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Sleeve Gastrectomy

Sleeve gastrectomy, also known as gastric sleeve surgery, is a surgical procedure designed to aid weight loss by reducing the size of the stomach.

During the surgery, basically, a large portion of the stomach is removed, leaving a smaller, banana-shaped sleeve or pouch. This smaller stomach restricts the amount of food that can be consumed, resulting in reduced calorie intake and subsequent weight loss.

Sleeve gastrectomy is primarily performed as a standalone weight loss procedure, but it can also be the first step in a two-stage procedure for individuals with extremely high body mass index (BMI) or significant medical conditions that increase the risk of more extensive surgeries.

 

Good Candidates for Sleeve Gastrectomy

 

Candidates with a body mass index (BMI) of 40 or higher, or a BMI between 35 and 39.9 with obesity-related medical conditions such as diabetes, high blood pressure, or sleep apnea, may be considered for sleeve gastrectomy.

They should demonstrate a commitment to making long-term lifestyle changes, including adopting a healthy diet, engaging in regular physical activity, and attending follow-up appointments for monitoring and support.

In addition, candidates who have tried and failed to achieve significant and sustained weight loss through non-surgical methods such as dieting, exercise, and medication may be proper for sleeve gastrectomy.

On the other hand, individuals also with obesity-related medical conditions that would benefit from weight loss, such as type 2 diabetes, high cholesterol, or joint problems, may be considered for sleeve gastrectomy.

 

Advantages of Sleeve Gastrectomy

 

Sleeve gastrectomy has been shown to help individuals achieve significant weight loss. On average, patients can expect to lose about 60-70% of their excess weight within the first two years after surgery.

The removal of a large portion of the stomach during sleeve gastrectomy reduces the production of the hunger hormone ghrelin. This can lead to a decreased appetite and improved portion control.

Sleeve gastrectomy has been shown to improve or resolve obesity-related medical conditions, including high blood pressure, sleep apnea, and joint pain.

Sleeve gastrectomy is usually performed laparoscopically, using small incisions, specialized instruments, and a camera. This minimally invasive approach results in less scarring, reduced pain, shorter hospital stays, and faster recovery compared to open surgery.

 

Sleeve Gastrectomy: Procedure Steps

 

First, the patient is placed under general anesthesia to ensure comfort and safety throughout the surgery.

Using laparoscopic techniques, the surgeon makes several small incisions in the abdomen. A laparoscope and specialized instruments are inserted to guide the surgical procedure. The outer portion of the stomach is dissected and removed, leaving a small, tubular sleeve-shaped stomach.

The remaining stomach is divided vertically using surgical staples. The stapling creates a long, narrow pouch or sleeve. The staple line is reinforced and checked for leaks or bleeding.

After the sleeve creation is complete, the instruments are removed, and the incisions are closed with sutures or surgical staples. Sterile dressings or adhesive strips are applied to cover the incisions.

The procedure generally takes about one to two hours to complete, although the actual duration may vary depending on individual factors and the surgeon's expertise.

Following the surgery, patients are monitored in a recovery area before being transferred to a hospital room or discharged home.

 

Sleeve Gastrectomy: Recovery Process

 

The patients should spend one to two nights in the hospital following the surgery. During this time, the surgeon and the medical team monitor vital signs, administer painkillers, and provide instructions for post-operative care.

After surgery, patients will follow a specific post-operative diet plan that gradually introduces liquids, pureed foods, and eventually solid foods.

Patients should also have regular follow-up appointments with their surgeon and a dietitian to monitor progress, address any concerns or questions, and make necessary adjustments to the diet and medications.

The recovery process varies for each person, but most patients can expect to resume normal activities within a few weeks after surgery. It is important to closely follow the surgeon's instructions and attend all post-operative examinations to ensure optimal recovery and long-term success.
Health International performs the best Sleeve Gastrectomy surgery in Turkey with experienced surgeons and trained staff. Please contact us to get detailed information about the procedure and to make an appointment now.

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