In this article "What are the Harms of Gastric Sleeve?" We will try to answer the questions about it.
I started to edit this article with the hope of presenting some information unknown to the society about sleeve gastrectomy, which has increased significantly in our country recently. I hope that useful information on this subject will reach patients who have undergone surgery and those who have not yet.
When the full stomach surgery was first performed, it was not a procedure for weight loss. In fact, the word gastric sleeve was later added to the name of this surgery. The real name of the surgery is sub-total or near-total gastrectomy, which means cutting out 50-80% of the stomach. In fact, the history of this surgery dates back to very old times. The surgery was initially performed on patients with stomach cancer, stomach ulcers and patients requiring gastric bypass. During the follow-up of these patients, serious weight loss was observed within the first year, but during the 2-3 year follow-up period, serious electrolyte and mineral deficiencies, a serious decrease in protein levels and advanced atrophy in muscle mass began to be observed in the patients, and the patients' bodies were literally composed of skin and bones. Since a large percentage of the patients had stomach cancer and were elderly patients, deaths occurred in the early period (within 5 years) due to various reasons. For this reason, the long-term results of the operations could not be determined. (Harms of Gastric Sleeve - no long-term results!)
Damages of Gastric Sleeve
Over the years, there has been a decrease in the number of applications due to the high mortality rate of these surgeries.
90 This surgery began to be performed primarily for weight reduction by a group of surgeons in San Francisco in the late 's. In these studies, which continued until 2009, although the morbidity and mortality rates were lower compared to previous years, serious enlargement and weight gain were observed in the remaining stomach section in 70-90% of the patients who survived after the 5th year. In light of these results, after 2009, sleeve gastrectomy surgery was no longer performed in many centers abroad and only super-morbidly obese patients were selected as surgery candidates (the BMI-BMI ratio of these patients is more than 50%, for example >250kg patients). Since the excess weight in these patients is now higher than the risks of surgery, they are shown as candidates.
In recent years, sleeve gastrectomy surgeries have become very common in our country. The number of this surgery performed especially in the private sector is quite high. While the long-term side effects and complications of this surgery are not yet known even in advanced centers abroad, it is thought-provoking that it is performed so frequently in our country. (Gastric Sleeve Damages)
So why is Gastric Sleeve surgery popular in our country?
We can summarize this situation with a few headings
The increase in the number of obese people in our country, especially in recent years. There are many reasons for this, especially the increase in consumption of fast food and irregular nutrition.
Widespread and uncontrolled use of promotions and advertisements in our country. In this regard, the public use of patient photographs taken before and after surgery by many centers in an encouraging way.
hopes and expectations of obese patients for the future.
The majority of surgeries are performed in private hospitals. The consequences and complications are not yet known in detail by people. (Harms of Gastric Sleeve before the surgery are not explained clearly)
Damages of Sleeve Stomach
What are the known harms of Gastric Sleeve surgery?
Morbidity (complication) and mortality (death) after surgery is that the rate is high. Many factors are effective in this regard. Postoperative gastric content leakage, embolism, atelectasis, etc., such as hasty preparation of patients before surgery, lack of indication, lack of adequate endocrinological and psychological examination.
Long-term serious weight loss and muscle atrophy. Particular attention should be paid to this situation. This situation can be better understood, especially when looking at the patient photographs taken before and after the surgery. The photographs usually show patient photographs after 3, 6, 9 months and rarely after 1 year. It is not possible to see a photo after 3 years because there are 3 options in this regard: 1-the patient is in a skin and bone state, 2-the old weight has been regained, although not excessively, 3-there is no patient to take a photo.
The serious electrolyte, mineral and vitamin loss.
In order for living things to survive and to maintain the balance of metabolism (anabolism and catabolism) in the body, Stomach is the very and even the most important organ for protection. The stomach is the first part where the nutrients, toxins and liquids entering our body are processed and prepared. In gastric sleeve surgery, although almost 3/4 of this organ is intact, it is cut, removed and thrown away. Thus, it invites various diseases, germs and yet unknown complications in the long term.
So when is Gastric Sleeve surgery performed?
-In super-morbidly obese patients (the BMI-BMI ratio of these patients more than 50%, e.g. patients >250kg). In short, patients who lose their ability to move, have difficulty breathing, and have advanced heart failure. (see) (Harms of Gastric Sleeve)
Then what should obese patients do?
Other methods should be tried in obese patients. For example, balanced nutrition, various weight loss diets, sports, gastric band ligation, Endoscopic Gastric balloon, etc.
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