Obesity surgery may be the most effective solution to deal with obesity and its complications, and perhaps the most important and best of these procedures is the laparoscopic sleeve gastrectomy, which has gained popularity recently.
Sleeve gastrectomy surgery in Turkey and sleeve gastrectomy surgery in Turkey are characterized by very high results, as laparoscopic sleeve gastrectomy allows patients to recover faster, with better results and lower risks. Part of the stomach is removed in a sleeve-like manner so that the person who wears the sleeve feels full quickly, which helps him to lose it is heavy and in a short period of time.
In 2016 alone, more than 120,000 gastric sleeve surgeries were performed in the United States alone, accounting for 58 percent of all bariatric surgeries that year, compared to less than 20 percent the year before.
What is the gastric sleeve operation?
Sleeve gastrectomy involves separating and removing the bulk of the stomach, leaving a relatively thin, sleeve-like part, hence the name.
Types of gastric sleeve surgery in Turkey
Gastric sleeve types are classified as surgical (open) or endoscopic depending on the technique used.
And resection of part and all in terms of the size of the stomach.
It should be noted that there are some common names for this operation, such as gastric incision and gastric contraction, all of which are gastric sleeve operations.
Surgical sleeve gastrectomy
People with a high body mass index (over age 55) are at increased risk.
Both methods are safe and effective for treating severe obesity, however, laparoscopic sleeve gastrectomy is a procedure that can lead to complete weight loss within two years.
A long-term randomized controlled trial is needed; compares surgery in a large number of obese and high-risk patients; Therefore, your surgeon may recommend a gastric sleeve for the first part of the procedure, which consists of two parts. This enables the patient to lose weight in the previous year. In the second surgery, bypass surgery is performed to help the patient lose the remaining weight; If the weight loss is appropriate, the patient may not need a second stage surgery.
Laparoscopic sleeve gastrectomy
In a laparoscopic sleeve gastrectomy, about 75% of the stomach is removed, leaving a narrow metal tube or cannula; The intestine is not removed or bypassed during gastric sleeve surgery.
Laparoscopic sleeve gastrectomy takes one to two hours to complete.
Benefits and advantages of gastric sleeve surgery
Multiple studies have shown that sleeve gastrectomy is highly effective in treating and even treating diabetes, high blood pressure, and other conditions associated with morbid obesity.
Patients can engage in more activities, perform many important tasks, and feel satisfied and well-being, a process that has positive effects on many diseases and health conditions, including:
- Heart patients.
- high fat;
- Breathing stops and suffocation during sleep.
- type 2 diabetes mellitus
- brain attack.
Gastric sleeve side effects
- Complications of general anesthesia.
- Bleeding from the site of the operation.
- The probability of the operation site leaking is 1%.
- 1% chance of surgical site narrowing of the sleeve treated with an intraoral camera.
Gastric sleeve risks and side effects
As with any surgery, sleeve gastrectomy carries some potential health risks, both in the short and long term. Risks associated with gastric sleeves may include:
- heavy bleeding
- blood clots;
- Lung or breathing problems.
- Infusion from the surgical incision in the stomach.
Additionally, after gastric sleeve surgery, some long-term risks and complications may begin to arise, including:
- Gastrointestinal obstruction.
- gastroesophageal reflux disease;
- Low blood sugar (low blood sugar).
Conditions for undergoing gastric sleeve surgery?
Sleeve gastrectomy is used to treat obesity if:
- Body mass index greater than 40 kg per square meter, with or without complications of obesity.
- BMI reaches 35-40 kilograms per square meter, and there are serious complications of obesity, such as diabetes, sleep disturbance, snoring, high blood pressure, coronary artery disease, etc.
- BMI of 30-35 kg per square meter, difficulty controlling blood sugar levels, or metabolic syndrome.
The steps and stages of laparoscopic sleeve gastrectomy in Turkey
The surgeon isolates more than half of the stomach longitudinally with a surgical stapler and then removes it, making the shape of the stomach similar to a thin tube, and reducing the amount of food that the stomach can absorb. The rest of the stomach is called the sleeve, or the stomach of the sleeve.
The operation is performed on the patient under full anaesthesia, through small open incisions, one of which can be up to 3 cm long, through which surgical tools and a camera equipped with a strong light are inserted to improve the operation during surgery. Vision Surgeons follow surgical procedures through electronic screens.
The abdominal cavity was inflated with inert carbon dioxide gas, and the bulk of the stomach was longitudinally isolated and excised by the previously mentioned method.
How long does gastric sleeve surgery take?
Sleeve gastrectomy surgery takes about two hours. It is performed through a semi-surgical endoscopic procedure, so only a small incision is required. Patients with gastric sleeves usually stay in the hospital for one to two days.
