Sleeve Gastrectomy

Gastric Sleeve Surgery

Gastric sleeve surgery is a method developed for patients experiencing various health problems due to excess weight. Also known as a gastric reduction surgery, this method can help patients lose more than half of their initial weight.

Different bariatric surgical methods are available for those who are unable to lose weight despite diet and exercise. Although they are generally referred to as gastric reduction surgeries, they differ in terms of application methods and the characteristics of the patients they are applied to. Gastric sleeve surgery is one of these methods and is among the most preferred methods today.

What is Gastric Sleeve Surgery?

Gastric sleeve surgery is a surgical procedure in which approximately 80% of the stomach is cut and removed. After this process, the stomach significantly shrinks and takes the shape of a tube, resembling a banana. The surgery is called gastric sleeve surgery because the stomach takes on a tube shape.

The procedure is performed using laparoscopic surgery. Using the closed surgery method reduces the recovery time for patients and lowers the risk of complications. There are generally three types of weight loss surgeries: gastric banding, gastric bypass, and gastric sleeve. Gastric banding, also known as stomach banding, aims to narrow the entrance of the stomach. The entrance can be tightened or loosened as desired. Gastric bypass involves removing a much larger portion of the stomach and directly sending food to the small intestine.

How is Gastric Sleeve Surgery (Sleeve Gastrectomy) Performed?

Sleeve gastrectomy or gastric sleeve surgery is performed under general anesthesia. Laparoscopic methods are mostly used, and very small incisions are made. The number of incisions may vary depending on the patient’s condition.

To avoid mistakes during the operation, a calibration tube is inserted into the stomach, which is the same size as the esophagus. This ensures that errors such as extreme narrowness and obstruction are prevented. Also, the integrity of the sphincter muscles around the stomach cap is preserved with the calibration tube. Thus, the difference between the esophagus and the stomach is maintained.

After taking measures to prevent bleeding and vascularization, the stomach is cut longitudinally with special cutting and closing tools called staples. At the end of the procedure, the calibration tube is removed, and various techniques are used to check for leaks. These checks can also be performed after the surgery if necessary. If everything is okay, the incisions are closed, and the procedure is completed.

 

To Whom Is Tube Stomach Surgery Applied?

Gastric sleeve surgery is not a procedure for cosmetic purposes and for a weaker appearance. This procedure was developed for people who are at risk of different ailments due to their excess weight. Therefore, it cannot be done for everyone.
There are some conditions that those who want to have this procedure must meet. These conditions are as follows according to the IFSO and ASMBS decisions:

  • Having a body mass index of 35 and above (morbidly obese)
  • Those with a body mass index of 30 to 35, as well as those with sleep apnea, hypertension and type 2 diabetes

Those who have one of the conditions listed here can have sleeve gastrectomy surgery. In addition, those with a body mass index between 30 and 35 and those with new type diabetes 2 and metabolic disorders can have this surgery if their doctor deems it necessary and gives approval. The surgery is performed under general anesthesia.

Therefore, it is important that the candidates do not have a health problem that prevents general anesthesia and surgery. The operation is suitable for people aged 18 to 65 years. However, people under the age of 18 and over the age of 65 may have this surgery, depending on their degree of obesity and their doctor’s approval.

Gastric Sleeve Surgery Complications and Risks

Gastric sleeve surgery, major surgical procedures. The risks associated with other surgical procedures apply here as well. These risks can be listed as follows:

  • Infection
  • Tissue damage
  • The last status
  • Cosmetic issues
  • Embolism
  • Leakage risk

Complications that develop as a result of some of these risks can be life-threatening. However, the life-threatening risk is 1%.
The mortality rate as a result of gastric reduction surgery is 0.1% (1 per thousand). In cardiovascular surgery, this rate is around 2%. Therefore, it is a procedure where the risk of death is lower than many surgeries.

After the procedure, patients are made to drink a radio-opaque liquid to see if there is a leak, and the stomach area is followed. The patients, who are kept under observation in the hospital for a few days, are discharged after the necessary controls.

However, necessary warnings are made about a leak that may occur later. High fever and sudden severe pain and palpitations in the relevant area are considered the most serious symptoms of leakage.

