- Pre-control ultrasound cardiology general practitioner
- Labor costs
- Lifelong nutritional advice
- Blood count (Hormone, Hemogram, Hepatitis, Blood values)
- Made in USA stapler (stacker) certificate
- Op report
- Covid-19 test – (arrival)
- Covid-19 test – (departure)
- VIP transfer (arrival – departure)
- Stomach resistant for 1 month
- Pain medication for 1 month
- Thrombosis syringes (5 pieces) for 5 days
Gastric Sleeve Surgery
A major part of the patients with obesity complain that they are not full even though they consume large portions. Generally, obesity patients have stomachs larger than normal. There are 2 options for weight loss in the treatment of obesity or overweight. The first one aims to reduce the amount of food intake. The second one aims to reduce the absorption of nutrients and prevent foods to pass through the small intestine at different lengths. Gastric Sleeve Surgery is a special procedure performed only to reduce the stomach volume. The other name of it in the literature is Laparoscopic Sleeve Gastrectomy.
How is Gastric Sleeve Surgery Performed?
Today, gastrostomy tube surgeries aim that patients reach the feeling of satiety with smaller portions. The method is especially preferred when exercise and diet do not help. Gastric sleeve surgery is the most common method of obesity surgery, especially in the recent period. It is a method of creating a new stomach in the form of a tube by removing approximately 75-80% volume of the stomach. Although it varies from person to person, the volume of a stomach is 1-1.5 liters normally. After the procedure, which takes about 45 minutes, the stomach capacity reduced to 100-150 ml. Gastric sleeve surgery, which is easier to perform compared to other surgical methods, greatly reduces the capacity of the stomach. This method differs from the other methods in a way that it directly impacts the hormones creating the feeling of hunger and satiety.
Gastric sleeve surgery is performed as a result of taking off a certain part of the stomach. During this procedure, the patient’s stomach inlets and outlets are never touched. Besides reducing gastric capacity, it slows down nutrient absorption in some degree. As a result of the gastric sleeve surgery, while patients’ feeling of satiety increases, their insulin resistance is reduced. Since the fundus part of the stomach secreting the ghrelin hormone is also completely taken off, the patient’s appetite decreases after the surgery.
Gastric Sleeve Surgery is performed as closed and with general anesthesia. It is carried out by special tools and a video camera (laparoscope), which are thin and long enough to enter through 4-5 small holes opened. It is the process of making the stomach into a tube starting from a distance of about 3-6 cm to the pilora, the end point of the stomach, with the help of special instruments. These devices are fixated to each other with special stitches while cutting off the stomach part. During the Laparoscopic Sleeve Gastrectomy the intestines are not taken off or bypassed.
Values of the Person Undergoing Gastric Sleeve Surgery
This procedure can be applied to almost every patient who has obesity and requires surgery. In short, this surgery can be performed on people with the following values.
1. Patients with a BMI above 35-40,
2. Patients who have no possibility to lose weight by medical methods,
3. Patients between the ages of 15-70 and having obesity problems for at least 3 years,
4. It is used as an alternative in patients whose gastric band placement is planned.
The Advantages of Gastric Sleeve Surgery
The first and most important advantage is that it creates no changes on the natural pathway of the digestive system.
● Hunger is suppressed for a long time because the part where the Ghrelin hormone is secreted is taken off. Since there will be a loss of appetite, the patient does not want to eat too much.
● Compared to other surgeries, it is an easier operation. The operation time and recovery processes ara also shorter. After the 2nd day, you can return to your normal life as discharged.
● It causes vitamin and mineral deficiency much less frequently than other procedures.
● Weight loss after gastric sleeve surgery continues for about 1-1.5 years
After Gastric Sleeve Surgery
The patients are required to follow a 1-year diet program specially prepared for them after the operation. The nutritional value of the foods they consume should be high since the patients will take less calories than before the operation. Consumption of unhealthy foods such as fatty, sugary foods, high-calorie drinks prevents weight loss. Patients are fed with liquid and nutritious foods in the postoperative period. In the following process, the nutrition program is updated in different stages. The patients should chew food more than usual. Moreover, water consumption should be precisely according to the recommendations of the doctor and dietician. In order to prevent low blood sugar caused by poor nutrition, abundant vitamins and minerals should be taken.