The Vertical Sleeve Gastrectomy, also referred to as the Gastric Sleeve, is a surgery on the stomach categorized as a restrictive procedure that does not involve an alteration of the intestines. This means that it does not have a malabsorptive component. This surgical procedure consists of altering the stomach by making it look like a long tube or its namesake, a “sleeve”. The gastric sleeve surgery permanently removes up to 85% of the stomach which provides for significantly smaller stomach capacity, quicker satiety (sense of fullness), and decreased appetite. The “new” stomach restricts food intake by allowing only a small amount of food to be eaten at one time. After the separation of the stomach into a smaller tube, the remainder of the stomach is removed.
Although some people question whether Body Mass Index (BMI) is the best and most accurate way to determine whether someone is considered Normal Weight, Overweight or Obese, it remains the most important measurement in the eyes of insurance companies when they determine whether or not someone is eligible for bariatric surgery. Although each insurance provider has a different policy, which is subject to change, the general rule of thumb to qualify for surgery is as follows: