Gastric Sleeve Surgery

Gastric Sleeve Surgery

Sleeve gastrectomy is also known as sleeve gastrectomy. Its other Turkish name is stomach reduction surgery. It is done laparoscopically. In sleeve gastrectomy surgery, approximately 75-80% of the left part of the stomach is removed. Thanks to this surgery, a decrease in appetite is observed. The reason why this operation is called tube stomach is that the stomach takes the shape of a tube after the operation.

How is Gastric Sleeve Surgery Performed?

Gastric sleeve surgery is a closed operation. 0.5-1 cm incisions are made. These incisions are 4 or 5 in number. The left side of the stomach is taken. Thus, 20% of the stomach remains in the person's body. The duration of sleeve gastrectomy surgery is approximately 1 hour. This period may vary from person to person. Stomach volume is reduced. As the stomach volume decreases, the person becomes less hungry.

How Does Gastric Sleeve Surgery Lose Weight?

Gastric sleeve surgery makes you lose weight with 3 substances. These;

1. The removal of the fundus, the part where the hormone Ghrelin, which is the stimulant of the hunger center, is secreted,
2. Decrease in absorption due to the rapid passage of food from the stomach to the small intestine
3. The restrictive effect caused by stomach shrinkage can be listed as a feeling of satiety with small portions.

Who Is gastric sleeve Surgery Performed?

People who can undergo gastric sleeve surgery can be listed as follows;

• Individuals who are morbidly obese (who have a body mass index over 40 are defined as severely obese)
• People with type 2 diabetes, sleep apnea, hypertension, and a body mass index of 35-40,
• People over the age of 18 (provided that the body mass index is over 35),
• People younger than 65 years of age can only be evaluated and operated if surgery is deemed necessary by doctors.

Is Gastric Sleeve Surgery A Painful Procedure?

Gastric sleeve surgery is not an open surgery. It is done laparoscopically. For this reason, the person does not have too many surgical incisions. Since the incision is less, the postoperative pain is less. Immediately after the operation, there is a pain that lasts for 3 or 4 hours. The patient is carried out 3 hours after the operation. On the night of the operation, the patient is walked every three hours. The next day, the patient has almost no pain.

After Gastric Sleeve Surgery

After gastric sleeve surgery, hospitalization is usually required for 2 days. It is recommended to rest at home for 4-5 days after discharge from the hospital.

Gastric Sleeve Surgery Risks and Precautions

The risks of gastric sleeve surgery; spleen injury, bleeding risk, anesthesia risk, cardiovascular risk, liver injuries. In order to perform sleeve gastrectomy surgery safely, first of all, the patient should be examined before the operation. Other branch physician consultations should also be done in detail. Preoperative risks are determined in the patient. It is very important to reduce this risk and perform the surgery. The quality and suitability of the materials used in the surgery is one of the most important factors that increase the safety of the surgery. Vital products such as staplers, energy devices and suture materials used in sleeve gastrectomy must be FDA approved and have the latest technology.

What are the Advantages of Gastric Sleeve Surgery?

The advantages of sleeve gastrectomy surgery are as follows;

• The operation time is short.
• Does not cause absorption disorder. (malabsorption)
• There is no need to use drugs for life.
• The risk of dumping syndrome is low. (the foods and liquids in the stomach reach the small intestine in a short time)
• It is easier than other surgical procedures.

How should nutrition be after Gastric Sleeve surgery?

After sleeve gastrectomy, the patient goes through a five-stage diet procedure. The five-step diet procedures are as follows;

• In the first stage, the clear liquid diet, the patient should reach sufficient fluid intake in the first 3 days after the surgery. Patients can consume meat and chicken broth without grain soup, sugar-free and grain-free compote, sugar-free apple, apricot and peach juices, lactose-free milk, vegetable sugar-free milk and high protein liquid beverage.
• The transition to the second stage is a viscous liquid diet.
• The transition to the third stage is with mash. It is an important step for the patient to get enough protein. In addition to all procedures with the mash period, eggs, cheese, soft meatballs and fish, vegetable dishes with minced meat and fruit purees are included in the diet.
• The fourth stage is soft solids.
• The standard diet procedure, which is the fifth stage, allows the patient to choose a wide range of foods.

The foods in all food groups are gradually transitioned with the help of a nutritionist.

Will There Be Skin Sagging After Gastric Sleeve Surgery?

Skin sagging after sleeve gastrectomy surgery varies according to the patient's personal structure. Age, gender, diabetes, degree of obesity, smoking, post-operative sports and diet are the factors that determine the level of sagging skin. In order to reduce sagging, the patient should eat regularly and do sports after the surgery. This process can also be supported by the intake of collagen. Even if skin sagging has occurred, plastic surgery stretching can be performed. This surgery is considered suitable for at least 15 months after sleeve gastrectomy surgery.

How should the controls be after gastric sleeve surgery?

It is important to provide controls after sleeve gastrectomy surgery. In order to lose weight in a healthy way, regular control should be provided. Check-ups are made after surgery: 2nd day, 1st week, 1st month, first 1 year, every 3 months, and every 6 months for life after the 1st year.

Is Weight Gained After Gastric Sleeve Surgery?

The risk of regaining weight after sleeve gastrectomy surgery is around 5-6%. If; If experienced doctors have performed the surgery, the appropriate surgical method has been chosen for the patient, the patient's controls have not been disrupted, the post-operative nutrition has been done correctly, and adequate physical exercise has been performed, the risk of regaining weight is almost non-existent.

Is Medicine Used After Gastric Sleeve Surgery?

Continuous medication is not required after sleeve gastrectomy surgery. Protein powder is used in the first three months. In the first 6 months, stomach medicine (PPI) and vitamin use are required. In general, drug consumption is like this. However, depending on the patient, there may be medications added by the doctor.

Does Gastric Sleeve Surgery Affect Sex Life?

Gastric sleeve surgery does not affect sexual life. However, it should be waited for 12 days after the operation. Unless the doctor says otherwise, it is possible to return to the old sexual life 12 days after the operation.

Does Gastric Sleeve Surgery Prevent Pregnancy?

Having gastric sleeve surgery does not prevent pregnancy. However, pregnancy should be possible at least one year after the operation.