Sleeve gastrectomy is a surgical method known as "sleeve gastrectomy" in medical language and is applied to obesity patients where diet, exercise and other weight loss methods have failed. This operation is performed by making small holes in the abdomen and inflating it with carbon dioxide gas. 85-90% of the stomach is removed by cutting using special devices and the stomach becomes similar to the shape of a tube, so it is popularly called"sleeve gastrectomy".
Gastric sleeve gastrectomy creates a feeling of early satiety by enabling less portions to be consumed due to the reduction in stomach volume, thus providing the potential for rapid weight loss. Especially since ghrelin, the hunger hormone secreted from the gastric fundus region, is removed during surgery, the feeling of hunger is felt less.
An important difference of this surgical method from other obesity surgeries is that it does not make a major change in the digestive system. Therefore, the foods eaten are absorbed naturally and the risk of long-term vitamin and protein deficiency is low. However, it is still important to pay attention to the diet after surgery and to take the necessary vitamin and mineral supplements.
Gastric sleeve surgery should be considered when obesity patients reach a weight that poses a serious threat to their health, and other weight loss methods have failed. In cases where the BMI (Body Mass Index) is 30 or above, and the societal and psychological burdens of obesity outweigh the complications of surgery, gastric sleeve surgery may also be considered.
In conclusion, gastric sleeve surgery can be an effective option for obesity treatment, but its suitability should be evaluated individually for each patient. The success of the surgery and its long-term effects depend on the patient's lifestyle and dietary habits after the surgery. Therefore, it is essential to conduct a thorough assessment before surgery and collaborate with a specialist surgeon.
Gastric sleeve surgery is an effective surgical method for obesity treatment with many benefits. With regular and healthy eating post-surgery, it is possible to reach an ideal weight quickly. This helps patients lead a healthier and more active life. Additionally, there is usually a rapid improvement in health issues following gastric sleeve surgery. These health issues include:
Gastric sleeve surgery has a significant difference from other obesity surgeries like gastric bypass. Since it does not create major changes in the digestive system, the surgery is performed more quickly and carries less risk. In general, absorption disorders are not seen after this surgery. In other methods, absorption restrictions occur, which means patients often need to receive trace element and vitamin support for a long time or permanently. Gastric sleeve surgery typically does not require such needs.
After surgery, patients usually do not experience dumping syndrome. Dumping syndrome is caused by the rapid passage of ingested food into the intestines, leading to symptoms such as diarrhea, nausea, and fatigue. The likelihood of encountering such issues is low in patients who have undergone gastric sleeve surgery, providing them with a better quality of life.
In summary, gastric sleeve surgery is an effective and safe method in the fight against obesity. With regular follow-ups and appropriate dietary habits after surgery, patients can experience significant improvements in both weight loss and health issues. However, since each patient's situation is different, thorough evaluation prior to surgery and guidance from a specialized surgeon are crucial.
In recent years, the increase in experience and knowledge regarding gastric sleeve surgeries has significantly reduced complication rates. The most feared complication of this surgery, leakage risk, has been minimized through advanced techniques. Especially, stitching the stomach stapler line with a double suture technique reduces the likelihood of leakage. As a result, the leakage rate generally remains around 1%.
Another important risk in the postoperative period is embolism. Embolism occurs when an abnormal blood clot forms in the veins of the legs during surgery, potentially reaching vital organs and causing serious health problems and life-threatening conditions. However, preventive measures can minimize the risk of embolism prior to surgery.
Other complications that may occur after gastric sleeve surgery include bleeding. Bleeding usually occurs within the first 72 hours post-surgery. Patients are closely monitored after the surgery, and interventions are performed in case of bleeding. Additionally, careful techniques during surgery can reduce the risk of bleeding.
In the later stages after surgery, narrowing in the middle part of the stomach may occur. This narrowing can lead to persistent vomiting. Treatment for narrowing can be corrected through endoscopic balloon dilation or other methods such as gastric bypass surgery.
In conclusion, gastric sleeve surgery is an effective and safe method for obesity treatment. Although complication rates have decreased with evolving techniques and experience, gastric sleeve surgery, like any other surgery, has its risks. It is crucial for patients to undergo a thorough evaluation before surgery and to have the procedure performed by skilled hands. This ensures that patients can experience a healthy and successful recovery process after surgery.
The preparation phase for gastric sleeve surgery begins with a detailed assessment after the patient applies to the clinic. In this assessment process, the patient's weight, height, and fat measurements are taken. Additionally, the patient's existing health conditions are evaluated to determine their suitability for surgery. If deemed appropriate for surgery, a diet program is established based on the patient's BMI.
The diet process is determined according to the BMI. Patients with a BMI between 32.5 and 39 undergo a 2-day liquid diet process, those between 40 and 45 undergo a 3-day liquid diet process, and patients with a BMI of 45 and above undergo at least a 5-day liquid diet process. These diet processes help reduce liver and intra-abdominal fat before surgery and increase protein intake to preserve muscle tissue, preparing the patient for surgery and recovery.
Prior to surgery, patients undergo a check-up and various tests. These tests include blood tests (kidney, liver, fat, and cholesterol levels), HbA1c test to assess the status of diabetes, thyroid test (goiter), chest X-ray, ECG, pulmonary function tests, and abdominal ultrasound. These tests are conducted to assess the patient's overall health status and suitability for surgery.
The test results are evaluated by specialist physicians in internal medicine, cardiology, psychiatry, and anesthesiology. Necessary precautions regarding the patient's health condition are taken before surgery, and the surgery date is determined.
The preparation process for gastric sleeve surgery is extremely important for minimizing the risks of surgery and ensuring a healthy surgical process. Through detailed evaluations by specialist physicians and appropriate diet programs, patients can prepare for a successful recovery process post-surgery.
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