Sometimes for some people, it might be hard to reach their goal weight with diet and exercise; there may be multiple reasons behind it, such as slow basal metabolism or health-related complications. In this situation, one can consider undertaking bariatric procedures such as a gastric sleeve. With gastric balloon and gastric bypass, gastric sleeve is one of the three most popular bariatric surgeries that are carried out with the aim of weight loss.
If you are considering gastric sleeve surgery because diets and exercises haven’t worked for you, it might be beneficial to get informed and acknowledge some key points about the procedure. In this article, we will be providing you with a guide for undertaking a gastric sleeve. We will also mention the privileges of having a surgical operation at Clinic Excellent.
What Is Gastric Sleeve Surgery?
During the gastric sleeve -or sleeve gastrectomy- procedure, doctors remove a section of your stomach and put the remaining portions together to form a new “sleeve” stomach the size of a banana. You’ll feel full much faster with only a tiny bag than you did previously. You won’t be able to consume as much food as you used to, which will aid in weight loss. Furthermore, the procedure eliminates the region of your stomach that produces a hormone that increases your hunger.
The surgeon uses a laparoscope, a stapler, and a cutter to create 3-5 tiny incisions across the abdomen while the patient is under general anesthesia. A bougie, or flexible tube, is then inserted into the patient’s esophagus as a guide to split the stomach into two halves. The smaller section of the belly (which is still connected to the esophagus) is stapled shut and reshaped into a tiny sleeve. At the same time, the rest of the stomach is completely separated and removed.
Gastric sleeve surgery is a completely different procedure than gastric bypass, and they shouldn’t be mistaken. People with a BMI of 40 or above are the greatest candidates for gastric sleeve surgery. That means you should be at least 100 pounds overweight. It may be a viable option for those who are too heavy for gastric bypass surgery.
The surgeon creates a tiny pouch that bypasses most of your stomach and goes straight to your intestine in a gastric bypass procedure, whereas gastric sleeve surgery is carried out by permanently removing about 75% of your stomach.
How Long Does Gastric Sleeve Surgery Take?
The operation takes roughly an hour. Your surgeon will make a few small slits in your stomach and implant a laparoscope, which is a piece of camera-equipped equipment that delivers images to a monitor. The surgeon will next use the extra cuts to implant further medical devices and remove 3/4 of your stomach. Finally, the rest of your stomach will be reattached to form the “sleeve” or tube. You might be in the hospital for two or three days. The surgery is irreversible.
How Is Gastric Sleeve Surgery Performed?
Below, we will be explaining how the gastric sleeve surgery is carried out step by step:
- Small incisions are created in the abdominal wall to allow small trocars to be inserted.
- The stomach is scrutinized. The blood arteries on the stomach’s lateral side are split.
- A Bougie tube is put into the stomach to act as a sizer for the new stomach’s size.
- The stapler is used to divide the stomach into two sections starting at 4-6 cm (1.5-2.5 inches) from the pylorus (the valve between the stomach and the small intestine). To avoid generating a stricture, the stapler is placed somewhat away from the Bougie tube at first.
- The stomach is divided with continuous stapler shooting. The stapler is extremely close to the Bougie tube after the initial firing, and it creates a little banana-shaped new stomach.
- The stomach is separated into two distinct sections. The bigger region of the stomach that was removed had roughly 75-80% of its previous capacity. This section of the stomach can be removed by a very tiny incision once it has been decompressed (the 15 mm trocar site). Some experts believe that the stomach’s excised top section (fundus) is responsible for secreting hunger hormones. Many people may not feel hungry following surgery since this section of their stomach has been eliminated.
- The new banana-shaped stomach has around 20% to 25% of the volume of the previous stomach. Almost all patients eat significantly less following surgery because they feel full much faster.
Advantages Of Gastric Sleeve
The benefits of undergoing gastric sleeve surgery are numerous. The first is fast weight loss, with most patients losing more than 50% of their extra body weight within four to six months.
The technique takes an hour and has a reduced risk of problems than more invasive procedures like gastric bypass surgery. In addition, the sleeve may be adjusted if your stomach pouch extends over time.
While other weight-loss operations need cutting and reattaching the small intestine, sleeve patients avoid the complications of intestinal bypasses, such as intestinal blockage, anemia, osteoporosis, vitamin shortage, and protein deficit.
Patients who already have anemia, Crohn’s disease, or other disorders that would put them at high risk for surgery requiring intestinal bypass might choose gastric sleeve surgery.
