Sleeve gastrectomy is also known as sleeve gastrectomy. Its other Turkish name is stomach reduction surgery. It is performed laparoscopically. In sleeve gastrectomy surgery, around 75-80% of the left part of the person's stomach is removed. Thanks to this surgery, appetite decreases. The reason why this operation is called sleeve gastrectomy is that the stomach takes the shape of a tube after the operation.
How is Gastric Sleeve Gastrectomy Surgery Performed?
Gastric sleeve gastrectomy is a closed surgery. 0.5-1 cm incisions are made. These incisions are 4 or 5. The left side of the stomach is removed. Thus, 20% of the stomach remains in the person's body. The duration of sleeve gastrectomy surgery is approximately 1 hour. This time may vary from person to person. The stomach volume shrinks. As the stomach volume shrinks, the person becomes less hungry.
How Does Sleeve Gastrectomy Surgery Make You Lose Weight?
Gastric sleeve gastrectomy makes you lose weight thanks to 3 items. These are
Removal of the fundus, the part of the body that secretes the hormone Ghrelin, which stimulates the hunger center,
Rapid passage of food from the stomach to the small intestine, resulting in decreased absorption
Feeling of satiety with small portions due to the restrictive effect caused by stomach shrinkage
can be listed as follows.
Who Can Have Gastric Sleeve Gastrectomy?
People who can undergo sleeve gastrectomy surgery can be listed as follows;
Individuals who are morbidly obese (those with a body mass index above 40 are defined as severely obese).
People with type 2 diabetes, sleep apnea, hypertension and a body mass index of 35-40,
People over 18 years of age (with a body mass index above 35),
People under 65 years of age are evaluated and operated on only if the operation is deemed necessary by the doctors.
Is Gastric Sleeve Gastrectomy a Painful Procedure?
Gastric sleeve gastrectomy is not an open surgery. It is performed closed laparoscopically. For this reason, the person does not have many surgical incisions. Since there are few surgical incisions, postoperative pain is less. Immediately after the surgery, there is a pain lasting 3 or 4 hours. The patient is walked 3 hours after the surgery. On the night of the day of surgery, the patient is walked every three hours. The next day, the patient experiences almost no pain.
What is our sleeve gastrectomy technique?
In sleeve gastrectomy surgery, we use US origin Medtronic tristaplers with FDA approval. We reinforce the gastric stapler line with Medtronic-made v loc suture. We do not use re-sterilized products in surgeries. The products opened from their boxes are used in a single patient and destroyed.
After Gastric Sleeve Gastrectomy
Hospitalization is usually required for 2 days after sleeve gastrectomy. Home rest is recommended for 4-5 days after discharge from the hospital.
Gastric Sleeve Gastrectomy Risks and Precautions
Risks of sleeve gastrectomy surgery can be listed as spleen injury, bleeding risk, anesthesia risk, cardiovascular risk, liver injuries. In order to perform sleeve gastrectomy safely, preoperative examinations of the patient should be performed first. 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 stapler, energy device, suture materials used in sleeve gastrectomy surgery must be FDA approved and have the latest technology.
What are the Advantages of Gastric Sleeve Gastrectomy?
The advantages of sleeve gastrectomy surgery are as follows;
The operation time is short.
It does not cause malabsorption (malabsorption)
No need for lifelong medication.
Low risk of dumping syndrome (nutrients and liquids in the stomach reaching the small intestine in a short time)
It is easier than other surgical procedures.
The Difference Between Sleeve Gastrectomy and By Pass
According to 2000 data, sleeve gastrectomy constitutes approximately 60% of bariatric surgery procedures performed worldwide. The important factors in the preference of sleeve gastrectomy surgery are that it is a safe surgical method, it does not cause malabsorption and excessive weight loss, the operation time is short, revision is easy and most importantly, it is an effective surgery. By pass surgery carries more risk than sleeve gastrectomy. In by pass surgery, the stomach feels the same appetite as before surgery. This is not the case in sleeve gastrectomy surgery.
How should nutrition be after sleeve gastrectomy surgery?
After sleeve gastrectomy, the patient goes through a five-stage diet procedure. The five-stage 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 surgery. Patients can consume grain-free soups on meat and chicken broth, sugar-free and grain-free compotes, sugar-free apple, apricot and peach juices, lactose-free milk, milk without added vegetable sugar and high-protein liquid drinks.
Transition to the second phase viscous liquid
