It is a type of surgery that has been performed for many years and aims to slim down obese or morbidly obese individuals by reducing their stomach volume and eliminate health problems caused by obesity. It was reported as Sleeve Gastrectomy in 2001 and has been accepted in the medical literature as an obesity surgery method that can be applied alone.
What kind of surgery is Gastric Sleeve Surgery?
The larger side of the stomach. It is cut and removed to reveal a stomach tube whose stomach volume has been reduced by approximately 80-85%.
Weight Loss (Slimming) with Gastric Sleeve Surgery
-
The reduction in stomach volume is revealed. A mechanical weight loss caused by Shrinking stomach and subsequent nutritional methods to be considered.
-
Weight loss and subsequent slimming due to reduced stomach movements.
When stomach tissue, which produces a substance known as ghrelin, is removed, hormonal changes occur. As a result, weight loss occurs.
Since the part that is cut out in sleeve gastrectomy surgery is the fundus section where ghrelin is produced, the person's appetite decreases in parallel and the person starts to lose weight spontaneously.
In sleeve gastrectomy surgery, too. As used in many obesity surgery methods, the laparoscopic method, known as the closed surgery method, is applied. It is applied through small incisions of half a centimeter. The pain felt by the patient after the operation is minimal in direct proportion to these mini incisions. Disposable hygienic special materials are preferred in gastric sleeve surgery and they are sewn on immediately after the incision, which speeds up the healing process.
After gastric sleeve surgery, the stomach looks like a banana and 80% of the stomach has been removed, and the stomach volume is quite large. This operation is known as gastric sleeve due to the shape the stomach takes after the intervention.
In addition, the stomach is inflated with a specially prepared medical dye to detect possible leaks during the intervention, aiming to minimize possible risks.
p>
How does sleeve gastrectomy surgery work?
The first goal and first effect of sleeve gastrectomy surgery is to reduce stomach volume. The aim is to minimize food consumption and ensure that the patient reaches satiety earlier than normal. Under normal conditions, as in every individual, when the stomach gets enough food, it fills and the stomach wall stretches, then it sends a signal to the brain that it is full and the eating process is completed. Since the new shape of the stomach is thinner after gastric sleeve surgery, the walls will stretch quickly and transmit the satiety signal faster with less food. This will prevent the stomach from taking in more food than necessary.
Changes in the level of the gyrelin hormone, known as the hunger hormone, also enable the person to feel full quickly. With gastric sleeve surgery, most of the dome part of the stomach, known as the fundus, is removed, and since this is the main part that sends hunger signals to the brain, gyrelin hormone secretion also decreases, thus the feeling of hunger decreases. Since this hormone is not secreted, the person loses weight without feeling hungry.
What are the Features of Gastric Sleeve Surgery?
-
Since the stomach is intervened laparoscopically, i.e. closed, wound healing is rapid and scars are small.
-
The feeling of pain is quite low and the hospital stay is short, so the individual returns to normal quickly without putting himself in the patient psychology.
-
Although the stomach volume decreases by 80%, many food groups are consumed in minimum amounts. It is of great importance for the patient to comply with the information given by expert dietitians at this stage.
> -
Since the stomach valve part is preserved after sleeve gastrectomy surgery, the syndrome we call dunping is prevented, that is, food leaves the stomach late, which makes the feeling of fullness last longer.
-
Ulcer disease, like many other health disorders associated with obesity, is minimized.
-
Since intestinal bypass is a method that is avoided, intestinal obstruction, anemia, osteoporosis, marginal ulcers and similar diseases are minimized. The discomfort is prevented to some extent.
-
In patients who have reached a very high Body Mass Index suitable for bilateral operations (BMI> 55 kg/m2) provides very effective results for the first stage operation.
-
For patients with anemia or who are worried about the advanced complications of intestinal bypass and for people with Crohn's disease or intestinal It would be an ideal and suitable choice for patients at high risk for bypass surgery.
-
Especially in morbidly obese people, laproscopic intervention requires less incision, less lung problems, less pain and faster recovery.
-
In cases where the specialist physician deems it necessary, it can be converted to bypass and doudenal switch with a second operation after sleeve gastrectomy surgery.
What Observed in Patients After Gastric Sleeve Surgery
The day after the operation, oral fluid intake is started after the necessary tests are performed. Fluid intake is 3 . days increases and often the patient can return home in a shorter time. Liquid nutrition continues for 14 days, then soft foods are gradually introduced. After the operation, this information is given to the patients by the specialist physician and dietician and they are followed up. At the end of the fourth week, the patient can consume all foods. Generally, 70 percent of the weight is expected to be lost after the operation. There is a rapid weight loss in the first six months, but then this momentum continues at a slower pace, and this is the healthy weight loss. The expected weight loss is expected to spread over a year and a half. The remaining twenty percent may gain weight, but the probability of reaching their pre-operative weight is less than one percent.
What are the Risks of Gastric Sleeve Surgery?
As with every type of surgery, naturally there are potential risks in sleeve gastrectomy and similar obesity surgeries, and these risks can be more clearly communicated to the patient after the patient's medical analysis. Post-operative complications may occur, the most common of which is the risk of leakage, which has a maximum incidence of 1%. Tiny abscesses may occur around the suture line. The radiological deposits that arise in this case are called drains. In this way, leaks are expected to be closed. Although not very common, stents are placed at the leak point in patients at risk of advanced complications.
How Much Weight Is It Possible to Lose After Gastric Sleeve Surgery?
One to two years after gastric sleeve surgery. During the procedure, the patient can lose 40-100% of their excess weight. Success in losing weight is achieved if the person maintains a diet in accordance with the dietician's recommendations and follows exercise programs after the operation.
Who is Gastric Sleeve Surgery Suitable for?
Body Those who have a mass index of more than 35, who do not have diabetes (there is an obesity surgery method applied for diabetic patients, and it is also possible to prevent diabetes), who eat a lot of solid foods in quantity, especially pastries and meat, and who do not have sugary foods. It is a more suitable operation for patients who are not addicted to food, alcohol or acidic drinks.
Read: 0
