Gastric Sleeve Surgery
Despite the diet and exercise can not lose weight in some form of gastric sleeve surgery (stomach reduction surgery) by reducing the volume of the stomach, a method that allows the patient to feel full satiety with food.
The demand for stomach reduction surgery is increasing day by day. However, life-threatening is inevitable if such operations are not performed in expert hands.
“ Bariatric Surgery” is called gastric reduction surgery, which is performed to eliminate the obesity problem and allows the patient to lose weight and stay at a normal weight. The most effective method for the permanent treatment of obesity is these surgeries. The surgery allows the patient to lose 40 to 100 pounds and prevents re-weight gain. Diabetes, heart and vascular diseases, joint problems and more than 40 diseases often seen in overweight people can be eliminated by surgical procedure with the patient’s weight loss.
What is Gastric Sleeve Surgery?
During Gastric Sleeve Surgery, a longitudinal part of the stomach is removed and the stomach is turned into a tube and thus the saturation of the person is provided with low food. Research has shown that the secretion of the fasting hormone “ghrelin” decreases after Gastric Sleeve Surgery (fasting hormone = release of ghrelin leads the person to eat).
Gastric Sleeve Surgeries; It is the second most used surgery in obesity surgery in the USA and worldwide after gastric By-Pass surgery. The expected weight loss after Gastric Sleeve Surgery is about 60% in 2 years. Long-term results are not yet fully established. However, it is known to provide effective weight efficiency.
How Is The Tube Prepared Before Stomach Surgery? What Tests Are Done?
First, the following tests and examinations are applied to each patient before the operation
- Blood tests
- Whole abdominal ultrasound
- Gastric endoscopy (with anesthesiologist)
- ECG (heart graph)
- Lung graph
- Lung respiratory test
- Exertion test and echo in case of need (electrocardiography)
After all these tests, Anesthesia, Internal Medicine, Cardiology, Chest Diseases and Endocrine specialists will perform the necessary examinations and examinations. As a result of these examinations, firstly, it is checked whether there is an underlying disease that may cause the patient to gain weight. If there is no such disease, the patient will be examined in terms of anaesthesia as every patient will have surgery. If necessary, the relevant experts will make recommendations about the treatments to be applied before surgery. In this way, problems that may occur during and after surgery are minimized.
How is Gastric Sleeve Surgery Performed?
Gastric Sleeve Surgery is performed laparoscopically and 6 incisions are made at half a centimetre. Surgery is made from these small incisions. The large part of the stomach is cut and the stomach is reduced to 80% to give the stomach a banana shape. Since a small tube is inserted into the stomach during Gastric Sleeve Surgery, the delicacy of the stomach is maintained. Laparoscopic operation reduces the risk of scarring and scarring, and the patient feels less pain, less pain and shorter recovery time. Also, since the stomach is inflated with a special fluid and checked for leaks during stitches, leaks between stitches that are frequently encountered in classical surgeries are rare in Gastric Sleeve Surgery.
What Is Gastric Bypass Surgery?
Those who have Gastric Sleeve Surgery have to carry the following conditions:
- Those with body mass index above 40 kg/m2 (morbidly obese i.e. highly obese).
- BMI is between 35-40 people with Type 2 diabetes, hypertension and sleep apnea due to excessive obesity are also considered morbidly obese and may need to have stomach reduction surgery.
Also, obesity-related ” new “type 2 diabetes and metabolism disorder and BMI’ s 30 – 35 patients with obesity doctor’s decision can be performed with surgery.
Obesity surgery is not done for aesthetic purposes, that is, to make the person look weaker.
How Much Weight Do Those Who Have Gastric Bypass Surgery Lose?
Those who have Gastric Sleeve Surgery lose 60 per cent of their excess weight 5 years after surgery. This method is almost equivalent to gastric bypass in weight loss. Malabsorption is less when compared to a bypass because it requires the continuous support of the tube after gastric surgery of vitamins and minerals.
Gastric bypass surgery is a surgical procedure to remove excess fat and fat from the stomach.
The rate of regaining weight after Gastric Sleeve Surgery is 15 per cent. Even with surgery, it is possible to be morbidly obese again with a 5 -10% probability. For this reason, it is very important to follow up the patient’s relatives by the experts to prevent those who have Gastric Sleeve Surgery from gaining weight again.
