Nearly 200,000 Americans (opens in new tab) undergo bariatric surgery each year, and gastric sleeve surgery has become one of the most sought-after options among them. If you have struggled with obesity for years, tried diet after diet without lasting results, and are ready to consider a more permanent solution, sleeve gastrectomy may be worth a closer look.
At NYC Hernia, Dr. Brian Jacob, MD, FACS, brings world-class surgical expertise to every patient, offering a level of personalized care that is hard to find anywhere else in New York City.
What Is Gastric Sleeve Surgery?
A sleeve gastrectomy, also known as gastric reduction or vertical gastroplasty, is a minimally invasive bariatric procedure that reduces the stomach to roughly 15 percent of its original size. The surgeon staples the stomach into a narrow tube, or sleeve, which limits how much food you can eat at one time.
Unlike gastric bypass, sleeve gastrectomy does not alter the digestive tract itself, so nutrients continue to be absorbed normally. However, the surgery removes the fundus, the portion of the stomach that produces ghrelin, the hormone responsible for hunger. This means you will feel less hungry, eat less, and lose weight more naturally over time.
Benefits of Sleeve Gastrectomy
Gastric sleeve surgery offers several advantages over more complex bariatric procedures. Because it is performed laparoscopically, incisions are small, blood loss is minimal, and recovery is faster than with open surgery. Additional benefits include:
- No risk of gastric dumping syndrome
- No malabsorptive complications
- No foreign bands or tubes left in the body
- Reduced hunger due to lower ghrelin levels
- Potential improvement or resolution of conditions like hypertension, type 2 diabetes, high cholesterol, sleep apnea, and asthma
If additional weight loss is needed later, the sleeve can be modified or followed by a secondary procedure, such as a duodenal switch bypass or gastric band placement.
Are You a Candidate?
Not everyone qualifies for sleeve gastrectomy. Candidates are carefully evaluated before surgery to confirm the procedure is appropriate. You may be a good candidate if you:
- Have a history of morbid obesity spanning several years
- Have been unable to achieve lasting weight loss through diet, exercise, or medication
- Are between 18 and 65 years of age
- Have no medical or psychological conditions that would prevent safe surgery
- Are committed to making long-term lifestyle changes after the procedure
The Procedure and Recovery
During surgery, Dr. Jacob uses small incisions and miniature tools to staple the stomach into a sleeve shape. Excess stomach tissue is then removed. The entire process is straightforward, and the laparoscopic approach means less pain and a shorter hospital stay, typically one to two days.
After surgery, you will begin with a liquid diet before gradually reintroducing soft and solid foods. Following your care team’s instructions closely is essential. Sleeve gastrectomy is a powerful tool, but lasting results depend on maintaining healthy eating habits and staying active long term.
Risks to Be Aware Of
As with any surgical procedure, sleeve gastrectomy carries some risks. These may include:
- Gastric leakage
- Heartburn or stomach ulcers
- Stomach inflammation
- Abdominal scarring
- Vomiting if the stomach pouch is overfilled
There is also an increased risk of gallstones following weight-loss surgery. In some cases, Dr. Jacob may recommend removing the gallbladder at the same time as the sleeve gastrectomy. Because sleeve gastrectomy is a newer procedure compared to some other bariatric operations, insurance coverage can vary, so it is worth confirming your benefits before scheduling.
Why Choose NYC Hernia for Gastric Sleeve Surgery in New York, NY?
Dr. Brian Jacob is not simply a general surgeon who performs bariatric procedures on the side. He is a Professor of Surgery at the Icahn School of Medicine at Mount Sinai and has been recognized for 14 consecutive years as one of the best surgeons in NYC by The New York Times Magazine. Castle Connolly Medical Ltd. and New York Magazine have listed him as a Top Doctor every year from 2012 through 2026, reflecting both his clinical outcomes and his reputation among peers.
Dr. Jacob’s approach is rooted in individualized care. He understands that no two patients are alike, and he works closely with each person to determine the most appropriate path forward. Whether gastric sleeve surgery is your primary option or part of a broader bariatric plan, you can expect a thorough evaluation, clear communication, and expert surgical technique at every step.
Contact Dr. Jacob to Learn More About Sleeve Gastrectomy!
Dr. Brian Jacob can answer any questions you have regarding the sleeve gastrectomy procedure and help you determine whether you are a candidate! Call NYC Hernia today at 212-879-6677 or book a consultation online (opens in new tab).
One year post hernia and bariatric sleeve surgery I find myself often saying a silent prayer of gratitude to Dr. Jacob for his life altering surgical skills, his professional dedication and personal compassion. Dr. Jacob was with me every step of the way; always responsive and supportive. Best surgeon ever!
Anonymous

