Sleeve Gastrectomy

Sleeve gastrectomy surgery; It is the reduction of the stomach by making a vertical incision to take the shape of a banana-tube. In this way, not only the volume of the stomach is reduced, but also the appetite hormone called Ghrelin is removed from the body, thus reducing the appetite. No intervention is made to the intestines.

Advantages

Dumping Syndrome is not found.

The operation time is shorter than Gastric Bypass.

The time for patients to get used to the sleeve gastrectomy is shorter.

It does not change the natural functioning of the digestive system, thus leading to less vitamin and mineral loss.

Disadvantages

Since there is a long staple line (stomach incision line), there is a possibility of leakage and bleeding from the staple line.

It can cause reflux to disrupt the comfort of life.

There are three scientific studies showing that it is more unsuccessful than Gastric Bypass in terms of recovery of type 2 diabetes in the long term.

In the long term, the problem of regaining weight is more than Gastric Bypass.

How Much Weight Can You Lose After Surgery?

Tube Stomach Surgery is an effective method in your fight against obesity. However, as with all other methods, it cannot be effective alone. With a healthy diet and increased activity, it is possible to get rid of 60-80% of excess weight in the first year. Insufficient weight loss is possible if the rules set by your doctor are not followed and old bad habits are continued. In recent years, there are scientific studies stating that weight gain is an important problem in the long-term in people who have had sleeve gastrectomy surgery. It is also known that patients who have had sleeve gastrectomy surgery are increasingly in need of revisional surgery. Therefore, the surgical method to be chosen should be individualized. Eating habits, metabolic status and additional diseases etc. Considering the appropriate surgical method for you should be planned. Gastric sleeve surgery for each patient negatively affects the success. All types of obesity surgery are performed in our hospital and the operation is performed with a personalized planning.

Can Anyone Have Tube Stomach Surgery?

In general, in our country, all kinds of obesity surgeries are performed in case of body mass index (BMI) over 40 or over 35 and obesity-related comorbidities. (Diabetes, sleep apnea syndrome, respiratory diseases, hypertension and dyslipidemia etc.).

If you already have reflux and/or hiatal hernia or uncontrolled diabetes or if you are consuming high carbohydrate foods, bypass surgery may be more suitable for you. In addition, if you have Barett's disease, sleeve gastrectomy surgery will not be suitable for you. If you have an existing vitamin or mineral deficiency, bypass surgery may not be appropriate this time. For this reason, all your evaluation should be done before the operation and the most suitable surgery for your characteristics should be decided together in your meetings with your doctor.

Is There Pain?

Pain is a very relative concept and differs from person to person. However, pain is minimal in laparoscopic (closed) procedures. In our clinic, the incision sites are anesthetized with long-acting drugs. In addition, devices called pain pumps are also used when necessary. Therefore, our patients feel little or no pain. After the first day has passed, most of our patients sometimes do not need routine painkillers.

How long is the hospital stay?

Although it varies from person to person, you need to go to bed for an average of 3 to 5 days in a smooth process.

How Should Nutrition After Surgery Be?

Your nutrition program will be planned in accordance with the person and conditions during the hospitalization period. The patient will be educated about alternative menus, and under the control of our nutritionist, you will be transitioned to puree on the 15th day and solid food on the 30th day.

How should the follow-up process be after the surgery?

As with all obesity surgeries, the close relationship between the patient and the Obesity Team is the most important factor in success. Choosing the right center where you will be operated is the most important criterion. The first interview will be held approximately 7-10 days after your surgery. In this interview, the traces of possible complications related to the surgery will be investigated and it will be investigated whether the nutritional functions are in the normal course. Under the control of our nutritionist, you will be able to switch from liquid to puree on the 15th day and to solid food on the 30th day. Again 1-3-6-12-18-24. Your routine check-ups will be carried out every month. In these controls, your blood count, blood sugar, liver and kidney functions, and your vitamin and mineral levels will be examined. Special supportive treatments will be planned if needed. At the same time, your body composition will be monitored by our nutritionist, which will ensure minimum muscle loss.