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Sometimes, doctors recommend weight loss surgery also known as bariatric surgery for very overweight teens who have tried and failed to lose weight on normal diet and exercise plans. There are several different types of weight loss surgeries. One type is gastric sleeve surgery, also known as sleeve gastrectomy. In gastric sleeve surgery, a surgeon removes part of the stomach and makes a narrow tube or "sleeve" out of the rest. The new, banana-shaped stomach is much smaller than the original stomach.