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Gastric Sleeve Surgery
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Gastric Sleeve Surgery, also known as sleeve gastrectomy or gastric reduction surgery, is a type of laparoscopic surgery that promotes weight loss by reducing the size of the stomach and decreasing appetite. This procedure involves the removal of 75-80% of the left stomach vertically, resulting in a tubular shape. It is the most commonly performed bariatric surgery method worldwide.
Who is suitable for Sleeve Gastrectomy Surgery?
Sleeve Gastrectomy Surgery is suitable for individuals with a body mass index (BMI) of 40 or higher, as well as those with a BMI of 35 or higher who have obesity-related health issues such as type 2 diabetes, hypertension, sleep apnea, high cholesterol, and bone and joint problems. In some cases, patients with a BMI of 32 or higher and uncontrolled type 2 diabetes may also be candidates for this procedure.
How to reduce the risk of sleeve gastrectomy surgery and increase success?
As with all bariatric surgery procedures, sleeve gastrectomy surgery should be performed in a multi-disciplinary hospital with an experienced team and using globally accepted materials.
To perform sleeve gastrectomy surgery safely, a detailed pre-operative examination and consultation with other medical specialists is crucial. It is extremely important to reduce any risks identified in the patient prior to the operation in order to minimize complications during the surgery.
An experienced physician should conduct the surgery after a thorough check-up of the patient. Obesity surgery is a specialized field that requires extensive experience.
The surgery should be performed in a fully equipped A-class hospital with multidisciplinary teams of main branches, including surgery, cardiology, internal medicine, anesthesiology, radiology, etc., working 24 hours a day.
Finally, the quality and suitability of materials used in the surgery is one of the most critical factors in increasing the safety of the surgery. Essential items like staplers, energy devices, and suture materials used in sleeve gastrectomy must be FDA approved and incorporate the latest technology. While these conditions may increase the cost of the surgery, they are essential for ensuring a safe surgical process and to minimize complication rates.
Advantages
- Significant and sustained weight loss: Gastric sleeve surgery can help patients lose a significant amount of weight and keep it off long-term.
- Improved health outcomes: Losing weight can improve or resolve obesity-related health conditions, such as type 2 diabetes, high blood pressure, and sleep apnea.
- Increased mobility and energy: Losing weight can improve physical mobility and energy levels, making it easier to perform everyday activities.
- Shorter recovery time: Compared to other weight loss surgeries, such as gastric bypass, the recovery time after gastric sleeve surgery is shorter and less painful.
- Fewer post-operative dietary restrictions: After recovery, patients can eat most foods in smaller portions, unlike other surgeries that have strict dietary restrictions.
Disadvantages
- Potential complications: Gastric sleeve surgery, like any surgery, carries risks, such as bleeding, infection, and blood clots.
- Nutritional deficiencies: Patients who undergo gastric sleeve surgery may experience nutritional deficiencies, such as anemia, vitamin B12 deficiency, and osteoporosis.
- Irreversible procedure: Gastric sleeve surgery permanently reduces the size of the stomach, so it cannot be reversed.
- Requires commitment to lifestyle changes: Patients who undergo gastric sleeve surgery must commit to making significant lifestyle changes, including following a strict diet and exercise plan, to achieve and maintain weight loss.
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The procedure for Gastric Sleeve Surgery involves laparoscopic (closed) surgery using 4 or 5 incisions of 0.5-1 cm. This method involves removing the left side of the stomach, which equates to approximately 80% of the entire stomach. By reducing the volume of the stomach, individuals feel full with smaller portions of food. Additionally, the Fundus portion, which produces the hormone Ghrelin that stimulates the hunger center, is removed. This leads to weight loss by reducing feelings of hunger.
How long does Gastric Sleeve Surgery take?
The duration of Gastric Sleeve Surgery may differ among patients, but typically, the surgery takes an average of 1 hour to complete.
Is Sleeve Gastrectomy Surgery a painful procedure?
Since Sleeve Gastrectomy Surgery is performed laparoscopically, postoperative pain is typically minimal and only lasts for around 3-4 hours. Patients are encouraged to walk around 3 hours after the surgery and every 3 hours on the first night. By the day after the operation, pain is generally almost non-existent.
Our Approach to Stomach Surgery:
In our practice, we utilize FDA-approved Medtronic tristaplers for Gastric Sleeve Surgery. We reinforce the stapler line of the stomach with Medtronic v-loc sutures, and we never use re-sterilized products during surgery. Instead, products are opened from their original boxes for use in a single patient and then disposed of.
After Surgery
After undergoing gastric sleeve surgery, patients will need to follow a strict diet and exercise plan to achieve and maintain weight loss.
How long is the hospital stay for Gastric Sleeve Surgery?
Typically, patients require a hospital stay of 2 days following gastric sleeve surgery.
Returning to normal life after Sleeve Gastrectomy?
We recommend a period of 4-5 days of rest at home after discharge from the hospital following sleeve gastrectomy.
How to reduce the risk of sleeve gastrectomy surgery and increase success?
As with all bariatric surgery procedures, sleeve gastrectomy surgery should be performed in a multi-disciplinary hospital with an experienced team and using globally accepted materials.
To perform sleeve gastrectomy surgery safely, a detailed pre-operative examination and consultation with other medical specialists is crucial. It is extremely important to reduce any risks identified in the patient prior to the operation in order to minimize complications during the surgery.
An experienced physician should conduct the surgery after a thorough check-up of the patient. Obesity surgery is a specialized field that requires extensive experience.
The surgery should be performed in a fully equipped A-class hospital with multidisciplinary teams of main branches, including surgery, cardiology, internal medicine, anesthesiology, radiology, etc., working 24 hours a day.
Finally, the quality and suitability of materials used in the surgery is one of the most critical factors in increasing the safety of the surgery. Essential items like staplers, energy devices, and suture materials used in sleeve gastrectomy must be FDA approved and incorporate the latest technology. While these conditions may increase the cost of the surgery, they are essential for ensuring a safe surgical process and to minimize complication rates.
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FAQ
Gastric sleeve surgery, also known as sleeve gastrectomy, is a weight loss surgery that involves removing a portion of the stomach to reduce its size and restrict the amount of food a person can eat.
On average, patients can expect to lose 50% to 70% of their excess body weight within the first two years after surgery.
Gastric sleeve surgery usually takes one to two hours to complete, and patients can expect to spend one to two days in the hospital.
Gastric sleeve surgery is generally safe, but like any surgical procedure, there are risks and potential complications. It is important to discuss these risks with your surgeon before undergoing the procedure.
The recovery time after gastric sleeve surgery can vary from patient to patient, but most people can return to work and normal activities within two to three weeks after surgery.
After gastric sleeve surgery, patients will need to follow a strict diet and eat smaller portions of food. Over time, most patients are able to return to a normal, healthy diet.
Yes, patients who undergo gastric sleeve surgery will need to take vitamins and supplements to prevent nutritional deficiencies. Your surgeon or dietitian can provide guidance on which supplements you need to take.
Gastric sleeve surgery is usually recommended for people who have a body mass index (BMI) of 40 or higher, or a BMI of 35 or higher with obesity-related health conditions. It is important to undergo a thorough evaluation and discuss your options with a qualified surgeon.