Digestive Health Institute

Sleeve+ Procedure

Process | Dietary Requirements | Ideal Patients

What is Sleeve+?

Sleeve+ is an advanced evolution of the traditional sleeve gastrectomy, engineered to deliver superior results. It combines the restrictive benefits of stomach size reduction with metabolic enhancements that improve weight loss, reduce acid reflux, and support better control of conditions like diabetes and hypertension.

This procedure is particularly effective for individuals who need more than what a standard sleeve offers — with optimized long-term outcomes and fewer side effects like GERD (acid reflux). 

Key Features of Sleeve+

Who is it recommended for:

This procedure is ideal for individuals who are:

Nutrition Care Plan for Pre- and Post-Bariatric Procedure

Before your surgery, you’ll need to follow a 7-day liquid diet. This helps shrink the liver and prepare your body for a safe procedure. 

After the procedure:

This step-by-step plan helps your stomach heal and supports healthy weight loss.

While both procedures reduce stomach size:

  • Standard LSG limits food intake only.
  • Sleeve Plus adds an intestinal bypass, leading to greater weight loss and stronger improvements in type 2 diabetes and metabolic health.
  • Sleeve Plus typically results in more malabsorption and requires lifelong vitamin monitoring.

You may experience:

  • More frequent bowel movements
  • Loose stools or gas—especially if consuming high-fat or sugary foods
  • Food intolerances (especially early on)

These effects vary by individual and can usually be managed with diet changes.

Yes. Due to the malabsorptive component, you will need lifelong supplementation.

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