Gastric sleeve surgery, despite its risks, is a procedure that prolongs the lives of patients and increases their quality of life. Thanks to the weight lost after the procedure, serious improvements in physical health occur.

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How Much Weight Is Lost With Tube Stomach Surgery?

One of the most curious things about sleeve gastrectomy surgery is how much weight will be lost. First of all, it should not be forgotten that the amount of weight to be lost is related to the initial weight of the patient and the diet after the surgery.

As a result of the procedure, the digestion process continues in the same way. Although the size of the stomach is reduced, there is no serious change in absorption. Therefore, it is very important to eat in accordance with the diet given by the doctor after the operation.
The weight to be lost after the operation is as follows according to the time and initial weight:

  • 2 ayda başlangıç kilosunun %10’u
  • 15% of initial weight in 3 months
  • 25% of initial weight in 6 months
  • 30% of initial weight in 9 months
  • Up to 40% of the initial weight can be lost in 12 months. These data vary according to the patient.

 

The figures here may differ depending on the patient’s lifestyle, diet and exercise program. With a proper diet and exercise program, 55% of excess weight can be lost in 12 months.

Those Who Have Tube Stomach Surgery

Those who have gastric sleeve surgery share their experiences on different platforms. Considering the evaluations and comments made, it is seen that the patients had hesitations at first, but were pleased to make such a decision after the surgery. Some of the comments of those who had sleeve gastrectomy surgery are as follows:

I made the decision of surgery very hard, but I’m glad I did. I lost 20 kilos in a short time. I started a diet, I pay attention to drink plenty of water during this process.

All details about the operation were explained. Frankly, I was a little scared at first, but I was very happy when I saw the result. I can no longer eat like I used to. Even if I want to, I get choked right away, I don’t want anything. I am so happy.

I lost 20 kilos in just 1 month. It is really surprising to lose the weight that I cannot lose with diet and exercise in such a simple and fast way. I’m glad I had this surgery.

Tube Gastrectomy Recovery Process

Tube gastrectomy is a major surgical procedure and, as such, the recovery process can be somewhat long. After the surgery, patients need to be monitored in the hospital for 2-3 days. After this period, patients can begin to rest at home.

It is recommended that patients spend the first week at home resting after the surgery. During this period, light exercises like walking can be done. This regulates blood flow and significantly reduces the risk of blood clots. It is normal to experience pain, bruising, and swelling in the affected area after the procedure.

This period can be comfortably passed with painkillers prescribed by a doctor. Swelling and bruising are expected and usually resolve on their own without requiring additional treatment. Bruising and swelling begin to significantly decrease, especially after the first week.

Patients can return to work within 1-3 weeks. They should avoid strenuous exercise and heavy work for 4-6 weeks. Following the instructions given by the doctor during this period both shortens the recovery time and increases the success rate of the procedure.

Nutrition After Tube Gastrectomy

Due to the stomach’s reduction in size and the surgical intervention performed here, nutrition after tube gastrectomy should be given special importance. In the first 2 weeks after the surgery, only liquid foods should be preferred. Because during this period, the new sutures and the body’s unaccustomedness to the stomach size require the consumption of liquid foods.

During the next 2-week period after the first 2 weeks, soft and watery foods should be consumed. The aim here is not to switch suddenly to solid foods. This way, the stomach and body will have time to adjust to the new situation. From the 5th week onwards, solid foods can be gradually introduced.

It is important that the consumed foods are rich in protein and minerals and poor in calories.

Is it possible to gain weight again after a gastric sleeve surgery?

There is a risk of regaining weight after a gastric sleeve surgery. This is one of the most significant disadvantages of the procedure. Patients who consume foods that are not suitable for the diet and high in calories after the surgery can stretch their stomachs. As a result, the effects of the operation can be lost.

If attention is paid to the diet after the surgery, the results will be permanent. This way, patients can experience the benefits of taking a new step in life.

After Gastric Sleeve Surgery

Swelling and bruising may occur in the area where the operation is performed after gastric sleeve surgery. These are extremely normal conditions and usually pass without any treatment.

