The Sleeve Gastrectomy Informed Consent is a ready-to-use healthcare & wellness template you can send for signature in minutes. It is written for 1 signer (patient) and, by default, expires 30 days after it is sent if left unsigned. It covers consent, bariatric, sleeve gastrectomy, weight loss surgery, surgical, metabolic. Like every Abundera Sign template it is a convenience draft structured for ESIGN Act and UETA compliance, not a substitute for legal advice. Each signed copy is sealed with PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package in WORM storage.
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# Sleeve Gastrectomy Informed Consent > **Important — not medical advice.** For use by a licensed provider; tailor to the patient, your protocols, and state law. **Patient Name:** ___________ **Date of Birth:** ___________ **Procedure Date (anticipated):** ___________ **Surgeon:** ___________ **Current weight:** ___________ **Current BMI:** ___________ --- ## 1. Procedure Description Laparoscopic sleeve gastrectomy (LSG) permanently reduces the size of the stomach by removing approximately 75–80% of the stomach along the greater curvature. The remaining stomach is shaped into a narrow tubular "sleeve" with a capacity of approximately 60–100 mL. The pylorus (the valve between the stomach and small intestine) is preserved; no intestinal rerouting is performed. The reduced stomach capacity limits food intake (restriction). Sleeve gastrectomy also reduces circulating levels of the hunger hormone ghrelin, which is produced predominantly in the removed portion of the stomach. **Planned approach:** ___________ --- ## 2. Indications Sleeve gastrectomy is indicated for patients meeting at least one of the following: - BMI ≥ 40 kg/m² - BMI ≥ 35 kg/m² with one or more obesity-related comorbidities - BMI 30–34.9 kg/m² with poorly controlled type 2 diabetes or metabolic syndrome (per emerging guidelines) - Selected patients as a first-stage procedure when high-risk comorbidities or super-obesity (BMI ≥ 50) make a longer operation inadvisable **Documented indication(s) for this patient:** ___________ ---