Obesity has become one of the biggest problems of our age. Since it is a disorder that has been proven to cause diseases, many surgical techniques are applied for its treatment. Each of these surgeries may be suitable for different people. One of these methods is the adjustable laparoscopic gastric band. They are minimally invasive methods and involve little intervention to body integrity. Some, such as Roux-en-Y gastric bypass, are quite major surgeries and bring with them risks of serious complications. There are patients for whom both methods are suitable. Gastric bypass is generally preferred in more severe cases of morbid obesity and those with metabolic problems such as diabetes. Laparoscopic gastric plication (stomach folding) surgery, which fills the gap between restrictive methods such as gastric band and sleeve gastrectomy surgeries and Roux-en-Y gastric bypass, which involves larger interventions, is the newest method of obesity surgery and is becoming increasingly popular all over the world. It is an alternative method that is becoming more widespread.
Gastric folding surgery, like other restrictive surgeries, aims to reduce the stomach volume, provide a feeling of satiety with a small amount of food and reduce the feeling of hunger. In terms of method, it is most similar to sleeve gastrectomy surgery. In gastric sleeve surgery, most of the stomach is cut and removed with a type of stapler called a stapler, but a long staple line remains. Leaks that may occur from this staple line can cause serious complications and even death after surgery. In gastric plication (stomach folding) surgery, no cutting or removal is done in the stomach. Instead, the stomach wall folds and the stomach volume is reduced. Since there is no incision line, the risk of leakage is eliminated, and since there is no foreign object such as a gastric band, band-related complications are not observed.
FREQUENTLY ASKED QUESTIONS
I do not do it before surgery. What are the things required?
First of all, detailed blood analysis, electrocardiography, chest X-ray, as well as internal medicine and anesthesia consultation and additional consultations are performed in the hospital. Additionally, an abdominal ultrasound for gallstones and an endoscopic examination for hiatal hernia should be performed. If you are using blood thinners such as aspirin, you need to stop 10 days in advance.
What are the risks of gastric folding surgery?
The risks of other laparoscopic (closed) surgeries apply here as well. . These risks, such as bleeding, infection, organ injury, and lung problems, are independent of surgery. The risks associated with the surgery are lower than all other methods.
How much weight loss can I expect with gastric bypass?
If you are 100 kilos overweight in the first year, this will be 40-40 kilos. The aim is to lose 70 kilos. In addition, 75% of the patients experience improvement in comorbidities such as cholesterol levels, diabetes, hypertension and sleep apnea.
What complaints will I have after the surgery?
The most common complaints in the first 24 hours after surgery are nausea, vomiting, excessive salivation, chest pain and burning. In an average of 20% of patients, these may last a few days.
How long do I need to stay in the hospital?
Normally, there is no surgical problem in being discharged on the morning of the day after the surgery. There is no. However, intravenous serum support may be required until adequate fluid intake is achieved orally. Therefore, it is possible for patients who cannot get enough fluids to stay in the hospital for up to 3 days. Apart from this, you do not need to come for routine check-ups and you can return to work within 2 - 7 days at the latest.
How should I eat after the surgery?
A liquid diet should be followed for the first week after the surgery. You can return to your old diet afterwards. Of course, your portions will be much smaller.
Read: 0
