Procedure

Sleeve Gastrectomy- Bariatric Surgery

What is Sleeve Gastrectomy?

Constraining the size of your stomach limits the amount of food you can eat. Moreover, the procedure can lead to hormonal changes that help with weight reduction. These hormonal changes additionally help diminish the effects of medical conditions that are related to being overweight, like hypertension or heart disease.

Sleeve gastrectomy, also known as vertical sleeve gastrectomy, is a surgical weight reduction procedure. This surgery is performed laparoscopically, which includes embedding little instruments through numerous little cuts in the upper abdomen. During sleeve gastrectomy, around 80 percent of the stomach is removed, leaving a tube-like stomach about the size and shape of a banana.

Why Is Sleeve Gastrectomy Required?

Sleeve gastrectomy is done to enable you to lose excess weight and diminish your risk of weight-related medical issues such as:

  • Gastroesophageal reflux
  • Heart disease
  • Hypertension
  • High cholesterol
  • Obstructive sleep apnea
  • Type 2 diabetes
  • Stroke
  • Infertility

Sleeve gastrectomy is commonly done after you've attempted to lose weight by changing your eating habits and physical activity

This procedure can be an option for you if:

  • Your body mass index (BMI) is 40 or higher, otherwise known as extreme obesity
  • Your BMI is 35 to 39.9, also known as obesity, and you have a serious weight-related medical issue, like type 2 diabetes, hypertension or extreme sleep apnea. You may also qualify if your BMI is 30 to 34 and you have serious weight-related medical issues.

You should likewise be willing to make certain improvements to lead a healthy way of life. You may be asked to comply with a healthy diet, physical activity and a healthy lifestyle.

Which Doctor to Consult?

A group of medical doctors, including endocrinologists, surgeons, dietitians and therapists, often identifies people who could most benefit from surgery. They will work seriously with you to help accomplish good outcomes.

What to expect during the procedure?

Your surgical procedure rely upon your individual condition and the doctor’s practices. Some sleeve gastrectomies may be done with traditional open insicions in the abdomen. However, sleeve gastrectomy is commonly performed laparoscopically, which includes embedding little instruments through various little entry points in the upper abdomen.

The surgeon then makes a thin sleeve by stapling the stomach vertically and removing the bigger, curved portion of the stomach.

The procedure usually takes one to two hours. After the procedure, you will be brought into the recovery room, where the medical staff monitors you for any problems.

Post-operative care

After sleeve gastrectomy, your diet starts with food and drinks with less sugar, which will continue for 7 days. You can then eat soft foods for three weeks and later on, solid food for a month after your surgery. You may take a multivitamin, a calcium supplement and vitamin B12 everyday.

You'll have frequent medical visits to your doctor in the first few months after the procedure. You may require lab testing and different tests.

Complications

As with any surgical procedure, sleeve gastrectomy presents potential risks, both short-term and long-term. The risks may include bleeding, infection, allergies, breathing problems and others. Talk with your doctor about the possible risks and complications of sleeve gastrectomy.

To learn more about Sleeve Gastrectomy, please check our blog on ENDOSCOPIC SLEEVE GASTROPLASTY: A NEW WAY TO LOSE WEIGHT WITHOUT SURGERY.

References

  1. Mayo Clinic https://www.mayoclinic.org/tests-procedures/sleeve-gastrectomy/about/pac-20385183. Accessed January 17, 2019
  2. Sleeve Gastrectomy: Center for Metabolic and Weight Loss Surgery | Columbia University Department of Surgery. Columbiasurgery.org. http://columbiasurgery.org/conditions-and-treatments/sleeve-gastrectomy. Published 2019. Accessed January 25, 2019.

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