Gastric sleeve operation
Gastric sleeve operation which is used extensively in bariatric surgery is a type of operation in which 80% of the stomach is removed, including the fundus region. In this region, the stomach hunger hormone ghrelin is produced. Since the shape of the stomach is tube-like after the operation, it is also called a tube stomach. The operation is performed under general anesthesia. For this reason, negative health conditions such as cancer, systemic diseases, metabolic disorders, hormone disorders, and substance abuse may prevent the operation. The physician will decide the best evaluation by looking at the patient's history.
Patient profile for gastric sleeve operation
Gastric sleeve operation is particularly suitable for those with a BMI of 40 and above, and those with a BMI between 35-40 and those with comorbid diseases such as HT, DM, and CAD. In addition, gastric sleeve operation may be applied to patients between the ages of 18-65 who are suitable for doctor's evaluations. As in other operations, patients who may have cancer, alcohol or substance use, metabolic diseases, may have difficulty in complying with the diet or exercise programs that will be given after the operation, are not suitable for gastric sleeve operation.
In order to evaluate the advantages and risks between gastric sleeve operation and other bariatric surgery methods in patients who need bariatric surgery, specialist physician knowledge, patient history and current clinical situation are important. All these variables need to be evaluated together in order to decide which patient is more suitable for gastric sleeve operation.
After gastric sleeve operation
Since the stomach will shrink and food consumption will decrease after gastric sleeve operation, patients loose their weight rapidly. In this process, avoiding high-calorie and unhealthy diets, following the diet and exercise plan given by the doctor are important in weight control. Although more permanent results can be obtained than alternative methods such as liposuction, attention should be paid to the balance between nutrition and physical activity in weight control.
In gastric sleeve operation, the type of operation has an effect on the recovery and the comfort of the operation, as well as the physician's professionalism, good management of the process and experience.
Advantages and disadvantages of gastric sleeve operation
Gastric sleeve operation gives effective results in a short time in patients with severe or moderate obesity. In this way, it is also easier for the patient to prepare for surgery, primarily due to health problems. Similarly, diseases such as DM, HT, and CVD that occur together with obesity in patients after gastric sleeve operation decrease up to 80%. Gastric sleeve operation is simpler than gastric bypass surgery, which is the closest in terms of results, and there is no decrease in mineral and vitamin absorption. There is no sugary food intolerance after gastric sleeve operation.
Bleeding or leakage of the stapler line used during gastric sleeve operation is one of the most important disadvantages of this method. In addition, to prevent fatty liver, a diet is recommended one week before gastric sleeve operation.
Effects of gastric sleeve operation on weight control
Among other bariatric methods, gastric sleeve operation is an effective method that helps to lose weight in a short time and provides weight control in the long term. However, after gastric sleeve operation, patients should pay attention to the balance of nutrition and physical activity for weight control. After the surgery, it is necessary to drink about 8-10 glasses of water a day. This amount should be increased according to the exercise status. The first two months after surgery are important. In this process, it is necessary to stop eating and eat five meals a day as you feel full. After gastric sleeve operation, it is necessary to follow a protein-based diet with low fat and carbohydrate content.
In order for the diet to be compatible with weight control after gastric sleeve operation, attention should be paid to diet. With the appropriate diet followed after a successful gastric sleeve operation, 35% to 70% of excess weight is lost in the first six months. In the following sixth month, this rate varies between 33% and 81%.
Gastric enlargement can be seen after gastric sleeve operation, where the gastric wall is not sufficiently removed. In addition, repeated vomiting or solid foods consumed in large bites may also cause gastric enlargement and weight regain after gastric sleeve operation.
If the patient starts to gain weight again after gastric sleeve operation and weight gain cannot be controlled with exercise or diet, surgery is performed again. These are gastric sleeve operation, gastric bypass and duodenal switch operations. However, after gastric sleeve operation, patients lose weight regularly, and because they pay attention to their nutrition and exercise, weight loss is permanent. Therefore, the level of exercise and nutrition after gastric sleeve operation is of vital importance. In order for the result of gastric sleeve operation to be successful and effective, it is of great importance that the physician performing the operation is well-equipped and competent.
25 Years of Bariatric Surgery Experience
25 Years of Bariatric Surgery Experience
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