Weight loss surgery or bariatric surgery is the most effective solution for dealing with severe obesity and its complications, and perhaps one of the best procedure of these is laparoscopic sleeve gastrectomy or gastric sleeve.
best bariatric surgery in turkey for weight loss is sleeve gastrectomy by involves excision of the bigger curved part of stomach , after this procedure of gastric sleeve in turkey , excision what remains of the stomach is relatively ,which resembles a or thin tube .
The popularity for gastric sleeve procedure has increased dramatically in the last decade, for example, in 2016, more than 120,000 gastric sleeve procedures were performed in the United States alone, which makes up 58% of the total weight loss surgeries that year, compared to less than 20% in the year before.
The surgical procedure of gastric sleeve involves excision of the bigger curved part of the stomach, and after this excision what remains of the stomach is a relatively small part of it, which resembles a sleeve or a thin tube, hence the name.
Gastric sleeve helps you lose weight through two main mechanisms:
One of them is purely mechanical (reducing the amount of food the stomach can accommodate), and the other is hormonal or chemical (appetite suppression).
Let’s speak about these two mechanisms in a nutshell.
The mechanical mechanism is basically the significant reduction of the size of the stomach after gastric sleeve procedure, which decreases the amount of food that a person can consume before feeling full.
The hormonal factor is the major change that happens to the levels of hormones that control appetite after sleeve gastrectomy, for example, a significant decline in the levels of ghrelin -which is the hunger hormones- was observed secondary to the excision of the gastric fundus. This change results in suppression of appetite.
Gastric sleeve also increases the secretion of another hormone called: glucagon-like hormone-1 or GLP-1, which increases insulin secretion and delays gastric emptying and this also reduces hunger cravings and suppresses appetite.
The types of sleeve gastrectomy used are divided into surgical (open) or laparoscopic.
In terms of size, it is divided into partial and total.
It is worth noting that there are common names for this operation, such as gastrectomy and Gastric Sleeve, all of which are intended as a sleeve gastrectomy.
According to a study conducted in 11 countries that involved more than 24 health centers, the effectiveness of this type of operation has been proven for diabetes patients, metabolic syndrome patients, and those with inflammatory bowel disease.
Sleeve gastrectomy procedure can also help improve diabetes type II symptoms, and in some cases it results in normal blood glucose levels and that means total cure of the disease.
The procedure results in a reduction of the stomach size by 50% to 85%, which will decrease the total surface area of the stomach and change your overall digestion process, also cause you to eat less.
As with any surgery, sleeve gastrectomy involves some potential health risks, which appear in the short and long term. Risks associated with sleeve gastrectomy may include:
Also, after sleeve gastrectomy surgery, some long-term risks and complications may begin to appear, and these complications include:
The obesity patient needs to meet some criteria to qualify for gastric sleeve, and these criteria depend upon their body mass index, according to the following:
We advise our patients and visitors to wait at least 18 months after the surgery for their weight to stabilize before getting pregnant.
The surgeon staples off more than half of the stomach vertically using surgical stapler, and then takes that part out, decreasing the volume of the stomach significantly and changing its shape to become a sleeve-like thin tube, and this anatomical change in the stomach helps reduce the amount of food that the stomach can accommodate before feeling full.
The operation is performed under general anesthesia; the surgeon opens a few tiny openings, each of which is 3 cm in length, and surgical instruments are advanced through these openings, along with a camera with strong illumination device to enhance vision during the operation, and the surgeon follows what’s happening inside the abdominal cavity via an electronic screen in front of them.
The abdominal cavity is insufflated with inert carbon dioxide, and most of the stomach is isolated and then excised vertically as we mentioned earlier.
At Ilajak Medical we examine each patient very carefully, after proper examination and eligibility tests, if the patient is eligible for Gastric Sleeve surgery, we start with a detailed medical history including medications, allergies, and blood tests.
We constantly advise our patients and visitors to stop consuming alcohol before or after the surgery due to its unwanted impact on the surgery and the health.
Dumping syndrome is common after Gastric Sleeve Surgery, cause the food is reaching the intestine in a faster manner. It is a group of symptoms that may result from having part of your stomach removed.
The symptoms range from mild to severe and often subside with time.
We have produced the following video explaining the gastric sleeve procedure in Arabic, we are working day and night to produce videos for all medical procedures in all languages for the convenience of our visit and those who are interested to avail our services.
The Gastric Sleeve Surgery takes about two hours.
It is performed through a semi-invasive laparoscopic operation, so it requires only small incisions.
Sleeve gastrectomy patients usually stay in the hospital for about one to two days.
The patient stays in the hospital for one night after the operation, where the patient experiences some nausea after the operation, and he is treated with anti-nausea medicines and painkillers.
The patient begins drinking small amounts of water and liquid foods the morning after the operation, and these quantities are gradually increased if the patient accepts the food without vomiting and nausea, to reach a complete liquid diet.
After the patient is discharged from the hospital, a diet is determined for him/her, which includes water and fluids, and the diet continues for a short period after the operation, and the liquid diet is gradually converted into a normal diet.
The patient stays in the hospital for one night after the operation.
The patient may feel some nausea or mild pain postoperatively, these complaints can be easily addressed with anti-nausea medications and/or pain killers.
A short period after the procedure the patient can drink small quantities of water and liquid foods, and those quantities can be gradually increased if the patient tolerates them without vomiting or nausea, until reaching a complete liquid diet.
Upon discharge from the hospital, the surgeon and the dietitian give the patient instructions about their diet, which includes water and fluids.
This liquid diet continues for a short period after the operation and then gets gradually converted into a regular diet after a period of about 4 weeks.
After gastric sleeve operation, patients should stick to eating low-fat and sugar-free foods, including lean protein sources and non-fibrous vegetables.
After the surgery, some tips can help you stay on the right track, which will ensure you recover from the surgery, and these tips include:
The gastric sleeve surgery is long term and permanent procedure, but experts concluded that sleeve gastrectomy is effective nearly 6 years after the initial operation, with nearly 60% of excessive BMI still gone and a "considerable improvement or even remission" of comorbidities, it is worth noting that the stomach is built to stretch it is better to adopt a healthier and better lifestyle and diet.
The cost of the sleeve gastric sleeve surgery ranges from 2,700 to 3,200 USD, and also depends on the health condition and the accompanying program.
Weight loss: After two years of the procedure, the patient loses 60 percent of their excess weight, and most of patients can reach a BMI of 25-32 depending on their weight before the operation.
Type 2 diabetes and glucose control: in 66% of patients, significantly better blood glucose levels were achieved according to a study in which patients were evaluated for 13 months after the operation.
Gastric sleeve surgery does not alter perinatal mortality or congenital malformations; however, you should wait at least 18 months for your weight to stabilize before getting pregnant.
Gastric Sleeve surgery results in physical changes more than psychological and behavioral changes, however, it is generally associated with improved mental health and quality of life.
Obesity treatments make slight changes in the way your body absorbs some nutrients, in addition to the amount of food you eat has been greatly reduced, so taking vitamins and nutritional supplements is necessary. (السؤال مكرر)
As a general rule people who want to have bariatric surgery should have 40 BMI or above.
A second surgery to repair — or redo — a gastric bypass may be appropriate.
This is especially true if the result below expectation or you can further decrease the surface area.
According to “Endocrine Society Clinical Practice Guideline: recommendations:
Gastric sleeve surgery results in fewer life-threatening complications improve health conditions and longer life expectancy.
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