How is laparoscopic sleeve gastrectomy?
Laparoscopic sleeve gastrectomy is performed in the hospital under general anesthesia. Surgeons make about five small incisions in your abdomen, and the surgery is performed using a long, thin telescope with a small camera attached to its end.
Instruments inserted through the incision are used to remove about 80 percent of the stomach, using images that the surgeon displays on a television in the operating room.
This surgery removes the outer curvature of the stomach, which is called the fundus, and after removal, the surgeon closes the rest of the stomach to make a tube that looks like a shirt sleeve, hence the name gastric sleeve.
After gastric sleeve surgery
The patient stays in the hospital for one night after the operation, and the patient will feel mild nausea after the operation, so take anti-nausea medications and pain relievers.
You will start with a small amount of water and liquid food the morning after surgery and gradually increase to achieve a full liquid diet if the patient eats food without vomiting and nausea.
After the patient was discharged from the hospital, a nutritious diet including water and fluids was placed, and the diet was continued after the operation for a short period, and the liquid diet was gradually changed to a normal diet.
Eating regimen after gastric sleeve surgery
After gastric sleeve surgery, patients should stick to low-fat and sugar-free foods, including lean protein sources and non-fiber vegetables.
After surgery, here are some tips to help you stay on track and make sure you recover from your illness, including the following:
- Puree the food in a blender or food processor.
- Learn to recognize the difference between hunger (physical) and appetite (mental/emotional).
- Do not eat – it lengthens your stomach.
- Chew food slowly.
- Avoid foods containing trans fats, fried foods, processed foods, and fast food.
- Drink water to avoid dehydration.
- Eat foods that contain vitamins and supplements.
- Avoid drinking alcohol.
- Avoid taking over-the-counter medications. This may reduce the stomach’s natural protective coating.
Vitamins after gastric sleeve surgery
Those who have had gastric bypass surgery may be asked to take a complete multivitamin, calcium, vitamin D, iron, vitamin C and vitamin B12.
Some may recommend vitamins and other supplements; This is on a case by case basis based on examination and consultation with the doctor.
The results of gastric sleeve surgery in Turkey
Weight loss: Two years after surgery, patients lost 60% of their excess weight until they reached a BMI between 25-32 based on their preoperative weight.
Improvement in type 2 diabetes: According to one study, 66% of patients were evaluated 13 months after surgery.
Sleeve gastrectomy reduces weight through two main factors:
The first is a purely mechanical factor (reducing gastric absorption of food) and the other a chemical hormonal factor (appetite control).
Mechanical factors: It manifests itself in the form of a complete gastric retraction in patients who undergo a gastric sleeve operation, which reduces the amount of food a person eats before feeling full in terms of the stomach’s ability to absorb and expand.
Hormonal factors: It has been found that gastric sleeve affects the hormones that control appetite, such as: ghrelin, the hunger hormone. By removing that part of the stomach, which is called the fundus in Latin, a significant decrease in the levels of this appetite-stimulating hormone was observed.
Additionally, gastric sleeve increases the secretion of another hormone: the glucagon-like hormone GLP-1, which increases insulin secretion and decreases the rate at which the stomach empties, thereby reducing hunger and appetite.
Gastric sleeve surgery success rate
The success rate of gastric sleeve surgery is 80 or 90 percent, as follows:
- On average, people achieve about 60-70% of the additional weight loss within one year of surgery.
- Most health conditions associated with obesity improve or stabilize, such as type 2 diabetes, high blood pressure, sleep apnea, fatty liver, joint pain and high cholesterol.
- People feel less hungry and less desire to eat.
Is gastric sleeve surgery useful for diabetics?
Many experts believe that people with diabetes show noticeable immediate improvement after gastric sleeve surgery, and studies have shown that bariatric surgery, such as gastric sleeve surgery, is more effective in controlling diabetes than medication alone. The rest of the stomach is small. It is clear that the removal of some stomach independent effect of weight loss on glucose metabolism, which also leads to some changes in gut hormones, improves the condition of diabetic patients.
Gastric sleeve in patients with metabolic syndrome
According to a comprehensive study conducted in 11 countries and over 24 medical centers, the effectiveness of this procedure has been confirmed in patients with diabetes, metabolic syndrome and chronic enteritis.
In addition, this process has a positive effect on the improvement of diabetic patients and, in some cases, complete recovery for people with type 2 diabetes.
Sleeve gastrectomy and thyroid surgery
Obese patients suffer from hypothyroidism, and sleeve gastrectomy has been shown to improve thyroid function in obese patients. This means that the effect of bariatric surgery on improving thyroid function is mediated by mechanisms other than weight loss and may be hormonally related.
Important note: After 11 months of the gastric sleeve operation, you will need the operation to remove the excess and flabby skin