite,” Dr. Dutson says. For those with inflammatory bowel disease, other bowel issues, or prior operations, this procedure is usually the go-to option, Dr. Brethauer adds. The Pros: Patients can expect to lose 100 pounds during the first year following a sleeve gastrectomy.

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