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Sleeve gastrectomy with Bodyroject Tunisia

Sleeve gastrectomy, the gold standard in bariatric surgery, fights obesity by eliminating the vertical part of the stomach.

Like other types of bariatric surgeries, sleeve gastrectomy is an ideal solution for patients who are very overweight and have a very high BMI. Our doctors could then refer you to one of these types of interventions according to your need but also according to your choice.

Principe and action

The intervention of the Sleeve gastrectomy consists in removing the left 2/3 of the stomach, to form a gastric tube whose capacity is 120 to 150 ml.

The Sleeve gastrectomy acts by several mechanisms simultaneously:

  • Food restriction (like gastroplasty) which consists in reducing the amount ingested.
  • The decrease in the rate of ghrelin (hunger hormone) which results is a decrease of the patient’s desire to eat. This hormone is secreted by the fundus, which is removed during the procedure.

Sleeve gastrectomy  is a complicated operation necessitating hospital stay of 4 or 5 days.


Recently used, the Sleeve gastrectomy has very satisfactory long-term results (from 7 to 8 years), unlike the gastric band whose results are spread over 2 years.
Indeed, it leads to weight loss, usually around 5 to 8 kg per month. Weight loss is progressive and tends to stabilize after one year and a half to allow a loss of 70% to 80% of excess weight.
Currently, this intervention tends to replace gastroplasty and gastric bypass for several reasons:

  •  A quick feeling of satiety, like gastroplasty.
  • Rare vomiting less than with gastroplasty.
  • The decrease in the rate of grelin and therefore the feeling of hunger, as in the bypass.
  • Achievement of excess weight loss comparable to bypass without having complications related to undernutrition and vitamin deficiencies but also without having to resort to the establishment of a foreign body (gastric ring).

The Sleeve gastrectomy allows:

  •  A loss of about 75% of excess weight. The latter will stabilize after 12 to 18 months.
  • A decrease in excess skin is optimized by regular physical activity.

Operation and hospital stay

Fasting for 6 hours is necessary before the operation which is under general anesthesia by laparoscopy and lasts approximately two hours.

To relieve pain, pain killers will be given via the vein with a proton pump inhibitor.

Subcutaneous injections of low molecular weight heparin will be administered for 10 days.

The patient will be able to leave the hospital between the third and fifth day with a prescription of pain killer treatment, proton pump inhibitors and low molecular weight heparin.

After the intervention, it is essential to follow the eating habits provided. During the first 3 weeks after the intervention, you must eat mixed or grinded food.

Post-operative recommendations

Sleeve gastrectomy is an irreversible procedure. Thus, to succeed his Sleeve gastrectomy operation, the patient will have to take care to respect the eating habits and thus to modify his eating habits. More specifically, he must:

  • Split meals into several portions: 3 meals and possibly 2 snacks
  • Opt for a varied diet.
  • Take your time to enjoy the meal.
  • Chew food well.
  • Do not drink during meals.
  • Avoid all sweets, drinks with bubbles, alcoholic drinks.
  • Avoid tablets, capsules, effervescent drugs
  • Hygienic-dietetic rules

In the aim to success the Sleeve Gastrectomy operation, the patient is strongly urged to:

  • Make regular physical activity, leisure and endurance such as walking, swimming, etc.
  • Get enough sleep.
  • Get regular follow-up from your doctor who will guide you towards an optimal diet in order to get a better intake of iron and calcium.
  • Pay attention to protein malnutrition, which can often settle with a weakened immune system and fatigue, anemia, increased susceptibility to infections

Possible complications

Sleeve gastrectomy is a minimal risk intervention although the possibility of complications remains present such as fistula, hemorrhage, gastric tube stenosis, pulmonary phlebitis, gastroesophageal reflux, etc. But these complications rarely lead to the failure of this intervention.

When can the sleeve gastrectomy fail?

Sleeve gastrectomy failure may be possible in the case of a mal indication, lack of medical follow up, unhealthy eating behavior or lack of regular exercise. For this, the choice of the medical team and the care team is essential.

Do you have more questions?

In fact, the information given above applies to any gastric sleeve intervention but remains general information. Some details vary from patient to another. You can have specific responses to your case (depending on your age, weight, sex, state of health, etc.) by filling out the consultation form on our site, without having to travel.

You can download the list of exams to do before the intervention by clicking here.

Our specialists will be available to answer your questions and support you throughout the process, from decision-making to the post-operative phase.

Do you have more questions?

In fact, the information provided above applies to any gastric sleeve procedure but remains general information. Some details vary from patient to patient. You can then have answers specific to your case (according to your age, weight, sex, state of health, etc.) by filling in the consultation form on our site, without having to travel.

You can download the list of exams to be done before the procedure by clicking here.

Our specialists will be at your disposal to answer your questions and support you throughout the process, from decision-making to the post-operative phase.


What our patients say

  Hello, I was operated on 09/17 by DR SkanderLouhichi, everything went very well. After a week I am 7 kilos lost. the welcome from the clinic staff was very warm and friendly and above all always caring for the...

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  Hello, I have been operated on for 2 years: Thank you so many times dear doctor skander for saving my life, thanks to you I have managed to change my life, to have confidence in myself, to feel good about myself...

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Antonio Mario

  Hello everyone, 50 years 107 kg, after many searches for a sleeve on the internet and some contacts I found Dr. SkanderLouhichi, did some research and that great testimonials, I contacted him by email and very...

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  Hello, Pleasantly surprised by the good progress of the intervention. Listening surgeon who responds to emails adequately. I was not loose in nature; a team (a nurse + the driver) picked me up at the airport. For...

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  I needed a second chance, thank god the dr louhichi gave it to me I’m starting to live again. I had surgery on OCT 02 2018, it has already gone 19 kilos lighter I am very...

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  I had a Sleeve on 04/03/2018 in Sousse in Tunisia. I was operated on by Doctor LOUHICHI Skander whom I would like to congratulate for all the support he gave me as well as the magnificent job he did with a very...

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Sabrina Ach.

  Hello, I was in moderate obesity and nobody wanted to hear me in France not well in my skin I had a bad being but his person did not want to hear it so I decided to do it abroad do several research and I came...

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  hello, I would like to add my testimony, I was in moderate obesity therefore not operable in France that is why I turned to doctor SkanderLouhichi specialist in obesity I therefore launched and had surgery on...

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  Hello, I was operated on December 26 by Doctor Skander for a Sleeve. Arrived at 11:40 am at the airport and Pick-up immediately with my husband. Room similar to French hospitals, with attentive staff. As soon as...

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