gastric is turned into a tube. The most of the stomach is taken irreversibly with surgical operation. The stomach is similar to a tubular shape, and this operation helps patients lose weight.
The only reason sleeve gastrectomy operation helps in weight loss is not because the stomach shrinks. The fundus part of the stomach removed by sleeve gastrectomy operation is also the part that secretes the hormone appetite. After the operation, the patient's appetite for food decreases, the brain feels less hunger. Therefore, sleeve gastrectomy operation is an effective operation both mechanically and hormonally.
Sleeve gastrectomy operation with body mass index above 40kg/m2, and the body mass index is over 35kg/m2 and can be applied in all people with additional diseases.
Sleeve Gastrectomy operation is one of the surgical methods used in the treatment of obesity. Since it is both an effective surgical method and the risk of complications is minimal, it has been the most preferred method among the surgical techniques applied for morbidly obese patients today. Patients with a body mass index above 40 kg/m2, and the body mass index is 35 kg/m2 and is an ideal operation for obese people with additional diseases.
Casas Clinics carefully prepares its patients for the operation. Extensive examinations are performed on patients before to sleeve gastrectomy operation. Apart from blood analyses such as hemograms and biochemistry, each patient is routinely given an ECG and an enscopy is performed. Our patients are examined and evaluated by both general surgery specialist and anesthesiologist physicians. If necessary, cardiology and thoracic specialists can also evaluate our patients in our clinic. Dietitians evaluate each patient before the operation and support them in the operation process. Patients are hospitalized for 3 days after the operation.
Every individual over the age of 18 who has completed their physical and mental development can have sleeve gastrectomy surgery if they have a medical requirement. There is no upward limit on obesity surgery, but every patient must obtain anesthesia approval. According to some sources, the upper limit is considered to be 65 years of age, but sleeve gastrectomy surgery can be performed at older ages in patients who are in good condition, can handle the surgical procedure and have a long-life expectancy.
Body mass index is calculated first for obese patients who want to have Sleeve Gastrectomy surgery. Body mass index: It is calculated by dividing the body weight by the square of the length of the height. As a result, if the resulting value is over 40 kg/m2, this patient is considered morbidly obese and is a candidate for gastric surgery. If the body mass index of the person is above 35 kg/m2 and he has any metabolic diseases, this patient is also a candidate patient for gastric surgery.
Some metabolic diseases (such as uncontrolled diabetes and hypertension) and in special cases even if the body mass index is below 35kg/m2, after all the necessary examinations are performed, the patient can have gastric surgery.
Weight loss after sleeve gastrectomy surgery is achieved by two basic methods.
1. Since the patient will have a stomach about 80% smaller after the operation, the food for each meal will decrease. Since the patient consumes little food, it will be easier for him to lose weight.
2. In sleeve gastrectomy operations, the fundus part of the stomach is removed. Fundus is the part that secretes the hormone Ghrelin, which is called the appetite hormone. The patient's appetite after the operation also decreases, which will help him lose weight.
All patients who have decided to have Sleeve Gastrectomy surgery undergo extensive examinations, but patients do not always receive anesthesia approval. For example, if the person has severe heart failure, the anesthesiologist does not approve of this operation. Or a patient with active liver disease can first treat chronic disease and then have gastric surgery. One of the most important problems that can prevent sleeve gastrectomy surgery is the mental and neurological diseases of the person. An individual who is not mentally healthy is not allowed to operate. Likewise, individuals with serious neurological diseases have a high chance of having problems after the operation, therefore, operation permission is not allowed. Sleeve gastrectomy surgery may not be an appropriate option for patients with advanced reflux edephageitis. Gastric-Bypass is recommended for these patients. The Medical doctors of Casas Clinics medical refer you to the suitable operation.
Obesity is one of the worst diseases of our time, affecting all systems. With the end of obesity, patients first get rid of the bad effects of chronic metabolic diseases such as diabetes, hypertension, high cholesterol.
With the end of obesity, the appearance of the person changes and becomes more aesthetically stylish. Therefore, sleeve gastrectomy surgery leads to increased self-esteem of the job.
Sleeve gastrectomy surgery is the least risky operation in terms of complications, which is the most effective among surgical operations performed in obese patients.
