Sleeve gastrectomy were previously performed as the first step in the preparation of operations such as gastric bypass and duodenal switch in very risky patients. Since most of the patients lost weight well, other interventions were not required, so it was started to be applied as the only method.
HOW IS SLEEVE GASTRECTOMY PERFORMED?
The operation is performed under general anesthesia using the laparoscopic method. The abdomen is entered with a thin needle and the abdomen is inflated with carbon dioxide gas. The abdomen is entered with a total of 4 cylindrical instruments placed in the abdominal wall and the process is started by transferring the image to the screen with the help of a camera. During the operation, the tube placed in the stomach from the mouth is taken as a guide, the stomach is stapled upright and cut and 75% of it is removed. The operation takes approximately 30-45 minutes.
HOW DOES THE SURGERY EFFECT ON WEIGHT LOSS?
Due to the lack of ghrelin (known as appetite hormone), which is secreted from the fundus part of the stomach, appetite decreases compared to the past. Besides, as the stomach volume decreases, less food is consumed and thus weight is lost effectively and permanently.
WHO CAN HAVE SLEEVE GASTRECTOMY?
Those aged between 16-70,
Those with a Body Mass Index over 40,
Those with a Body Mass Index between 35-40 and additional diseases (diabetes, blood pressure, cholesterol, sleep apnea)
Those with a Body Mass Index between 30-35, with diabetes and metabolic syndrome,
Those who have not been able to permanently lose weight with diet and sports for the last 6 months,
Those whose obesity is not due to any hormonal disorder,
Those without severe heart and lung failure,
Those without active psychological illness,
Those without alcohol and substance addiction
NUTRITION AFTER SLEEVE GASTRECTOMY
You shoul obey the sleeve gastrectomy diet.
Water drinking is started at the 6th hour after the operation.
Between 1-15 days, liquid food is consumed.
Soft-puree food is consumed for 16-30 days.
Feeding with solid food is started after the first month.
WEIGHT LOSS PROCESS AFTER SLEEVE GASTRECTOMY
There are many factors affecting weight loss in the post sleeve gastrectomy period. Many factors such as age, gender, body mass index, duration of obesity, presence of additional disease affect weight loss.
In the first month, 10% of the initial weight is given. Weight loss continues for up to 1-1.5 years. During this period, approximately 80% of the excess weight is given.
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