SLEEVE GASTRECTOMY FOR OBESITY
This is a stomach reduction surgery used for the treatment of obesity. The operation process is comfortable and the rate of complications is relatively low. It achieves a truly satisfying weight loss. Currently it is the most common surgery worldwide to help individuals get thinner.
♣The original term used in the medical literature is "Laparoscopic Sleeve Gastrectomy".
In this type of surgery, a portion of the stomach, which is normally a balloon-like organ, is removed. The operation is performed while the patient is under general anesthesia with closed (laparoscopic) surgical technique. Abdominal wall is not opened.
The operation is performed using several instruments inserted into the abdomen through small holes with the aid of a stick-like camera. Automatic stapler tools are used. The curved main portion (about 70-80%) of the stomach is removed. As a result, stomach capacity is reduced to hold only a small glassful of food at each mealtime.
♣The stomach is transformed into a long, vertical narrow tube.
Structural and functional changes induced by the surgery lead to reduced appetite and limitation of food and beverage intake.
Ghrelin hormone is among the major factors associated with the sensation of hunger. Most of this hormone is secreted by the curved, main portion of the stomach. This portion of the stomach is removed in the tube gastric surgery. After the procedure, blood ghrelin hormone levels are reduced significantly. Feeling of hunger is diminished and appetite decreases. Also, following the surgery, the patient will experience very rapid onset of the stomach feeling full, followed by a growing satiety after a meal due to relatively narrowed digestive tract flow.
After the surgery, there will be an eating adaptation period for one month under the guidance of a dietitian. In the first two weeks only fluids are allowed followed by soft foods in the next two weeks. Solid food intake can be initiated at the end of one month.
The appetite will be diminished drastically. It would be possible to feel satiety with much smaller servings than usual. Healthy nutrition habit will be rapidly adopted spontaneously.
♣Patients feel less hungry, eat less food slowly and feels full rapidly.
The surgery does not cause significant impairment of the functioning of the digestive system. In the first few months, there will be a relatively limited food intake and rapid weight loss. Thus, patients are advised to have protein supplements in powder form and multivitamin support for the first 2-3 months. Also, drugs are prescribed in order to help reduce gastric acid release.
♣Over the long-term, no problems should occur in the absorption of foods essential for the body.
Among all types of surgery, the sleeve gastrectomy is generally considered to carry a mild risk. The majority of patients do not experience any additional problems The rate of complications is around 2%.
Since the operation is executed using the closed surgical technique, the patients will be ambulatory on the same day. Hospitalization for 3-4 days will be sufficient and patients will be able to resume their usual daily activities within a few weeks.
Follow-up results are nearly perfect. Patients start losing weight in a few days after the surgery. Weight loss becomes visible within months. Results of long-term medical follow-up for thousands of patients undergoing sleeve gastrectomy show that they lose 70-80% of their excess weight.
♣Most of the excess weight is lost within one year after the surgery.
Physical and psychological relief associated with weight loss improves daily quality of life perceivably. It offers a chance to make a fresh start to life.
Following the surgery, obesity-related disorders including problems associated with type 2 diabetes and sleep apnea improves by three-quarters, problems associated with blood lipids and elevated blood pressure improve by more than half, knee pain improves by half and most of the leg varices disappear. These improvements occur spontaneously after the start of weight loss without requiring any additional therapies.
Sleeve gastrectomy has increasingly become a preferred option for patients and surgeons due to the fact that changes induced by the surgery closely resemble those occurring naturally (physiological), weight loss effects are satisfying and the incidence of adverse effects is low.