July 29th, 2011
07:24 AM ET

Weight loss 'sleeve' a good option?

Every weekday, a CNNHealth expert doctor answers a viewer question. On Friday, it's Dr. Melina Jampolis, a physician nutrition specialist.

Question asked by Lynn C. of Madison, Ohio

I have had a weight problem for 23 years. I have lost and regained over 400 pounds. My weight-loss doctor is offering the "sleeve." I have been told because of my gastroesophageal reflux disease that the Lap Band is not an option, nor is the more well-known gastric bypass because of a high family history of cancer.

I have all the problems common in morbidly obese people, some I had even when thin. High, difficult-to-control blood sugar, blood pressure and a mild heart issue controlled by meds. The sleeve has been done only a few years - can it be a good option for me?

Expert answer:

Hi Lynn. Although I'm a nutrition doctor and I focus on weight loss through lifestyle measures such as diet and exercise, I realize that sustained major weight loss is not always achievable and that surgical intervention, particularly when patients have obesity-related diseases like high blood pressure and diabetes, can be lifesaving and life changing.

Since I am not a bariatric (weight loss) surgeon, I turned to Dr. Kai Nishi, a highly respected bariatric surgeon at the Khalili Center for Bariatric Care in Beverly Hills.

He agreed that Lap Band may not be the best option if you have GERD as it could worsen symptoms.

However, if your GERD is due to a hiatal hernia, this could be repaired at the same time that your band is placed and your GERD could potentially be cured. Gastric bypass surgery is an anti-reflux surgery and in many cases can cure GERD.

Regarding your family history of cancer, the only type of cancer that would make gastric bypass surgery not an option is stomach cancer.

If you have a family history of other types of cancer including colon, lung, breast and prostate, this type of surgery, which has been around for longer than the newer sleeve procedure and thus physicians have more experience with the procedure and there is more research into the risks and benefits, would still be an option (the best option according to Nishi.)

The sleeve gastrectomy is a surgery in which 85% of your stomach is removed so you are left with just a tube for a stomach. Gastric bypass surgery also cuts the stomach, but it creates a new smaller pouch, about the size of an egg, which is attached to the second part of the small intestine.

This can lead to more nutrient absorption issues than the sleeve but it can also lead to better weight loss. With the sleeve procedure, results show 50-60% excess body weight loss at one year vs. 65-70% with gastric bypass and 45-50% with gastric band.

Excess body weight loss, or EBWL, refers to the percent excess weight a person begins with. If you are 100 pounds overweight and you lost 50 pounds that would be a 50% EBWL.

Weight-loss surgery in general leads to a 70-80% resolution of diabetes and 50% resolution of high blood pressure, with better results for both conditions with gastric bypass (because the sleeve is a newer procedure less data are available).

So if your weight-loss surgeon, who is fully aware of all of your medical history and issues, feels that the sleeve is the best option, and you truly do not believe that you are capable of maintaining weight loss permanently through lifestyle measures, (losing even 10% of your excess body weight can make a significant health difference), then I think the sleeve could be a good option for you.

If you do go forward with any type of weight-loss surgery, make sure that you have an adequate support system in place. It is still critical that you permanently adopt a healthy lifestyle including regular exercise and good food choices after the operation.

Follow Dr. Melina on Twitter.

soundoff (223 Responses)
  1. WillieCOrkin

    Hi! I understand this is kind of off-topic but I had to ask.
    Does running a well-established blog such as yours take a
    massive amount work? I am completely new to operating a blog but I do write in my journal everyday.
    I'd like to start a blog so I can easily share my experience and feelings online.
    Please let me know if you have any kind of ideas or tips
    for brand new aspiring blog owners. Thankyou!

    My web page – WillieCOrkin

    February 9, 2021 at 10:56 | Report abuse | Reply
  2. midori travelers notebook passport size

    Hurrah! Finally I bought a website where I be competent at
    genuinely take helpful data regarding my study and knowledge.

    Also visit my blog; midori travelers notebook passport size

    February 10, 2021 at 03:17 | Report abuse | Reply
  3. coin purse insert for undercover leather ring binder

    Excellent beat ! I wish to apprentice whilst you amend your site,
    how can i subscribe for any blog website? The account
    aided me a appropriate deal. I were a little
    bit bit acquainted of the your broadcast offered shiny
    transparent concept

    Visit my web-site ... coin purse insert for undercover leather ring binder

    February 10, 2021 at 18:52 | Report abuse | Reply
  4. NbnhZisse

    sildenafil 100mg price india viagra mexico price viagra in canada

    February 11, 2021 at 15:37 | Report abuse | Reply
  5. AhbzEncox

    payday loans in eufaula al ez payday cash net community credit services payday loan

