It is a surgical procedure performed in the treatment of obesity. A large part of the stomach is removed and a narrow banana-shaped tube is created. Thus, the stomach volume shrinks and the person feels full with less food. Gastric sleeve surgery accelerates weight loss and contributes to the treatment of diseases such as diabetes. It is usually done by laparoscopic method, the recovery process is fast. Healthy nutrition and follow-up are important after the operation.
In what cases is gastric sleeve surgery performed?
Individuals with a body mass index over 40 are in the "morbidly obese" category. Since this level of obesity carries serious health risks, sleeve gastrectomy surgery is recommended. It is recommended for people with a BMI between 35-40 and if they have additional health problems such as diabetes, high blood pressure, and heart diseases. This operation also contributes to the healing of additional diseases. It is an option for individuals who fail to lose weight despite long-term diet and exercise attempts. It helps to achieve permanent weight loss. Lack of self-confidence, social withdrawal or depression may occur due to excess weight. It can also support psychological recovery in individuals experiencing these situations. It is considered suitable for individuals between the ages of 18-65. However, in some special cases, it can also be applied to young or elderly individuals. It is important that the patient is psychologically ready for the surgery process. The general health condition must be sufficient to tolerate surgery. A detailed evaluation is made before surgical intervention. Successful results are achieved in individuals who agree to change their dietary habits after sleeve gastrectomy surgery. Surgical intervention is planned more safely for individuals who do not have serious chronic diseases such as heart or lung. These conditions make surgery necessary to improve a person's health and reduce the complication associated with obesity. However, a detailed evaluation process is essential for each patient.
How is Gastric Sleeve Surgery Performed?
The patient is evaluated for obesity, metabolic conditions and comorbidities. Examinations such as blood tests, endoscopy, ECG and lung function tests are performed. Meetings are held with a dietitian and psychologist. Training is given for adaptation after sleeve gastrectomy surgery. The anesthesiologist evaluates the patient's health condition before surgical intervention. On the day of the operation, the patient is asked to fast for at least 8 hours. A vascular access is prepared to administer medication and fluids during the surgery. The procedure is performed under general anesthesia with the patient completely asleep. 4-5 small incisions are made and surgical instruments are inserted through these incisions. Approximately 80% of the stomach is cut and removed with a tool called a stapler. The remaining stomach takes the shape of a long, thin tube. The stomach stapling line is checked for leaks. This is achieved through air and liquid testing. The areas where the surgical instruments were removed are closed with stitches and tape. After the surgery, the patient is observed in intensive care for a while. Painkillers and intravenous fluid support are provided. Walking is encouraged early after the operation to prevent blood clots. Liquid foods are started on the first day after surgery. After 2-4 days, the patient is discharged and information is given about the nutrition plan. Gastric sleeve surgery is a serious surgical procedure that requires careful preparation and regular follow-up. Adapting patients to lifestyle changes after surgical intervention significantly increases the success rate.
Things to Consider After Gastric Sleeve Surgery
Immediately after surgery, only liquid foods should be consumed for the first 2-3 weeks. Water, broth, soup and sugar-free compotes should be preferred. After the 3rd week, you can switch to pureed foods. Yogurt, vegetable purees and soft foods are recommended. 5-6. Although solid foods can be started from week one, care should be taken to keep portions small. It is important to eat slowly and chew thoroughly. It is necessary to consume at least 1.5-2 liters of water a day. However, drinking water with meals should be avoided. Some vitamin and mineral deficiencies may occur after sleeve gastrectomy surgery. Supplements such as B12, iron, vitamin D and calcium should be taken regularly in accordance with the doctor's recommendation. It is important to get enough protein. It can be supplemented with protein powders if necessary. Light walks are recommended in the first 1-2 weeks. This both accelerates healing and regulates blood circulation. After 4-6 weeks, light sports and regular exercises can be started. However, heavy exercises should be avoided. It is necessary to acquire sports habits in order to control weight in the future. Some patients may have a psychological desire to eat in the post-operative period. This situation may require psychological support. It is useful to work with a dietitian to avoid returning to old eating habits. In the early stages, reflux and nausea may occur. For this, the medications recommended by the doctor should be used. Attention should be paid to the hygiene of the surgery area. Protection against the risk of infection must be provided. In case of sudden pain and fever, a doctor should be consulted. Regular doctor check-ups should not be missed after sleeve gastrectomy surgery. Blood tests and general health status should be evaluated. Smoking delays wound healing and can cause stomach problems. It is recommended to leave it before and after surgical intervention. Alcohol consumption should be avoided, especially for the first 6 months. Alcohol can both harm the stomach and lead to vitamin deficiencies.