As a first step, sleeve gastrectomy (tube stomach) is performed to reduce the volume of the stomach, and then the stomach, which remains plantain-shaped, is anastomosized (mouthed) to the lower part of the small intestine, which is divided into bananas.
Thus, the volume of the stomach is restricted, and the duodenum and the upper part of the small intestine are bypassed. With the newly formed and shortened gastrointestinal tract, the feeling of hunger decreases, and this procedure leads to eating less and subsequently to weight loss.