Sleeve Gastrectomy with Triple Protection

A smaller stomach. A bigger life.

Laparoscopic sleeve gastrectomy with oversewing and omentum re-attachment: three layers of protection, refined over thousands of operations by Consultant Bariatric Surgeon Dr. Mohammad Barrak Alhaifi.

Scroll to see how it works
01 · Before

This is your stomach.

It can hold up to about 1.5 litres. Its curved upper part, the fundus, produces most of ghrelin, the hormone that drives hunger.

EsophagusFundusPylorus~75–80% removedTriple-protected sleeve
The Alhaifi technique

Triple protection. Because every step matters.

Sleeve gastrectomy with oversewing and omentum re-attachment is the standard approach at Dr. Alhaifi’s clinic, refined over thousands of sleeve operations since 2007.

1

Staple line

The stomach is reduced with a precise longitudinal cut using a surgical stapler. For most surgeons, the operation ends here.

2

Oversewing

The staple line is enfolded inward and sewn with the serosa, the strongest layer of the stomach wall, adding a second layer of protection.

3

Omentum re-attachment

The omentum is fixed back in its natural place on the stomach, completing the third layer of protection.

Leak and bleeding rate in Dr. Alhaifi’s experience
Standard sleeve (early years, from 2007)~4%
Triple-protection sleeve<1%, close to 0%

Figures from Dr. Alhaifi’s own surgical experience. Individual risk is discussed at consultation.

What the extra steps are designed to reduce
Leaks and bleeding
Stomach dilation in the future
Twisting of the sleeve
Reflux
Post-operative adhesions
“I personally take these extra steps because I believe every patient deserves every additional step that helps ensure the operation succeeds.”
Dr. Mohammad Barrak Alhaifi

The choice is yours: a standard sleeve, or the safer triple-protection sleeve.

Since 2007
Performing sleeve gastrectomy
Thousands
Sleeve operations performed
<1%
Leak and bleeding rate with triple protection, in Dr. Alhaifi’s experience
1–2 nights
Usual hospital stay

Approximate figures. Individual results vary.

Candidacy

Is a sleeve right for you?

Based on the 2022 ASMBS/IFSO guidelines. Final eligibility is decided during your consultation.

BMI of 35 or higher

Whether or not you have obesity-related conditions.

BMI of 30–34.9 with metabolic disease

Such as type 2 diabetes, when other treatments have not worked.

Previous attempts

Diet, exercise or medication have not led to lasting weight loss.

Commitment to change

Ready for lifelong nutrition follow-up and regular activity.

Recovery

Your journey, step by step.

01

Before surgery

Consultation, blood tests, endoscopy or imaging as needed, and a short pre-operative diet to shrink the liver.

02

Day of surgery

About 1–2 hours in theatre under general anaesthesia. Most patients are walking the same day.

03

Weeks 1–2

Clear liquids, then full liquids. Most people return to light activity and desk work.

04

Weeks 3–4

Puréed foods, with protein first at every meal.

05

Week 5 onward

Soft, then regular textures in small portions, with daily vitamins for life.

06

12–18 months

Most of the weight loss happens here, supported by regular follow-up visits.

MH
Your surgeon

Dr. Mohammad Barrak Alhaifi

Consultant in Bariatric and General Surgery

Sleeve surgery since 2007

Thousands of sleeve gastrectomies performed, with the triple-protection technique as his standard approach.

SRC Surgeon of Excellence

Certified by the Surgical Review Corporation (USA) in metabolic and bariatric surgery.

Center of Excellence

Operates at Sidra Kuwait Hospital, an SRC-accredited Center of Excellence and a JCI-accredited hospital.

International trainer

Selected as an international trainer at the surgical training centre in Hamburg, Germany, teaching bariatric techniques to surgeons.

Full doctor profile →
Video

See the real procedure.

Watch a walkthrough of laparoscopic sleeve gastrectomy.

Good to know

Things to consider.

Sleeve gastrectomy is a safe, well-established operation, but like any surgery it carries risks. Dr. Alhaifi will review them with you in detail.

Permanent

Part of the stomach is removed and cannot be restored.

Reflux

Some patients develop heartburn, or find it gets worse, after surgery.

Nutrition

Lifelong vitamins and follow-up blood tests are needed.

Surgical risks

Bleeding or a leak from the staple line are uncommon, and are exactly what the triple-protection technique is designed to reduce.

FAQ

Common questions.

A standard sleeve ends after stapling. Triple protection adds two steps: oversewing the staple line with the stomach’s serosa, and re-attaching the omentum. In Dr. Alhaifi’s experience, this lowered leak and bleeding rates from about 4% to under 1%.

Take the first step.

Book a consultation with Dr. Mohammad Alhaifi at Alhaifi Clinic.

Alhaifi Clinic