What is Gastric Sleeve ?
One of the most applied surgical interventions today is sleeve gastrectomy and it is commonly known as “stomach reduction surgery”.
In sleeve gastrectomy surgery, the stomach is turned into a long, thin tube like a banana. With the laparoscopic method, that is, with the closed surgery method, 80 percent of the stomach is cut and removed. Thus, the food intake of the stomach is restricted. In addition, sleeve gastrectomy surgery has the effect of reducing food absorption, although at a very low level.
The appetite of those who have gastric sleeve surgery decreases. In addition, insulin resistance is broken without even weight loss.
What is the duration of stomach reduction surgery?
Gastric sleeve surgery is performed in 1.5 hours on average. Since the exit and entrance section of the stomach is preserved and the continuity in the digestive system is maintained, the risks after sleeve gastrectomy surgery are low and some unwanted side effects are reported very little.
Which Stomach Reduction Surgery Is Performed Most Often?
Gastric sleeve surgery is the most commonly performed gastric sleeve surgery with proven effectiveness and low risk. The medical name of sleeve gastrectomy, which has a 15-year history, is sleeve gastrectomy.
The other type of stomach reduction surgery performed today is ‘gastric bypass’ surgery. However, gastric bypass is preferred only in special cases; In cases where type 2 diabetes is at the forefront and insulin use is old, and especially in people with very high BMI, gastric bypass method can be the first choice of surgery.
In addition, gastric bypass method can be applied as the second operation method in patients who have had sleeve gastrectomy surgery and regain weight.
Can Gastric Sleeve Surgery be applied to everyone with weight problems?
Those who have sleeve gastrectomy surgery have to meet the following conditions:
Those with a body mass index over 40 kg/m² (morbidly obese, that is, severely obese).
Those who have a BMI between 35 and 40 and have problems such as type 2 diabetes, hypertension, and sleep apnea due to obesity are considered morbidly obese and may need stomach reduction surgery.
In addition, patients with obesity-related “new” type 2 diabetes and metabolism disorders and BMI between 30 and 35 can be operated with the decision of the obesity doctor.
Obesity surgeries are not performed for aesthetic purposes, that is, to make the person look weaker.
Until What Age Is Gastric Sleeve Surgery Performed?
Gastric sleeve gastrectomy surgery is performed on people between the ages of 18-65. In order for the person to be a suitable candidate for gastric surgery, the Body Mass Index (BMI) values determined by the World Health Organization must be 35 and above.
For people under the age of 18, the presence of the above-mentioned diseases along with the degree of obesity is important, and parental approval is required as well as the physician’s decision.
For people over the age of 65, the health status and the necessity of surgery (the person’s weight-related problems and problems) are evaluated.
What is Revision Surgery after Obesity Surgery? Who is it recommended for?
Revision surgeries are surgeries performed due to different complications such as weight gain, stenosis or leakage after obesity surgery. The most important reason for revision surgeries is usually weight gain.
The basis of the reasons for patients to gain weight back is the insufficient follow-up of the patients, insufficient information of the patients or failure to comply with the process even if they are conscious. For these reasons, 20-30% weight gain can be seen in patients.
It is very important to choose the revision surgeries applied to the patients well. These surgeries are technically more difficult and must be performed by experienced surgeons. Today, with the increase in the number of obesity surgeries, revision surgeries have also increased.
There are types of surgery recommended for patients with recurrent co-morbidities such as diabetes, high blood pressure or regaining weight. The most appropriate type of surgery should be decided by talking to the patient and evaluating.
Is There Any Pain After Tube Stomach Surgery?
Gastric sleeve gastrectomy surgery is performed laparoscopically, that is, with very small incisions by piercing the abdomen. These incisions are millimetric.
This method, called closed surgery, can also be performed with a ‘da Vinci robot’, that is, robotic surgery. In robotic surgery, the doctor who controls the arms of the robot and the specialists accompanying him perform the surgery.
What is the normalization process after stomach reduction surgery?
Since the abdominal muscles and membranes are not cut in laparoscopic surgeries, there is no serious pain after the surgery. After the operation, the patient is given painkillers.
Those with tube stomach start walking in the evening of the day of surgery and usually do not have serious pain on the second day. The patient may have a feeling of tension and pressure on the first day, which is relieved with painkillers.
Is There Any Scar After Tube Stomach Surgery?
Since the surgery is performed with a closed method, only very small incision scars remain in the abdomen. These lines become completely invisible in a few months.