Gastric sleeve
The sleeve gastrectomy is a restrictive procedure that reduces the size of the stomach and limits food intake. This can help obese patients to lose weight when other methods were ineffective. A Sleeve Gastrectomy greatly reduces the size of your stomach and limits the amount of food that can be eaten at one time.
For this procedure, a bariatric surgeon removes part of the stomach and shapes the remaining stomach into a tube or “sleeve.'' An exception in this system is that the stomach is shaped like a pouch, not a pipe, so that it can buy more food and create storage. It is tube gastric surgery by removing most of the stomach irreversiblely and turning it into a continuation of the esophagus and a system that continues with the intestines. A tube or other foreign body is not placed in the stomach. Since the shape of the stomach resembles the shape of the tube, the tube is called gastric surgery.
How is sleeve gastrectomy surgery done?
Sleeve gastrectomy is done to help you lose excess weight and reduce your risk of potentially life-threatening weight-related health problems, including. Sleeve gastrectomy is typically done only after you've tried to lose weight by improving your diet and exercise habits. Sleeve gastrectomy is performed as a laparoscopic procedure. This involves making five or six small incisions in the abdomen and performing the procedure using a video camera (laparoscope) and long instruments that are placed through these small incisions. An endoscopic camera that transmits all the organs of the patient and the current state of the abdomen in HD quality to the monitor screen enters through one of these holes. In undesirable cases such as uncontrolled bleeding and additional organ injuries that cannot be repaired with the closed method, the laparoscopy method can be converted to open surgery. When there is a technical problem, of course, whatever is necessary for the health of the patient should be done first.
During the Laparoscopic Sleeve Gastrectomy, about two-thirds of the stomach is removed using a stapling device leaving a narrow gastric “tube” or “sleeve”. No intestines are removed or bypassed during the sleeve gastrectomy. The LSG takes one to two hours to complete. Most patients are in the hospital overnight and back to work in 2 weeks. Full recovery may take up to 3-4 weeks. The postoperative care is very similar to gastric bypass.
How to maintain weight loss in sleeve gastric Surgery (sleeve gastrectomy)?
In gastric surgery, the tube is turned into a tube like the continuation of the esophagus and its volume is reduced. In addition to shrinking the volume of the stomach, the secretion of Ghrelin, known as the hunger hormone, is also significantly reduced. Both the shrinkage of the stomach in volume and the less secretion of the hunger hormone affect appetite. Patients whose appetite is decreasing, who are saturated very quickly and who feel the need for less nutrition should be informed about proper nutrition before and after surgery. Since patients are saturated with very little food, these foods should be quality foods rich in protein, minerals and vitamins.
Limiting the size of your stomach restricts the amount of food you are able to consume. In addition, the procedure prompts hormonal changes that assist with weight loss. These same hormonal changes also help relieve conditions associated with being overweight, such as high blood pressure or heart disease.
Advantages of the sleeve gastrectomy
Does not require disconnecting or reconnecting of the intestines
Stomach functions normally, allowing most foods to be eaten in smaller amounts
Less invasive than gastric bypass
Removes gland that secretes ghrelin, the hunger hormone
No foreign bodies (bands, tubes, etc.) permanently inside body
No risk of "dumping syndrome" typically associated with gastric bypass
