Weight loss surgery: Gastric sleeve procedure

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Gastric sleeve surgery is a relatively new type of bariatric surgery, and Cone Health Bariatric and Wellness Services began offering this procedure as an option for patients a little over a year ago.

This procedure is quickly becoming a popular choice for bariatric surgery candidates, as it is now covered the same as the Lap Band and gastric bypass surgeries on most insurance plans.

During a gastric sleeve procedure, 75 to 85 percent of the stomach is removed, leaving a small vertical space in the shape of a sleeve. The portion removed produces hormones that curb hunger, so the result is a reduced desire to eat.

Gastric sleeve surgery is less extensive than gastric bypass surgery, however patients still experience rapid weight loss similar to the results of gastric bypass.

Not only can weight loss surgery serve as a tool in losing weight, it can also help patients achieve overall well-being by improving, and sometimes curing, comorbidities such as diabetes and obstructive sleep apnea.

Patients who undergo bariatric surgery must be committed to an entire lifestyle change in order to achieve the optimal results and restore their quality of life.

Spokesperson Background:

Dr. Brian Layton is a surgeon at Central Carolina Surgery and a member of the Cone Health Bariatric and Wellness Services team.  Dr. Layton received a Doctor or Osteopathic Medicine from Midwestern University in 2002.

He completed residencies in general surgery at Keesler Medical Center in Biloxi, MS and the Carolinas Medical Center in Charlotte, NC. Dr. Layton completed a fellowship in minimally invasive and bariatric surgery at Wake Forest University Baptist Medical Center in 2010.


  • Chris

    I am so glad to see this. I had the sleeve surgery and am so tired of people thinking that there is some sort of “sleeve” in my system. I had my surgery a little over a year and a half ago and have lost 170 lbs. Best decision I ever made!

  • Cassie

    I had the surgery two years ago. Lost the 100 lbs I needed to lose. If I keep my stomach acid in check, I never feel hungry. I still struggle with emotions leading me to want to pig out but even if I cave, I can’t eat the amount I use to be able to shovel in.

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