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Sleeve gastrectomy

The laparoscopic sleeve gastrectomy is a bariatric procedure in which the surgeon removes approximately 85% of the stomach, shaping the remaining stomach into a tube or “sleeve”.

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About the procedure

Sleeve gastrectomy is one of the weight-loss procedures. In this particular surgery the stomach size is brought down to 25% from the original size. The large part of the stomach is removed right along the curvature. A tube like or sleeve structure is left. This is a permanent procedure and is not reversible later in life.

What is the Procedure?

Before the operation you will be given general anesthesia. The aim is to keep you sleeping and free from pain.  For the surgery some simple steps are followed:

  • A camera is placed in your belly for the surgeon to do the operation
  • The surgeon makes 2 to 5 small cuts in your abdomen
  • The laparoscope and instruments needed for surgery  are inserted through these incisions
  • Most of the stomach is removed with only 25% left behind
  • The remaining portions are joined together
  • If your surgeon is trained the operation will take 60 to 90 minutes

Benefits/Appropriate

In some cases resolution of comorbidities is one of the more notable benefits of sleeve gastrectomy.  The other benefits from sleeve gastrectomy are:

  • Short hospital stays and fast recovery
  • Smaller scaring and less pain compared to open surgeries
  • Better quality of life
  • Benefit from enhanced productivity and economic opportunities

Appropriate For

  • Patients with a very high body mass index (BMI)
  • Patients who are at risk of undergoing long anesthesia due to lung or heart problems

Before Surgery

Before your surgery your surgeon might want to take some tests like:

  • A complete physical examination
  • Blood test, ultrasound of the gallbladder and so on
  • Check if you have any other medical related problem
  • Consult for nutritional information
  • Attend classes to know what happens during surgery and what is expected afterwards.
  • A visit to a counselor to make sure you are emotionally fit for the surgery

Recovery

After surgery you will be required to stay at the hospital for max two days. For the first week you will be put on a liquid or puree diet. You will have to follow the guidelines of your doctor.  The recovery time will be about two to four weeks.

Aftercare

After the surgery since you will be on a liquid diet when you begin a solid diet most of the food will be found intolerable by you. As you begin to heal you can slowly begin to start moving around the house. In due time, you can also begin with rigorous exercises to get your mobility back. And, if you are having pain you can take a pain medication after consulting with your doctor.

 Time Taken

Done in the right hands, sleeve gastrectomy is very safe.  Most of the patients are noted in losing weight very quickly and even 18 to 24 months after the surgery. In fact 50 to 60% patients lose extra weight and as a result achieve improved health patterns.

 Risks & Complications

After your sleeve gastrectomy you will get many advantages like there will be no malabsorbtion complications. No risks of ulcers. The possibility of gastric dumping syndrome is also very less.  The gland Ghrelin is also removed; it is responsible for you feeling hunger. No foreign bodies inside the body (bands or tubes).

Advantages

  • Often done in a laparoscopic method
  • Stomach being reduced to 25%, intake of food reduces
  • Part of the stomach that has the hunger gland is removed
  • Average weight loss is 40% to 60% in first year and 50% to 83% in the next five years
  • No risk of dumping syndrome

What Next

After your sleeve gastrectomy you will be getting back in your life. The weight loss will occur within the first twelve months of surgery. In the coming twelve months your stomach will begin getting used t eating three small meals in a day. The banding gives you quick feeling of fullness and lack of felling hunger.  Remember to follow the guidelines of your doctor and dietician. 

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