Gastric Sleeve

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Gastric Sleeve Thailand


We did our first gastric sleeve surgeries in Thailand 8 years ago. Since then our competence of these surgeries have been increasing and today we have our own Gastric Sleeve center in Bangkok. Gastric sleeve is a modern weight loss surgery and sometimes considered to be a life saving surgery for our clients, who had fought against obesity for years. Having your gastric sleeve surgery in Thailand you will enjoy Thai hospitality when admitted in the beautiful hospital and in the recuperation apartment. Gastric Sleeve or sleeve gastrectomy surgery is a surgical procedure to reduce the your stomach size, which will make your stomach feel full faster and limited food proportion size. You can expect to lose between 50-60% of your excess weight with a Gastric Sleeve Surgery.

Weight Loss Expectations to Gastric Sleeve

With a gastric sleeve surgery you can expect to lose 50-60% of your excess weight.

Clients who get rid of bad habits and start living a healthier life with a good diet and regular exercise can expect to lose more than 60% of your original weight. When you meet our gastric surgeon, he will explain about the surgery and what you can expect from the weight loss surgery. You will also meet with a dietitian and be educated on how you should eat. Below you can see a few examples of expected weight loss for 3 different persons:

  • 170cm tall, 125 kgs BMI 43.3, in this example, the excess weight is 60 kgs, hence the expected weight loss from gastric sleeve is 30 kgs or more.
  • 160 cm tall, 100 kgs BMI 39.1, in this example, the excess weight is 43 kgs, hence the expected weight loss from the sleeve surgery is around 22 kgs.
  • 180 cm tall, 160 kgs BMI 49.4, in this example, the excess weight is 87 kgs, hence the expected weight loss from the gastric sleeve surgery is around 44 kgs.
  • 155 cm tall, 90 kgs BMI 37.5, in this example, the excess weight is 36 kgs, hence the expected weight loss from gastric sleeve is around 18 kgs and up.

The above examples are indicative of the weight loss that can be expected. Weight loss will vary from client to client.

Gastric Sleeve Before & After


Meet Emily and Kelly, they both had a Gastric Sleeve to help them lose weight.

  • Emily weighed 120 kgs and lost 55 kgs 3 years after having a gastric sleeve done in Thailand.
  • Kelly lost 32 kgs within 9 months after her gastric sleeve surgery in Thailand.

Emily gastric sleeve thailand

gastric sleeve thailand

Gastric Sleeve Criteria


Gastric sleeve is a serious medical procedure. It makes your stomach 80% smaller and it is not a reversible surgery. The main criteria for having this surgery is listed below:

  • BMI above 37 / or BMI above 32 with underlying diseases 
  • Several unsuccessful attempts to lose weight via traditional means
  • Obese for 3-5 years minimum
  • Committed to changing your lifestyle to an active and healthy lifestyle
  • Understand the risks and possible complications of the surgery

To request a quote and evaluation for Gastric Sleeve CLICK HERE and fill in the evaluation form

Gastric Sleeve Surgeon and Surgery


The gastric sleeve surgery is a keyhole surgery using laparoscopic equipment. It means a few small incisions are made, and the doctor uses camera technique to carry out the surgery. The gastric sleeve surgery takes around 2 hours. You will be admitted to the hospital for 5 nights, and the surgeon will advice you on future diet.

The laparoscopic Surgeon is Dr. Narong, an experienced surgeon who specialized in Gastric Sleeve surgery. Dr. Narong is the head of Klang Hospital, Bangkok Obesity Clinic, a clinic he has setup at the Thai public hospital. He is also the head Gastric Sleeve surgeon at Samitivej Thonburi Hospital.

Preparation for Gastric Sleeve


We recommend you to discuss with your GP about having a gastric sleeve.  You may also be required to have a sleep test to see if you are suffering from sleep apnea. If you have sleep apnea (sleep apnea is when you stop breathing for a period during sleep) you will be required to bring your own CPAP machine to Thailand and you must used it for minimum 2 weeks prior to surgery.

Do I need to complete a sleep study ?


If you say yes to 3 or more of the below questions you should complete a sleep study before surgery:

1) Do you snore loudly?
2) Do you feel tired, fatigued or sleepy during the day ?
3) Have you been told that you stop breathing during your sleep ?
4) Do you have high blood pressure or are treated for high blood pressure ?
5) Is your body mass index greater than 35 ?
6) Are you 50 years old or older?
7) Are you a male with neck circumference greater than 17 inches (42.5 cm), or a female with neck circumference greater than 16 inches (40 cm)?
8) Are you a male?
The sleep study will decide if you require to use a CPAP before surgery. From below, you can see a CPAP machine illustrated. The machine applied a mild pressure to keep the airways open and ensure you receive enough oxygen during your sleep.

Next steps towards a Gastric Sleeve


Please contact us via email or FILL IN THE EVALUATION FORM CLICK HERE!

Typical Gastric Sleeve Process and Flow


It all starts with you contacting Destination Beauty and filling in the evaluation form: FILL IN THE EVALUATION FORM CLICK HERE!

We will then discuss with Dr. Narong, if you are a good candidate for gastric sleeve surgery or not. Assuming you are a good candidate, we will confirm you that you can undergo the surgery and a quote as well.

You can then make a booking for surgery. You will need to spend around 2 weeks in Thailand, during your stay you will be admitted 5 nights in the hospital.

Most clients will be requested to complete a sleep study before having surgery done. This is to determine whether you have sleep apnea (sleep apnea is when you stop breathing for a period in your sleep) or not. Clients with sleep apnea will need to use CPAP machine for minimum 14 nights before coming over for surgery. The CPAP machine helps you to breath when you are sleeping.

