Laparoscopic Sleeve Gastrectomy: Is It Right for You?


As patients begin investigating surgical weight-loss options, one of the first questions is which procedure is best for you? To arrive at the answer, thorough research regarding the risks and benefits of each procedure must be done as well as working with your surgeon to evaluate your individual risks.

While a significant percentage of bariatric surgeries in the U.S. are gastric bypass procedures, laparoscopic sleeve gastrectomy (LSG), a relative newcomer to bariatric surgery, is growing in popularity, and for good reason. Shorter in duration and less invasive than other procedures, LSG surgery can be a good option for many. Higher-risk patients, especially those who have a very high body mass index (BMI) or severe heart or lung disease may benefit from LSG as the first stage of their bariatric procedure. It is now also being used as a primary, stand-alone procedure by many surgeons such as Dr. Tsuda with great success.

The surgery involves making five or six small incisions in the abdomen. The procedure uses a video camera (laparoscope) and long instruments that are placed through the small incisions. During the sleeve gastrectomy, 75-85 percent of the stomach is removed leaving a narrow gastric tube or “sleeve” about the size and shape of a banana. No intestines are removed or bypassed during the sleeve gastrectomy. The procedure takes one to two hours to complete.

Sleeve gastrectomy is a restrictive procedure. It greatly reduces the size of the stomach and limits the amount of food that can be eaten at one time. It does not cause decreased absorption of nutrients or bypass the intestines. After this surgery, patients feel full after eating very small amounts of food. Sleeve gastrectomy may also cause a decrease in appetite. In addition to reducing the size of the stomach, the procedure reduces the amount of the hunger hormone, ghrelin, produced by the stomach.

If you are considering weight-loss surgery, ask Dr. Tsuda if laparoscopic sleeve gastrectomy is right for you.

Control Blood Pressure by Eating Nutritious Food


High blood pressure, also known as hypertension, affects 1 in 3 American adults and can lead to significant health problems such as heart attack, stroke, heart or kidney failure, and more. Most doctors prescribe medication along with a healthy diet and exercise for this condition, but researchers are finding that some foods are better than others at helping to control blood pressure.

You probably know that eating too much salt can raise blood pressure, but are you aware of the benefits of having enough potassium, magnesium, and fiber in your diet? Fruits and vegetables are high in these beneficial minerals and fiber and are naturally low in sodium. According to the 2010 Dietary Guidelines for Americans, people with hypertension may especially benefit from upping the amount of potassium in their diet. Adults should get at least 4,700 milligrams a day. A few good sources: bananas (422 milligrams each), a baked potato with skin (738 milligrams), orange juice (496 milligrams per cup), and nonfat or low-fat yogurt (531–579 milligrams per 8 ounces).

The Dietary Approaches to Stop Hypertension (DASH) eating plan has been proven to lower blood pressure in studies sponsored by the National Institutes of Health. In addition to being a low salt (or low sodium) plan, the DASH diet provides additional benefits to reduce blood pressure. It is based on an eating plan rich in fruits and vegetables, and low-fat or non-fat dairy, with whole grains. It is a high fiber, low to moderate fat diet, rich in potassium, calcium, and magnesium.

Some delicious choices for increasing these beneficial minerals and fiber include apples, bananas, carrots, grapes, spinach, sweet potatoes, tomatoes, tuna, and yogurt. Dr. Tsuda can provide you with nutritional guidance if necessary, and for more information click here.

On the Cutting Edge of Weight-loss Surgery

single-site-davinciIf you and your doctor have decided that having bariatric surgery is the route for you, you may be a candidate for minimally invasive da Vinci Surgery. The many benefits of this leading-edge surgical system can include smaller incisions (similar to traditional laparoscopy), lower rates of complications, lower rates of wound infection, less blood loss, less scarring, shorter hospital stays, and a faster return to normal daily activities. For bariatric surgery specifically, the da Vinci System offers the potential benefits of being able to be used on higher BMI patients, lower rates of gastrointestinal leaks, lower risks of needing follow-up surgery, lower risks of having to convert to open surgery, and reduced surgeon fatigue for this technically and physically demanding procedure (due to the ergonomically designed surgeon’s console) compared to traditional laparoscopy.

The da Vinci System features a magnified 3D high-definition vision system and special wristed instruments that bend and rotate far greater than the abilities of the human wrist. These features enable your surgeon to operate with superior vision, precision, dexterity and control. State-of-the-art da Vinci uses the latest in surgical and robotics technologies. Your surgeon is 100% in control of the da Vinci System. At the da Vinci console, your surgeon operates while seated comfortably, viewing a highly magnified 3D image of the body’s interior. As your surgeon manipulates the controls, da Vinci responds to your surgeon’s input in real time, translating his or her hand, wrist and finger movements into precise movements of miniaturized instruments at the patient-side cart.

As with any surgery, these benefits cannot be guaranteed, since surgery is both patient- and procedure-specific. While da Vinci Gastric Bypass is considered safe and effective, it may not be appropriate for every individual. Always ask your doctor about all treatment options, as well as their risks and benefits.