As a result of experiencing increasing gradually in the number of obesity in recent years and not giving enough good results for the obesity by the current conventional treatment models, the Gastric Sleeve Surgery has taken its place as the most applied surgical method all over the world and in our country. It is clear that the fact that it has been done more and more every year since the 2000s when it was put into practice is a result of the satisfaction of the doctor who applied the sleeve gastrectomy surgery and the patient who applied it.
The main purpose of the bariatric surgery is to reduce morbidity and mortality depending on the obesity, and to improve metabolic and organ functions. The appropriate patient and appropriate technique selection is very important in order to provide the highest benefit with the lowest risk. Therefore, the individuals who are suitable for the surgery are required to have certain criteria. Regardless of the BMI value, all individuals are required to have tried to lose weight with diet and exercise for 6 months before the bariatric surgery.
Roughly; the sleeve gastrectomy can be planned in the presence of at least two co-morbidity diseases (hypertension, diabetes, sleep apnea, etc.) in the patients whose BMI value is between 32 and 40. On the other hand, if the BMI value is over 40, the sleeve gastrectomy can be planned without the condition of the chronic disease depending on the obesity, since it is mentioned from the morbid obesity.
The gastric sleeve surgery has a restrictive feature as well as a hormonal effect. Since the Ghrelin hormone found in the fundus part of the stomach removed is deactivated, the feeling of hunger is suppressed in the period after the surgery.
The gastric sleeve surgery is performed with laparoscopic (closed) method by inserting camera and surgical instruments into the abdomen through tiny holes of 5 mm and 10 mm. The operation is completed within 20-30 minutes in our clinic series averagely. At the end of the surgery, the stomach volume is reduced by 80-85%.
The gastric sleeve surgery has a restrictive feature as well as a hormonal effect. Since the Ghrelin hormone found in the fundus part of the stomach removed is deactivated, the feeling of hunger is suppressed in the period after the surgery.
Its advantages
- Since only the stomach volume is reduced, the anatomy is not ruined.
- Its application is easy compared to other surgeries and the surgery time is short.
- The vitamin and mineral deficiency is the least common type of surgery.
- Since it does not cause absorption disorder, the risk of developing osteoporosis is the least.
- It provides effective weight loss at the similar ratio to other surgeries.
- It can be converted to other surgical models in the easiest way when necessary.
- The cost of the procedure is lower than all other surgeries.
- The revision surgery can be easily applied in case of need for the revision surgery.
Its disadvantages
- In the presence of diabesity (obesity + diabetes), the diabetes regulation is lower than the gastric bypass surgery.
- The rate of gaining weight again is higher than the gastric bypass surgery.
- It can cause reflux complaint.
If the patient does not have a serious risk depending on the co-morbidity diseases, the intensive care follow-up is not required. On the first day after the surgery, the patients can walk and are able to meet their own needs. They can also start drinking water. They can be discharged two days after the surgery.
After the sleeve gastrectomy, the nutritional order provides speciality especially in the first month. The transition from the liquid foods to soup, puree and finally solid food is applied in a gradual manner. All this information is explained in detail by our dietitian and our team. The protein and vitamin supplementation is required for the first three months after the gastric bypass surgery. After the controls made, all supports can be stopped after the third month.
GENERAL RECOMMENDATIONS AFTER THE SLEEVE GASTRECTOMY
- Drink 6 to 8 glasses of fluid a day.
- Stop liquid consumption 30 minutes before meals and start consuming 30 minutes after meals.
- Sup off your drinks and slowly.
- Do not use a straw. You can also swallow air with the drinks consumed with the straw.
- Strive for a healthy and balanced diet, do not include foods and drinks of which energy content is high in your diet.
- Eat little by little and frequent meals 4-6 times a day.
- Use your vitamins and minerals in a way recommended by your doctor 1 month after the surgery.
- Use protein supplements for the first 3 months after the surgery. If you prefer whey instead of the bariatric protein as protein, you should start vitamin and mineral supplements right away.
- Eat your meals slowly and chew very well. Make sure that the time spent for each meal is at least 30 minutes.
- Stop eating when you feel saturation during a meal. The signs of oversaturation are bloating, nausea, and a burning/painful feeling from your stomach to your chest. Consume the foods containing protein first.
- The nutritional stages in your diet can vary depending on the person, therefore, act according to your tolerance status.
- In order to prevent the risk of embolism (blood accumulation in the vein and causing coagulation in the vein), wear the anti-embolic stockings given to you by our nurses after the surgery in a way that they remain above the knee for 10 days.
- Do your triflow (breathing) exercises for at least 5 minutes the top of the hour after the surgery. This will help your lung capacity return to normal.
- Continue your exercises after the discharge.
- The pain experienced after the surgery is usually gas pain. It is important to start walking slowly as of the 4th hour after the surgery to eliminate this complaint.
- Smoking is not recommended after the surgery.
- It is not recommended to get pregnant for 1.5 years after the surgery.
