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Austin, TX 78759

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The Gastric Sleeve / Sleeve Gastrectomy Procedure

Single Incision Belly button approach now offered for suitable patients.

Gastric Sleeve is modification of an old technique called Magenstrasse and Mill procedure. This new technique removes the unused portion of the stomach.

The Gastric Sleeve / Sleeve Gastrectomy Procedure


The gastric sleeve originated as stage 1 of the Duodenal Switch procedure in the super morbidly obese. In this procedure 75 to 85 percent of the stomach is removed and the remaining stomach is banana shaped leaving the outlet valve of the stomach intact. Currently the gastric sleeve is offered as a primary weight loss procedure and as a revision option for suitable patients. The Gastric Sleeve does not cause any significant malabsorption issues because the intestines are not bypassed. Some theory indicates that with the portion of the stomach that is removed the hunger producing hormones such as Ghrelin are reduced significantly thereby helping with the weight loss process.

The main advantage of this procedure is that long term complication risk is less. The procedure initial risks are very similar to gastric bypass surgery. Existing 5 year follow-up data indicates that weight loss with Sleeve gastrectomy is similar to the Gastric bypass procedure. In 2010 many insurance policies started covering the Gastric Sleeve procedure.
Dr. Ganta now offers the Single Incision belly button Gastric Sleeve procedure leaving no visible scars and possibly quicker recovery. With this technique patients have a single incision hidden in the belly button.

aibl_procedures_si-lap-band-1Traditional Laparoscopic Gastric Sleeve

Gastric Sleeve surgery is typically performed using the standard laparoscopic approach.

In the standard laparoscopic approach 5 or more small incisions are made on the upper abdomen the largest one being 1 ½ inches.

This approach is much better than the open surgery but still leaves visible scars and the associated healing.



aibl_procedures_si-lap-band-3(1)Trans-umbilical Gastric Sleeve Procedure

“Dr. Ganta is one of the few surgeons in the country to offer the TRUE SINGLE INCISION WITH NO VISIBLE SCAR approach for Gastric Sleeve to suitable patients.”

Dr. Ganta now offers the trans-umbilical single incision Gastric sleeve without leaving any visible scars on the abdomen.

This remarkable technique involves complete performance of the gastric sleeve procedure via the incision at the belly button and leaving no visible scars on the abdomen.

Dr. Ganta is one of the few surgeons in the U.S. to use this almost scarless approach for the Gastric Sleeve. This new technique of Trans-umbilical Gastric Sleeve allows patients to have significantly improved cosmetic results and possibly less pain and a faster recovery.


All patients are not candidates for this approach. Results can vary and are not guaranteed even for patients determined to be candidates before the surgery.

Hear Deena’s Gastric Sleeve Story

View Photos

Weight Lost: 130 Lbs*

Excess Weight Loss: 50%

Procedure: Sleeve

Hi, my name is Deena. I had a Gastric Sleeve 18 months ago. I lost 130 pounds, it was almost 50% of my body weight.

* Results may vary, not all cases are typical.

View Transcript

Hi, my name is Deena. I had a Gastric Sleeve 18 months ago. I lost 130 pounds, it was almost 50% of my body weight.

I’ve struggled with my weight my whole life, I wasn’t really incredibly overweight until I was probably in college. But I was a pudgy kid, I was on a lot of steroids for asthma when I was a child. They didn’t really have effective medication like they do now. And I lost a lot of weight before I got married, and I was, that was the smallest I’d ever been and that was a few years ago and I started rapidly gaining weight after we were married cause I was working in the food industry which is not a good industry for me to work in. And then I got pregnant and even though I was working out I, around 7 months pregnant I stopped being able to do the kind of work out I liked to do, I was primarily kickboxing and start having pre term labor issues and then I packed on the pounds and I was the biggest that I’d ever been when I gave birth and I just couldn’t get the weight off.

My insurance covered weight loss surgery so I started looking into it and I went to a couple of different consultations and I of course went to Dr. Ganta. I never really took it seriously during the 6 months supervised diet.

I mean, I thought I just do this on my own this will just, you know, I just need some help like  I’ll go through the requirements to see and you know I did research because that’s the type of person I am and I had originally come in thinking that I would get the lap band and the more research I did on the lap band with the statistic and everything involves in it, I just, It didn’t seem like what I really wanted to do and I had never heard of the sleeve. And so then I started researching the sleeve and, but again I still didn’t really take it seriously and then it was about maybe 2 months before the end of my 6 months supervised weight loss and then I was, I just, I kind of felt trapped and I was miserable and I wasn’t, I was still not really losing weight and I just, I felt so defeated.