All surgical operations have risks according to the size and shape of the operation. Sleeve gastrectomy operations in all clinics of Casas are performed with laparoscopic methods, the most experienced surgeons, and state-of-the-art instruments. Before the operation, patients are screened for all negativity and after the operation, the highest level of care is performed with our experienced teams. The prevalence of complications at Casas Clinics is minor.
Sleeve Gastrectomy surgery time is 50 minutes on average and this period may vary according to the patient. This period sometimes increases according to the anatomy, weight, and diseases of the patient. Performing the surgery in the ideal way and restoring the patient to health is the basic principle.
After sleeve gastrectomy surgeries, the patient stays in the hospital for 3 days. Then, patients from abroad stay in the hotel for 1 night and after the 4th day checks, the operation process is completed. Patients can usually return to their social life after 1 week. However, postoperative nutrition is very important.
After Sleeve Gastrectomy surgery, patients are expected to lose half their excess weight in the first 6 months. The weight loss process continues uninterruptedly for up to 1 year. After 1 year of operation, the process of gaining weight again may begin if patients do not pay attention to their diet and lifestyle. Because the stomach has an elastic structure and should be taken care of. After Sleeve Gastrectomy surgery, revision surgery can be performed in rare cases, which means that patients can have gastric surgery again.
Patients must be careful after each operation. However, patients should not lift heavily, especially in the first two weeks, as they lose weight quickly after sleeve gastrectomy operation. However, there is no harm in heavy lifting in the long term after laparoscopic sleeve gastrectomy surgeries performed closed, on the contrary, after full recovery, patients are given exercise programs and thus the patient who loses weight also gets a fitter appearance.
Since Sleeve Gastrectomy operations are performed by laparoscopic methods, very rapid healing is observed. Patients can gradually return to active sports life after about 1.5 months according to their body structure, additional diseases, age, and sports habits. Sleeve Gastrectomy is useful to get professional support for postoperative sports program.
The patient can return to his or her sex life 1 week after sleeve gastrectomy surgery.
Casas Clinics provides dietitian support to all its patients for 1 (one) year after the operation. After Sleeve Gastrectomy surgery, nutrition, lifestyle changes and exercise are very important.
Some important rules to pay attention to nutrition after Sleeve Gastrectomy surgery are as follows.
- Carbonated bubble drinks are prohibited for at least 1 (one) year.
- After sleeve gastrectomy surgery, fluid should be fed for the first 10-14 days. Casac Clinic provides the necessary nutrients for the operation for you.
-Liquid and solid foods should not be consumed at the same time in the diet.
- In general, this small amount should consist of high-quality foods, since the patient can eat and eat very little after sleeve gastrectomy surgery. Food’s high in animal or vegetable protein are recommended. Protein-rich foods such as chicken, fish, turkey eggs, cheese, yogurt should be prioritized.
- Salads, fruits, and nuts consisting of vegetables and greens should not be neglected in the diet.
- A specialist dietitian and an endocrine specialist should check the diet.
- If there is a mismatch with the nutritional function, psychological support can be obtained if necessary. When the patient has a tickle that he does not like, he should determine the right foods that the patient can get with the support of the professional team without forcing it.
- In cases where nutrition is inadequate, the need to take supplementary foods such as minerals, proteins and vitamins may arise.
- After Sleeve Gastrectomy operations, vitamin B-12 may not be sufficiently absorbed when ingested in pill form. This problem can also be experienced in vitamin B-12 from foods. In this case, the B-12 supplement can be used as sublingual pills and sprays, or needles.
Sleeve Gastrectomy surgeries are usually closed, i.e., laparoscopic method. Depending on the patient's condition, the number of holes used in laparoscopic surgery may vary. Each hole is around 1-1.5 cm., and the holes are closed by aesthetic methods. After Sleeve Gastrectomy surgery, a very small scar may remain, but these scars do not cause problems in aesthetic terms.
Whether or not there is constipation after Sleeve Gastrectomy surgery is related to nutrition. If the patient pays attention to the nutrition of the surgical sora, there is no constipation. Constipation may occur in patients who do not pay attention to the diet, do not drink enough water, and do not receive enough fibrous food.
The loss of weight and the reduction of fat tissues under the skin can weaken the body's insulation system. In this case, it can cause aching. There may be a chill not only during the cold months, but even in the warmer months. However, this is temporary. When the body adjusts to its new weight after a certain period, the feeling of cold disappears.