Another benefit of vertical sleeve gastrectomy (VSG) is that it is one of the few laparoscopic operations available for extremely obese individuals. This fact makes this procedure more appealing and safer for individuals with a high BMI and a high risk of complications.
Gastric sleeve surgery also has a number of additional advantages, such as:
- Quickens reaching the feeling of fullness by reducing the capacity of your stomach.
- The procedure does not require disconnecting or reconnecting of the intestines.
- Following the surgery, the stomach works normally, enabling most meals to be consumed in smaller portions.
- The procedure is less invasive when compared to gastric bypass.
- The removed part of the stomach includes a portion that produces a hormone called ghrelin, which increases the hunger feeling. With that portion being removed, the patient feels much less hungry after the procedure.
- The procedure does not require application or augmentation of any foreign body to the surgical area.
- Does not carry the risk of ‘’dumping syndrome’’, a complication that is heavily related to gastric bypass.
Gastric Sleeve Surgery Results
The success rate of gastric sleeve surgery is determined on the patient’s willingness to lose weight and maintain a healthy and active lifestyle. Once you’ve returned home, it’s critical to see a doctor every three months to ensure the procedure is going well and without issues.
Over the course of 12 to 18 months, most people shed 60 percent of their excess weight. So, if you’re 100 pounds overweight, you’ll lose 60 pounds on average, while some people lose more and some lose less. Of course, exercising and eating a healthy diet help you lose weight.
Who Is Eligible For Gastric Sleeve Surgery?
Naturally, people who are considered a good candidate for a gastric sleeve surgery should not be able to lose weight or overcome their obesity by food and exercise alone. If you’re thinking about having a gastric sleeve procedure, it’s always a good idea to think about alternative possibilities first – and to completely grasp what life will be like afterward.
The vertical sleeve gastrectomy is best suited to those who are either severely overweight or have a medical issue that prevents them from having other types of surgery. The laparoscopic gastric sleeve is also widely utilized as a first-stage treatment for high-risk and high-BMI patients.
Gastric Sleeve Complications And Possible Side Affects
There are several possible complications after a gastric sleeve surgery. Below, we will be listing these possible complications:
- Scar infections
- Internal bleeding
- Anorexia nervosa
- Bowel Obstruction
However, the chance of developing any of these issues is extremely low, ranging from 0.5 to 1 percent. The chance of dying as a result of this type of operation is roughly 0.25 percent, which is incredibly low. The reality remains that remaining fat is far more hazardous and prevalent than doing nothing.
Many of the consequences can be avoided by properly treating any wounds and keeping the doctors informed of any problems. In extreme situations of internal bleeding, a blood transfusion may be necessary.
Patients will lose a lot of weight after this bariatric surgery since the majority of their stomach is removed. Because this is a long-term procedure, you’ll need to get used to eating less and practicing portion control.
The moderate side effects that might occur, especially while adapting this new style of eating, include vomiting and diarrhea. If you don’t watch how much and how fast you eat, you can develop esophageal problems. If you suspect that there are any further issues on the way, you should contact your doctor as soon as possible.
How To Take Care Of Yourself After Surgery?
For at least two months following surgery, heavy lifting is not advised. A long-term maintenance diet is also necessary, since this will aid in weight loss. Vitamin insufficiency may occur, necessitating the use of supplements. It’s critical that you follow your doctor’s and nutritionist’s advice. For a set amount of time, you will be on a liquid diet. Then you’ll start adding new meals and solids to your diet. It’s critical to eat carefully and consume the recommended number of meals as indicated in your post-operative care plan.
How Much Does It Cost To Have A Gastric Sleeve Surgery in Turkey?
Gastric sleeve surgery costs around £3200 at Clinic Excellent (in Istanbul, Turkey). The procedure’s cost varies somewhat based on a few criteria. You may reach out to us right now to schedule your gastric bypass surgery.
Clinic Excellent employs highly skilled practitioners and surgeons who are experts in their professions. You may learn more about comparable processes by reading our other articles about other procedures, such as:
- Gastric Balloon
- Gastric Bypass
Gastric Sleeve All-Inclusive Package in Turkey
An all-inclusive package for gastric sleeve surgery includes pre-surgery procedures, the surgery and post-surgery procedures. The price of this package is £3400 at Clinic Excellent, which is one of the most competitive prices out there.