It is a type of partial gastric resection surgery in which approximately 2/3 of the stomach is removed in the longitudinal direction and a tube shape is given to the stomach. Today, it is performed laparoscopically (closed). In sleeve gastrectomy surgery, up to 90% of the stomach volume is removed and a smaller reservoir for food is created. Although it is an irreversible surgery, it can be converted to almost all known bariatric surgery methods. Because one step of all other bariatric surgeries is the reduction of stomach volume. It was used as a first-line surgery. However, it was started to be performed as a primary surgery when it was observed that it was highly effective on weight loss and metabolic results alone. Today, it has been increasingly preferred due to its technical convenience and good metabolic results, and it has become the most frequently performed surgery, surpassing the Roux-en-Y gastric bypass, which was the most frequently performed bariatric surgery in the past.
Tube Gastric surgery is a restrictive method. Removal of a part of the stomach and the reduction of the stomach volume as a result of the decrease in edible food provides weight loss. In addition, since the stomach part, in which the hormone known as Ghrelin is secreted and which causes the feeling of hunger, is removed in sleeve gastrectomy surgery, patients also experience weight loss due to the decrease in hunger. is. Presence of reflux disease before surgery is not considered as an obstacle to sleeve gastrectomy surgery. However, patients should be evaluated in this respect in the preoperative period.
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