Those who have Gastric Sleeve Surgery are closely monitored by the obesity team, including dieticians and psychologists. With this approach, which aims to follow the patient for life, support is given against situations that may cause the patient to gain weight or affect his health.
What Should You Look Out For After Surgery?
One of the things we don’t recommend after surgery is fizzy drinks. There are two reasons for this; the first is increasing the reflector. As the stomach volume is low, the gas, along with the food, lifts the stomach acid, and the tube already has the effect of facilitating the reflux of the stomach. The stomach is a small tube that carries urine from the stomach to the stomach.
We also do not recommend cigarette consumption. Smoking is already more harmful to these patients when they are normally very harmful. Because every cigarette you smoke increases the rate of carbon dioxide in the blood. The brain has a working mechanism like this; it needs a lot of oxygen to me and important organs, and when the rate of carbon dioxide increases in the blood, pull the blood out of the insignificant organs and direct it to the important ones. These insignificant organs come from the gastrointestinal tract, muscles and skin. The veins from those areas are small so that the blood doesn’t go away. Instead, it directs blood to organs such as the kidney, liver, brain. When it reduces bleeding in the stomach, the healing time of the wound there is longer. Smoking also increases the risk of leakage in the stomach by 4 times.
Nutrition After Gastric Surgery
In the success of obesity surgery, it is important that the patient adopts a new lifestyle, comply with the diet program created in collaboration with metabolism and Endocrinology experts, and regularly use nutrients, vitamins and mineral supplements if necessary.
Although a special program is created for each patient, the following principles are important in feeding after Gastric Sleeve Surgery:
Protein will be the most important nutrient in your diet from now on. You’ll need to get about 60g of protein supply a day (like 1 serving chicken, turkey, fish or 1 serving low-fat cheese).
Take great care not to skip meals. Consume at least 3 main meals a day. Also, 2 will be in place to consume intermediate meals. So it doesn’t overfill your stomach and helps your metabolism work faster.
After Gastric Sleeve Surgery, always eat your meals at the table, by setting the table. Take at least half an hour into the main course. Never eat on kitchen counters, in front of a TV or computer.
Prepare your meals in small portions and divided into small pieces. Use small plates and small fork – spoons to avoid eating too much. Eat your food very slowly and chew thoroughly. Do not keep serving plates and pots on the table and never take the second serving.
For at least 6-8 cups of decaffeinated, calorie-free and gas-free drinks a day. Don’t drink anything half an hour before meals. So you can avoid nausea.
Take regularly the vitamins and minerals that the following doctor recommends after Gastric Sleeve Surgery. Do not use any other medication or dietary supplements without asking her.
Don’t see obesity surgery as a cure or a diet. These healthy eating habits will be your new way of life from now on. Have this view adopted by your family and friends at the same time.
How Much Weight Can You Lose?
In the first 3 Weeks, slow, rapid weight loss occurs in the next 1 month. The full weight loss process is completed at an average of 6 months. Overall there is a total weight loss of 25 to 35. There is no harm to this surgery in the long term. If the patient does not pay attention to his diet, he may have difficulties in losing weight and may face nutritional difficulties.
What Are The Advantages Of This Surgery?
Surgery is the least performed type of surgery with digestive system anatomy the duration of surgery and the technical requirement is less than other types of surgery vitamin and mineral losses are less than other types of surgery.
When and How to Begin Feeding after Gastric Sleeve Surgery?
Surgery 2. on the day after the leak test, you will start taking liquid food. the first two weeks of liquid nutrition followed by two weeks of soft (mash-style) food will be fed. You will be constantly in touch with our dietitians during this whole process.
Can The Tube Leave A Scar After Stomach Surgery?
Because the incisions are so small, the aesthetic results are also extremely good. After a few months, these lines will also become almost invisible. Once the wounds are healed, you will be offered a cream to leave fewer scars. You’ll get much better aesthetic results if you use it for three months.
Can You Lose Weight Again?
Patients who do not follow their diet after surgery(for example, those who eat liquid food with high calories, nonconforming patients who cannot control eating) also gain weight again. Therefore, ‘gastric by-pass surgery’ instead of ‘Sleeve gastrectomy’ is a more appropriate treatment method in patients who are found to have dietary incompatibilities. (95% of success)