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What is Gastric Sleeve Surgery?
In this surgery, also known as sleeve gastrectomy, the stomach volume is reduced and turned into a narrow tube. The new stomach has a much smaller volume, and during this surgery, the hunger hormone (ghrelin) is removed, so that the feeling of satiety is satisfied with less food.
Gastric sleeve is a simpler surgery than gastric bypass surgery because there is no intervention to the intestines and the risk of nutrient absorption disorder is lower. On the other hand, it can suppress the feeling of hunger for a longer time.
The success rate of sleeve gastrectomy is on a preferred level and it has been observed that those who have undergone surgery lost 60-65% of their excess weight within 2 years. For example, a patient who is over 50 kilograms, will lose approximately 30-33 kilos with sleeve gastric surgery if the diet is strictly followed and exercises are done regularly. As in gastric bypass, an appropriate diet should be followed after sleeve gastrectomy.
Can Gastric Sleeve Surgery Be Applied To Everyone With Weight Problem?
Those who have sleeve gastrectomy have to meet the following conditions:
- Any patient who has a BMI over 40 kg / m
- Those who have a BMI between 35 – 40 and have diabetic illnesses
Also, surgery can be performed in patients with “new” type 2 diabetes and metabolism disorders due to obesity and BMI between 30 and 35, at the decision of the obesity doctor.
Keep in mind that bariatric surgeries are not performed for aesthetic purposes.
At what age should Gastric Sleeve Surgery be performed?
Gastric Sleeve Surgery is a stomach reduction surgery performed on people between the ages of 18-65. For the person to be a suitable candidate for gastric surgery, the Body Mass Index (BMI) values determined by the World Health Organization must be 35 and above.
For people under the age of 18, the degree of obesity and the presence of the above diseases are important and parental consent is also required along with the physician’s decision.
For people over the age of 65, the health status and the necessity of the surgery (problems due to the weight of the person and the problems experienced) are evaluated.
What are Revision Surgeries after Obesity Surgery? Who is recommended for them?
Revision surgeries are operations performed for different complications such as not being able to lose weight and gaining weight on top of excessive weight. Stenosis or leakage are other reasons for revision after obesity surgery.
The main reasons for patients to gain the weight back are not being followed up adequately, informing patients insufficiently, or not following the process even if they are conscious. For these reasons, 20-30% weight gain can be seen in patients.
These operations are technically more difficult and must be performed by highly experienced surgeons.
There are types of surgery recommended for patients who have a recurrence of comorbid diseases such as diabetes, high blood pressure, or who gain weight. The most appropriate type of surgery should be decided by talking to the patient and making an assessment.
What needs to be considered before the procedure?
A diet should be made and some weight should be lost before the procedure. This act both decreases the risks involved with surgery along with any type of complications. All routine tests are conducted for surgery preparation. Respiratory functions are evaluated. Also, the status of the pre-op stomach is evaluated with endoscopy for possible gastric pathologies. This way, possible complications are prevented. Consultations will be carried out from cardiology, endocrinology, chest, psychiatry, and anesthesiologist to map the operation with received data about a patient’s medical history with a series of tests. The patient is requested to be fasting the night before the operation. The patient is informed about what to do for the formation of vascular clots and blood thinners are started.
What needs to be considered after the procedure?
The first day after the procedure, the liquid diet is kick started as per the condition of the patient. Operations are performed by closed methods, such as laparoscopy. It is made by entering the abdomen through between 5 – 6 tiny incisions with the help of a telescope. Patients can start to walk on the fourth hour after the operation. Patients are discharged between 3 to 5 days after the operation, depending on the type of surgery chosen and the condition of the patient. It is recommended to drink at least 1 to 1.5 liters (8 glasses) of water every day after getting discharged and to feed with food that is in liquid form as determined for the first 2 weeks. It is highly recommended to take protein supplements every day. After 2 weeks, soft food is started and the most important part about this is the sizes of bites chewing thoroughly. Heavy physical exercises and heavy lifting are banned for a month from patients. People who have work can return to work after 10 – 15 days. The only condition of not performing heavy work. It is important for women who want to have a child after the operation should wait for at least a year and to bear a child after the evaluation for blood assays by health professionals.