I’d lost weight before and then I put it on, plus friends, I’m sure you hear the same story all the time and so you know I did it, I went through with it and I did the sleeve because one of the reason I wanted to do the lap band was cause it was removable and I thought you know, do I really need it removed? I mean, does that really seem like, when I struggled my entire life, does that really seem like something I’m going to do eventually I mean why not go with something that’s permanent. This is obviously a permanent problem so I did it and I was terrified the day that I went in for surgery and I almost ran out of the hospital in my gown with my butt in the wind but I went through with it and I never looked back.

This is probably the best thing that I’ve ever done for myself. It’s definitely an adjustment I mean I think you really need to, when you’re making the decision to have this type of surgery I think that you need to be prepared to change your life. I don’t agree that it’s about being moderate or any of that I think if you get yourself into the position that you need to have weight loss surgery that you’re morbidly obese then you need to be prepared to change your life otherwise you just shouldn’t have the surgery.

So after surgery you have to go through clear liquids and then full liquids and then purees and all of that and it’s basically like relearning to eat cause you have I mean I think my stomach is maybe the size of a toddler’s stomach and I’ve always really been active so that wasn’t a problem I know a lot about nutrition so eating healthy wasn’t a problem, it was mainly you know you just eat a lot less. And I had some food intolerances but now I can eat anything which is both a blessing and a curse. There were a lot of non-skill victories along the way like being able to wrap your towel all the way around your body and now my towels are enormous. Being able to wear my husband’s jeans and they are actually enormous and is very thin my husband is like 5 foot 10 and 155 pounds. Being able to run after my toddler all over the playground, fitting down slides with no problem, mainly it’s just confidence. I’ve always had a lot of confidence in myself, in my intelligence in my personality but I’ve struggled with what I look like my whole life and I don’t anymore.

I feel good about myself. I did this surgery primarily because I wanted to be a better, I wanted to be the best mother that I could be to my daughter and I didn’t want her to grow up with someone who’s miserable and defeated because that’s not who I am. I wanted to show her strength and determination and courage and confidence. I want her to be happy and secure and herself and that’s starts with me. And I think that I’m doing as good as I possibly can.

I’m on obesity help, it’s a forum and we talk a lot about the sleeve as a tool and that’s what it is. It’s not, you still have to make the choices but the sleeve makes it so much easier, it makes it easier in terms of you can’t eat as much but it’s also makes it easier in terms of you’re not as hungry and you it’s something it’s the most effective tool in your arsenal of maintaining your weight and losing your weight.

I’ve always been able to lose weight but I’ve never been able to keep it off and this enables me to keep it off and it’s not that I don’t fall down it’s not that I don’t make bad choices, because everybody does, I’m human but it’s easier to get back up on the horse so to speak and to continue on. Having the sleeve, I don’t regret it at all. I think it’s an amazingly effective tool, I’m glad that I found out about it before I had surgery. I’m glad that it exists, I would recommend it to anybody who you know needs to have weight loss surgery and is ready to change their life. I’m a huge advocate of it. I like my tiny tummy.

I chose Dr. Ganta because he explained all of the surgeries all of the surgeries that I could possibly have and would never gave me an opinion on what I should do. It was all in my hands even when I ask him straight up for an opinion he would not give me one. I like that he was so thorough talking about the different surgeries and what the different statistics were for each surgery he just seemed so knowledgeable and he’s not exactly warm and cuddly but I find that comforting because he seemed so confident and knowledgeable and if I’m going to put a part of my anatomy in somebody’s hands that’s really what I want. And it was, I felt secure which is a huge thing when you’re allowing someone to take out you know a huge portion of your very healthy anatomy.

So that’s why I chose him over other people, had a good gut feeling. Pretty much.

Deena Patient of Dr. Ganta Before

Deena Patient of Dr. Ganta After

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* Please be aware that all results may vary. To learn about specific clinical outcomes please visit the New England Journal of Medicine’s website to view the newest peer-reviewed journals published. [Read More…]

1. The U.S. Department of Health and Human Services has also produced a guide to bariatric surgery that can be viewed on their website. [Read More…]