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Gastric Sleeve Surgery, also known as Vertical Sleeve Gastrectomy (VSG), is a popular and effective weight loss procedure that permanently reduces the size of the stomach. One of the most common questions patients ask is, "How long does the gastric sleeve last?" Understanding the permanence of the procedure, as well as how its effects endure over time, is essential when deciding whether this surgery is the right option for you.

In this guide, we will explore the longevity of the gastric sleeve, what to expect long-term, and the factors that influence how lasting the effects of the surgery will be.

At Tour Medical, we work with trusted Health Tourism Authorized clinics in Turkey to organize and coordinate your gastric sleeve journey, ensuring that you receive high-quality care throughout the process. Our partner clinics perform detailed evaluations and provide expert recommendations to help you determine if Gastric Sleeve Surgery is right for you.


Is Gastric Sleeve Surgery Permanent?

Yes, Gastric Sleeve Surgery is a permanent procedure. During surgery, approximately 75-80% of the stomach is surgically removed, leaving behind a small, tube-shaped "sleeve." Unlike gastric banding, which involves placing a removable band around the stomach, or a gastric balloon, which is temporary, the gastric sleeve is irreversible. The removed portion of the stomach cannot be restored.


How Long Do the Effects of Gastric Sleeve Surgery Last?

The effects of Gastric Sleeve Surgery are long-lasting and have a permanent impact on the stomach’s capacity, appetite, and weight regulation. However, these effects depend on a patient’s adherence to post-surgery guidelines. Let’s explore the key aspects:

1. Stomach Size and Capacity

  • Long-Term Stomach Size: After surgery, the stomach is reduced to about the size of a banana, significantly limiting food intake.
  • Stomach Stretching Over Time: While the stomach may stretch slightly over time, it will never return to its original size. It’s essential to follow dietary guidelines to prevent significant stretching, which could reduce the effectiveness of the surgery.

2. Hormonal Changes

  • Reduced Ghrelin Levels: Gastric Sleeve Surgery removes the portion of the stomach that produces ghrelin, the hormone responsible for hunger. This leads to a reduction in appetite, helping patients maintain a healthier diet.
  • Long-Term Hormonal Effects: These hormonal changes can last for many years, aiding in appetite control and weight management.

3. Weight Loss Results

  • Initial Weight Loss: Most patients lose 60-70% of their excess weight within the first 12-18 months. Weight loss is most rapid during the first year after surgery.
  • Long-Term Weight Maintenance: To maintain weight loss, patients must commit to healthy eating habits and regular exercise. Without these, there is a risk of weight regain several years after surgery.

4. Risk of Weight Regain

  • Stomach Stretching and Weight Gain: Overeating or consuming calorie-dense foods can cause the stomach to stretch, leading to weight regain.
  • Maintaining Healthy Habits: Portion control, balanced nutrition, and physical activity are crucial to long-term success. Weight regain can be minimized with ongoing support from healthcare providers.

Factors That Affect the Longevity of Gastric Sleeve Effects

1. Dietary Habits

  • Portion Control: After surgery, it's important to follow strict portion control. Eating large meals or snacking frequently can stretch the stomach and reduce the restriction.
  • Balanced Diet: A diet rich in protein, fiber, and essential nutrients will help maintain weight loss and prevent nutritional deficiencies.

2. Physical Activity

  • Exercise: Regular physical activity is essential for sustaining weight loss. Exercise helps boost metabolism, improve muscle tone, and enhance overall health.
  • Long-Term Routine: Incorporating activities you enjoy and maintaining a consistent exercise routine can help with long-term weight maintenance.

3. Follow-Up Care

  • Regular Check-Ups: Ongoing follow-up care with your healthcare provider is critical for monitoring progress, addressing concerns, and ensuring nutritional needs are met.
  • Nutritional Support: Taking prescribed vitamins and minerals is important to prevent complications and support overall well-being.

4. Behavioral Changes

  • Emotional Eating: Unhealthy eating habits or emotional eating can counteract the effects of surgery. Addressing emotional triggers through counseling or support groups is essential.
  • Support Systems: Joining a support group or working with a counselor can provide additional help in maintaining healthy habits.

FAQs About the Longevity of Gastric Sleeve Surgery

  1. Is Gastric Sleeve Surgery permanent?
    Yes, it is permanent because a large portion of the stomach is removed, and it cannot be restored.

  2. Can the stomach stretch after surgery?
    The stomach may stretch slightly, but it will never return to its original size. Stretching is more likely if you overeat or fail to follow dietary guidelines.

  3. How long do the weight loss effects last?
    The weight loss effects can last a lifetime with proper diet and exercise. Most patients lose 60-70% of their excess weight within 12-18 months.

  4. Can you regain weight after Gastric Sleeve Surgery?
    Yes, weight regain is possible if you do not adhere to dietary recommendations and maintain a healthy lifestyle.

  5. How can I maintain weight loss after surgery?
    Maintaining weight loss requires a balanced diet, regular exercise, attending follow-up appointments, and managing emotional eating.

  6. Will my appetite increase over time?
    It’s possible for your appetite to increase slightly, but adhering to healthy eating habits will help manage it.

  7. How soon after surgery will my stomach start to stretch?
    If you overeat, the stomach can begin to stretch within the first few years. It’s important to practice portion control.

  8. Is it normal for weight loss to slow down after the first year?
    Yes, weight loss tends to slow down after the first year. Continued adherence to diet and exercise is necessary to maintain progress.


Even if you are not a patient of ours, you can contact us with any questions you may have. Our patient coordinators will be happy to assist you.

Email: info@tourmedical.com

"This information has been prepared in collaboration with our contracted partner clinics and doctors. Tour Medical is a health tourism agency and does not directly provide medical treatments or does not offer advice, recommendations, or comments regarding medical treatments. Treatments and recomomdations provided at Partner Clinics with Health Tourism Authorization."

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