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Juan's biggest weight was 380 pounds. He was unable to walk and do day to day things. Dr. Jerremy Gallego Eckstein, MD then performed a sleeve gastrectomy on Juan. Juan says his self-esteem has been boosted and he's been enjoying life with his family. The sleeve gastrectomy is a weight-loss procedure that is particularly well suited to patients who have high surgical risk because of extreme obesity or associated medical conditions. It typically requires about a one-night hospital stay. The procedure involves removing about 75 percent of the stomach, leaving behind a "banana shaped" sleeve of stomach. This remaining portion of stomach restricts the amount of food that a patient can eat and leads to significant weight loss. There is no cutting or rerouting of the small intestines. The part of the stomach that is removed normally secretes a hormone that is responsible for appetite and hunger. Without it, people don't feel the need to eat as often as they did before, which contributes to their weight loss.