The stomach is an organ located between the esophagus, which is the first stop in our body for the digestion of the food we eat, and our 12 finger intestines, and can expand significantly depending on the amount of food eaten. Expansion always occurs from the part called Fundus, which is long and has a high expansion capacity on the side of the spleen. Gastric sleeve is a situation in which this expandable part of the stomach is cut with appropriate devices and the stomach takes the form of a tube. The old stomach, which can hold several liters, is transformed into a tube and its volume is reduced to approximately a tea glass (100ml). It is also called stomach reduction.
How is sleeve gastrectomy (stomach reduction) performed?
Sleeve stomach or stomach reduction; It is a surgical weight loss method. It is applied in the operating room using general anesthesia. All necessary tests and examinations of the patients are performed before the surgery. At least 8 hours of fasting is required before surgery. The day before the surgery, an appropriate dose of blood thinners is administered to prevent blood clots. After the patient is put to sleep by the anesthesiologist, a urinary catheter is placed.
The surgery is performed by the closed Laparoscopic method. With the help of a very thin 30cm long pencil-thick camera inserted into the abdomen, several 5 to 10mm long skin incisions are made and rods, thinner and longer than a pencil, are placed into the abdomen. Thanks to these rods, the vessels in the large part of the stomach are glued and cut, starting from 3-4 cm before the exit of the stomach, up to the part where the stomach meets the esophagus, without bleeding all around. Now the stomach can be moved easily like a piece of fabric.
With the help of the anesthesiologist, a silicone tube, approximately 70 cm long and as thick as the index finger, is made to be swallowed by the patient through the mouth. The tube is passed through the esophagus and stomach and advanced to the exit of the stomach. After this stage, so to speak, just like a tailor cutting the fabric, the surgeon cuts the stomach, starting from the 4th cm from the stomach exit, to the part where it meets the esophagus, in order to reduce the size of the stomach, with the help of 5-7 tools called staplers, under the guidance of the tube placed in the stomach.
These tools, called staplers, create a suture line on both the remaining stomach side and the stomach side to be removed. St. The quality of the stitches is extremely important for the safety of these stitches. The diameter of the new stomach is now almost the diameter of the inserted tube. The guide tube is then removed from the oral tract. The new stomach is now truly shaped like a tube.
To see whether the stitches in the new tube-shaped stomach hold well, the anesthesiologist inflates the stomach with blue dyed liquid. This is called leak testing. If blue dyed liquid comes from the sewn parts, it means there is a problem with the stitching line. The surgeon repairs these leaky parts. This test is sometimes also done with air. Sometimes both methods are used together. The cut stomach piece is removed from inside the abdomen and out of the abdomen.
Now the gastric sleeve construction is completed. A small tube called a drain is placed inside the abdomen and on the side of the stomach in case of leakage or bleeding later. The incisions are stitched and the surgery is completed.
How long will you stay in the hospital?
If everything goes well, the average hospital stay is 3 days. During the stay, blood thinners, medications and intravenous serum are given. This usually takes 48 hours. During this period, the patient does not drink or eat anything.
After the leak test is performed on the 3rd day, he is made to drink small amounts of water. If there is no problem, drink easy-to-drink, pleasant-tasting nutritional solutions with high protein content in appropriate amounts. If everything goes well, the patient's drain will be removed on the 4th day, the medications he/she will need to be prescribed and discharged home.
How to eat after discharge?
What your doctor has prescribed for you. You need to take medicines and eat as he says. Since your stomach is much smaller than before, you need to give up old habits. For example, drinking a glass of water suddenly can cause you serious trouble. You need to protect your stomach from high pressure to prevent damage to the stitch line on your new stomach.
For example, a glass of water should be consumed within an hour. The first month is a very important period in this respect. The nutritional product prescribed for you will be sufficient for 10 days. In addition, you should definitely drink 1.5-2.5 liters of water a day. You can consume only the water of meat and chicken broth soups. Buttermilk that is not too salty This process will give you a different taste.
You should try to complete the first two weeks this way. After the second week, you can sweeten and drink by adding various vegetables to very finely chopped meat and chicken broth soups. At the end of the first month, your doctor will give you an appropriate nutrition program. With this operation, only the amount of food taken is restricted; Therefore, the most important feature is that the patient does not generally need to take external vitamin or mineral supplements, as the absorption of food continues in the same way.
Exercise after surgery?
Indoor walks and outside the home accompanied by someone You need to start walking. With exercise, your weight loss rate will accelerate and you will become vigorous. In this way, your excess fat will melt into energy thanks to your muscles. In the first month after the surgery, light walks should be preferred instead of very tiring dehydration exercises.
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