Sleeve Gastrectomy

Sleeve Gastrectomy
Sleeve Gastrectomy
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What is Sleeve Gastrectomy?

One way to combat obesity is obesity surgery. This type of surgery involves reducing or removing the size of your stomach. Bariatric surgery typically leads to rapid weight loss.

Gastric sleeve surgery is one of the various bariatric surgery options. Medical professionals often call this vertical sleeve gastrectomy.

In this article, you will take a closer look at what is involved, including the effectiveness and possible complications of sleeve gastrectomy.

What Does Sleeve Gastrectomy Surgery Require?

Gastric sleeve surgery is almost always performed as a minimally invasive procedure using a laparoscope. This means that a long, thin tube is inserted into your abdomen through several small incisions. This tube has a light and a small camera attached to it and various tools.

Gastric sleeve surgery is performed using general anesthesia, a drug that puts you in a very deep sleep and requires a ventilator to breathe for you during surgery.

Surgery involves dividing your stomach into two unequal parts. Approximately 80 percent of the outer curved part of your stomach is cut out.

The edges of the remaining 20 percent are then stapled or stitched together. This creates a banana-shaped stomach that is only about 25 percent of its original size.

You will be in the operating room for about an hour. Once the surgery is complete, you will be transported to the recovery room for post-operative care. As you wake up from anesthesia, you will be in the recovery room for about an hour.

Small cuts in your abdomen typically heal quickly. The minimally invasive nature of the surgery helps you recover faster than a procedure where your abdomen is opened with a larger incision.

You should be able to go home 2 or 3 days after surgery unless there are any complications.

Is it effective?

Gastric sleeve surgery helps you lose weight in two ways:

  • Since your stomach is significantly smaller, you will feel full and stop eating sooner. This means you will be consuming fewer calories.
  • The part of your stomach that produces ghrelin, a hormone associated with hunger, has been removed, so you don't feel that hungry.

Benefits of Losing Weight

Losing a significant amount of extra weight can improve your quality of life and make it easier for you to perform many daily activities.

Another important benefit of losing weight is the low risk of obesity-related health conditions. These include:

  • 2 types of diabetes
  • High cholesterol (hyperlipidemia)
  • High blood pressure (hypertension)
  • Obstructive sleep apnea

Who Are Good Candidates For This Surgery?

All types of bariatric surgery, including sleeve gastrectomy, are only considered an option when vigorous attempts to improve your diet and exercise habits and the use of weight loss medications have not worked.

Even then, you must meet certain criteria to be eligible for a bariatric procedure. These criteria depend on your body mass index (BMI) and whether you have any health problems related to obesity.

Suitable conditions:

  • Extreme (morbid) obesity (BMI score 40 or higher)
  • Obesity (BMI score 35 to 39) and at least one major condition related to obesity

Sometimes, if you are overweight but do not meet the obesity criteria, but you have an important health condition related to your weight, sleeve gastrectomy is performed.

What Are the Risks and Complications?

Gastric sleeve surgery is considered a relatively safe procedure. However, like all major surgeries, there may be risks and complications.

Some complications can occur after almost any surgery. These include:

  • Bleeding. When bleeding from the surgical wound or from inside your body is severe, it can cause shock.
  • Deep vein thrombosis (DVT). Surgery and the healing process can increase your risk of getting a blood clot in your vein, usually in your leg vein.
  • Pulmonary embolism. Pulmonary embolism can occur when part of a blood clot breaks off and travels to your lungs.
  • Irregular heartbeat. Surgery can increase the risk of an irregular heartbeat, especially atrial fibrillation.
  • Lung inflammation. The pain can cause you to breathe shallowly, which can lead to a lung infection such as pneumonia.

Gastric sleeve surgery may have additional complications. Some possible side effects specific to this surgery are:

  • Stomach leaks. Stomach fluids can leak from the stitch line in your stomach where it was sewn together.
  • Shortness. Part of your stomach arm may close and cause a blockage in your stomach.
  • Vitamin deficiencies. The part of your stomach that is removed is partially responsible for the absorption of the vitamins your body needs. If you do not take vitamin supplements, this can lead to deficiencies.
  • Heartburn (GERD). Reshaping your stomach can cause or worsen heartburn. This can typically be treated with over-the-counter medications.

It is important to remember that it is necessary to change your diet and exercise habits in order to lose weight and lose weight after sleeve gastrectomy. You may gain weight if:

  • Overeating
  • Eating an unhealthy diet
  • Too little exercise
  • Other concerns

Another common concern is excess skin that can be left to you as the weight decreases, especially if you lose a lot of weight quickly. This is a common side effect of sleeve gastrectomy.

If it bothers you, this excess skin can be surgically removed. However, keep in mind that it may take up to 18 months for your body to stabilize after sleeve gastrectomy. For this reason, it is usually best to wait before considering the skin cleansing procedure. Until then, you may want to try some techniques to tighten loose skin.

Another issue that should be considered before deciding to have a sleeve gastrectomy is that, unlike some other bariatric surgeries, sleeve gastrectomy is irreversible. If you are not satisfied with the result, your stomach is irreversible.

How Will Your Diet Change After Gastric Sleeve Surgery?

Before having sleeve gastrectomy, you usually need to accept certain lifestyle changes recommended by your surgeon. These changes are to help you lose and maintain weight.

One of these changes involves eating a healthier diet for the rest of your life.

Your surgeon will recommend the best tube stomach diet before and after surgery. Dietary changes recommended by your surgeon may be similar to the general dietary guidelines below.

Dietary changes

Two weeks before surgery. Increase protein, lower carbohydrates and eliminate sugar from your diet.

Two days before surgery and the first week after surgery. Only drink clear liquids that do not contain caffeine and carbonation.

For the next three weeks. You can add pureed foods to your diet.

Generally, you will be able to eat regular, healthy food about one month after your surgery. You will see that you eat less than before the procedure because you will be full quickly and you will not feel that hungry.

Your limited diet and smaller meals may cause some nutritional deficiencies. It is important to make up for this by taking multivitamins, calcium supplements, monthly injections of B-12, and others as recommended by your surgeon.

Sleeve gastrectomy surgery is one of the various bariatric surgery options. It works by shrinking your stomach so you can eat less. You will also find that you are less hungry as your stomach is reduced in size.

To qualify for sleeve gastrectomy surgery, you must meet certain criteria. You need to prove that you have tried other weight loss methods, including diet, exercise, and weight loss medications. Other suitable criteria include your BMI and whether you have any health problems related to obesity.

If you follow a healthy diet and exercise regimen regularly after sleeve gastrectomy, you can lose more than 50 percent of your excess weight within 24 months.

However, as with most surgical procedures, there is a risk of side effects and complications. If you are interested in sleeve gastrectomy surgery, talk to your doctor whether you are suitable for this procedure and whether it is a safe option for you.

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