When you come to Thailand our driver will pick you up at the airport and send you to the luxury apartments, where many of our clients stay. You will relax the first night at the hotel.

The next morning, we will pick you up and drive you to the hospital, where the pre-operative checks will be begin. You will do a standard pre-surgery checkup and you will also have a gastroscope tests to see if you stomach is infected before surgery. You will typically meet a gastro intestinal doctor, a dietician/endocrine doctor and of consult with Dr. Narong, our gastric sleeve surgeon.

After spending 2-3 nights in the serviced apartment, you will be admitted to the hospital where you will have surgery. Admission is typically for 5 nights. The first night after surgery is usually spent in the intensive care unit. You will then transfer to the ward where you will spend the remaining 4 nights. You will likely be out of the bed on the day after surgery or maybe even the same day. Dr. Narong and our dietitian will check up on you during the hospital stay.

After spending 5 nights in hospital you will be picked up and sent back to the serviced apartment again. you will have a few more checkups at the serviced apartment (we will pick you up and send you to and from the hospital).

While staying at the serviced apartment, you will meet with our clients who had gastric sleeve or plastic surgery. There, you can join our afternoon tea activities every Tuesday and Thursday. You will also be offered nurse visits at your apartment room every Monday, Wednesday and Friday.

Can It Be Stretched?


You can stretch your stomach after gastric sleeve surgery. The inside of your stomach is lined with rugae. These are folds of tissue that expand and contract in relation to the amount of food that enters your stomach.

When they expand, your stomach sends a signal to your brain that you are full. When they contract, they push the food into your intestines for further processing. Once the stomach is empty, a hormone called Ghrelin is released , which will triggers hunger again.

These signals can get skewed when your stomach is constantly stretched from too much food.

Below are a Few Tips to Reduce the Risk of Stretching your Stomach.

  • Drink water an hour before and an hour after you eat. This gives your body time to digest the food and make room for fluids and vice versa. Don’t eat and drink at the same time.
  • Don’t drink carbonated beverages. The carbonation can put unneeded pressure on your stomach.
  • Eat small, healthy snacks if you get hungry in-between meals.
  • Plan your meals. Focus on small portions of nutrient dense foods. Nutrient dense foods keep you feel full longer than usual and give an essential nutrients.

Remember, if you overeat once, you haven’t ruined your new stomach. Get back on track as quickly as possible.

Gastric Sleeve complications


The upsides of gastric sleeve surgery are clear, you lose weight and get healthier and hopefully more active as you get lighter.

This article is not intended to replace a discussion with your bariatric surgeon about the risks and complications associated with this surgery. It\’s important you discuss risks and complications with your surgeon and obviously you need to disclose all your medical issues, medicine you take and diseases to ensure your surgery is safe.

This article will mainly talk about the risks and complications related to this surgery. The first thing to remember is that gastric sleeve is a large surgery. The surgical technique is keyhole surgery and you will have around 5 small incisions. One of the incisions will be slightly larger as your cut off stomach will be removed through that incision.


The surgery is done under general anesthesia and as this article will focus more on the complications from the surgery itself we would like to refer to this article for anesthesia risks and complications:


One of the common risks related to surgery is infection. The wound gets red and discharges puss. This is a risk, but as the surgery is done as keyhole surgery, under a closed system this risk is very low and much lower than “open surgeries” such as tummy tucks, hip replacements and other surgeries where the wound is exposed for a long period of time. Infection can be a very serious complication if not treated early.

Antibiotic is administered during surgery to reduce the risk of infection. It\’s also worth mentioning that when the surgeon cut your stomach to reduce the size of your stomach, the staple system automatically seals the part of the stomach that will be removed. When the staples are used one part of the staple attaches to your new stomach and the other part attaches to the part being removed. This system seals/closes your old stomach so that fluid from your stomach is not leaking out into your abdomen.

Embolism / Blood Cloth / DVT / PE

One of the very serious complications is referred to as an embolism or in common language a blood cloth. It\’s also referred to the economy class syndrome, after travelers sitting idle in economy class for long periods of time end up having DVT (deep vein thrombosis). It\’s basically a case of blood clotting in your legs, and this is a serious matter as the blood cloths may travel and get stuck in your lungs, this is referred to a pulmonary embolism (PE). Pulmonary embolism is a very serious and potential fatal occurrence.

When having gastric sleeve surgery, there are a number of steps that can be taken to reduce the risk of this very serious complication. One of the steps is to give blood thinner before the surgery, and another step is to use the “venaflow” legs massage device, both during surgery and during the immediate time after surgery. An important factor is also how quickly you as the patient “ambulate”. What we mean with this ,is basically when you start to get out of bed and walk to get the blood supply in your body moving. Early ambulation (getting up and walking) is something you all should do.

Staple-Line leak

Another serious complication related to gastric sleeve surgery and other bariatric surgeries using staple-lines is that the staple-line is leaking. In the process of cutting your stomach to reduce the size, and making your new smaller stomach, medical staples are attached in a line to ensure the new stomach is closing. A staple-line leak is when the new stomach is leaking. This is serious as the stomach is leaking digestive juices, that may cause infection and further damage.

Studies have shown that the risk of a staple-line leak may be in the range of 0.99-2.1% depending on which studies you read. A staple-line leak is a serious complication that must be treated early to ensure a quick recovery.

Staple-line leaks can usually be detected early. Early detection is important for the management of this complication.

Bleeding after surgery

Another complication is that bleeding may happen internally after surgery. The bleeding may come from the staple-line or other areas.

Meet our clients who had Gastric Sleeve

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