    February 12, 2021 at 19:02 | Report abuse | Reply
  6. JbnvCrulk

    three b financial payday loans can payday loans sue you in california stop my payday loans bbb

    February 12, 2021 at 19:40 | Report abuse | Reply
  7. AbcfTeneseelt

    viagra prolonged http://viagriyvik.com/ viagra samples

    February 13, 2021 at 00:09 | Report abuse | Reply
  8. Kbbfseelt

    buy viagra cheap online australia risk of generic viagra viagra for sale online

    February 13, 2021 at 02:32 | Report abuse | Reply
  9. reminder stickers

    I am no more positive where you're getting your information,
    however good topic. I must spend a bit of time
    learning more or understanding more. Thanks for excellent
    info I was previously trying to find this information for my

    Feel free to surf to my site: reminder stickers

    February 13, 2021 at 06:36 | Report abuse | Reply
  10. FbsgZisse

    cialis purchase canada http://llecialisjaw.com/ cialis daily

    February 13, 2021 at 13:19 | Report abuse | Reply
  11. LabxEncox

    menor preço de cialis precio cialis lilly cialis generico dove acquistare

    February 13, 2021 at 15:07 | Report abuse | Reply
  12. travelers notebook wallet insert

    Thanks a lot for sharing this with all folks you really realize what you're talking about!
    Bookmarked. Please also consult with my website =).
    We can have a hyperlink exchange arrangement between us

    Also visit my web-site ... travelers notebook wallet insert

    February 14, 2021 at 06:22 | Report abuse | Reply
  13. FqbbEncox

    how do cash advance fees work payday loans that don't require bank accounts ace payday loans beaverton

    February 15, 2021 at 10:44 | Report abuse | Reply
  14. JbbnEncox

    site hacked cialis cialis brasil comprar cialis and clexane

    February 16, 2021 at 00:11 | Report abuse | Reply
  15. KvaxMile

    everett cash advance cash cow loans monroe la payday advance loans in las vegas

    February 16, 2021 at 06:04 | Report abuse | Reply
  16. forex copy trader



    February 19, 2021 at 05:57 | Report abuse | Reply
  17. ILove Nardil

    I have been on the MAOI anti-depressant for 10 years and it literally cured my cripping social anxiety and depression


    February 19, 2021 at 17:56 | Report abuse | Reply
  18. filofax zipper planner

    Howdy can you mind letting me know which webhost you're using?
    I've loaded your site in 3 different internet
    browsers and I must say this blog loads a whole lot quicker then most.
    Can you recommend an excellent web hosting provider with a fair price?
    Thanks a lot, I appreciate it!

    Also visit my web site; filofax zipper planner

    February 23, 2021 at 03:09 | Report abuse | Reply
  19. passport wallet insert for travelers notebook leather

    Awesome blog! Do you have any hints for aspiring writers?

    I'm hoping to get started on my own, personal website soon but I'm a little lost on everything.
    Would you advise beginning from a free of charge platform like WordPress or take a paid option? There
    are numerous choices on the market that I'm totally confused ..
    Any recommendations? Cheers!

    my page ... passport wallet insert for travelers notebook leather

    February 25, 2021 at 03:41 | Report abuse | Reply
  20. travelers notebook

    What's Happening i'm new to this, I stumbled upon this I've found It absolutely useful and features helped me out loads.

    I really hope to give a contribution & help other users
    like its aided me. Good job.

    My webpage travelers notebook

    February 26, 2021 at 01:51 | Report abuse | Reply
  21. NbmoZisse

    5mg of cialis cialis without prescription purchase cialis with paypal

    February 26, 2021 at 17:44 | Report abuse | Reply
  22. FjjuZisse

    how to take viagra low price viagra roman viagra

    February 28, 2021 at 14:19 | Report abuse | Reply
  23. chic sparrow nano wallet insert

    My spouse and I stumbled over here by way of a different
    web address and thought I might check things out.

    I like a few things i see so i am just following you. Anticipate
    exploring your online page to get a second time.

    Have a look at my blog ... chic sparrow nano wallet insert

    March 1, 2021 at 02:48 | Report abuse | Reply
  24. ClarkTauts

    1vm6e x6xly 2dsi

    March 1, 2021 at 14:41 | Report abuse | Reply
1 2 3 4

Leave a Reply to FbdhZisse


CNN welcomes a lively and courteous discussion as long as you follow the Rules of Conduct set forth in our Terms of Service. Comments are not pre-screened before they post. You agree that anything you post may be used, along with your name and profile picture, in accordance with our Privacy Policy and the license you have granted pursuant to our Terms of Service.

About this blog

Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.