In addition to paying attention to nutrition, it is also important to avoid heavy and tiring tasks. During this period, strenuous exercises should not be performed, and exercises such as walking should be preferred. Doctor’s instructions are important for the success of the surgery and the shortening of the recovery time.

Gastric Sleeve Prices 2023 (Stomach Surgery Price)

Gastric sleeve prices vary depending on different factors. Factors such as the size and difficulty of the procedure to be performed on the patient and the experience of the doctor cause the prices to differ. Gastric sleeve surgery price is especially wondered by obese patients who cannot lose weight with diet and exercise.

Gastric Sleeve Prices

Gastric sleeve prices vary depending on different factors. Therefore, it would not be correct to give precise information about the figures. Although the procedure seems the same for every patient from the outside, in reality, the situation is not exactly like that.

How Much Is the Gastric Sleeve Surgery Price 2023?

You can contact us to get clear information about the price of gastric sleeve surgery. However, don’t forget that you can get the most accurate information after the consultation to be held in our clinic.

Gastric Sleeve Surgery Price 2023

Gastric sleeve surgery is performed to treat health problems such as severe obesity or diabetes. This surgery regulates the body’s control of the passage of meals by removing part or all of the stomach. In this way, it can help in the treatment of health problems such as severe obesity or diabetes.

The price of gastric sleeve surgery may also change in 2023. The cost of this surgery may vary depending on factors such as the location of the hospital, the experience of the doctor, and the date of the surgery. You can contact us for more detailed information.

How much weight do you need to be to have gastric sleeve surgery?

Gastric sleeve surgery is performed to treat health problems such as severe obesity or diabetes. Therefore, the weight required to have gastric sleeve surgery can vary depending on the patient’s health condition and the treatment plan determined by the physician.

Generally, a person’s body mass index (BMI) should be 40 or higher to have gastric sleeve surgery. BMI is a value calculated according to a person’s height and weight and shows the BMI value of an overweight person.”

However, the BMI value alone is not enough for a person to have sleeve gastrectomy surgery. While making the decision to have this surgery, the general health status of the patient is also important.

Reviews of those who had Gastric Sleeve Surgery

Gastric sleeve surgery is performed to treat health problems such as obesity or diabetes. This surgery regulates the passage of food in the body by removing a part or all of the stomach. Therefore, it can be helpful in treating health problems such as obesity or diabetes.

Reviews of those who had gastric sleeve surgery are generally positive. Patients observe weight loss and improvement in their health problems after the surgery. Therefore, many individuals who had gastric sleeve surgery indicate that it is beneficial and helps in treating health problems.

Therefore, it is important to consult with your doctor before making a decision about gastric sleeve surgery.

Are there any risks associated with gastric sleeve surgery?

Gastric sleeve surgery is performed to treat health problems such as obesity or diabetes. This surgery regulates the passage of food in the body by removing a part or all of the stomach. Therefore, it can be helpful in treating health problems such as obesity or diabetes.

However, there are some risks associated with gastric sleeve surgery. For example, infection can develop during surgery, or the patient’s body may reject the surgery. In addition, some individuals may experience problems such as stomach ulcers, vomiting, or stomach pain after the surgery. For these reasons, the decision to undergo gastric sleeve surgery should be carefully evaluated.

How much weight can be lost in one month with gastric sleeve surgery?

Gastric sleeve surgery is used to treat health problems such as obesity or diabetes. This surgery regulates the passage of food through the body by removing a portion or all of the stomach. As a result, patients can be helped in treating health problems such as obesity or diabetes.

The rate of weight loss after gastric sleeve surgery can vary from person to person. Generally, an average weight loss of 10-15 kilograms can be seen within one month after this surgery is performed. However, this number may vary from person to person and can be affected by their lifestyle, diet, and exercise routine. Therefore, it is recommended to consult with your doctor for advice on the rate of weight loss after gastric sleeve surgery.

Who Is Gastric Sleeve Surgery Suitable For?

Gastric sleeve surgery is used to treat health problems such as obesity or diabetes. However, when deciding whether to perform this surgery, the patient’s overall health condition should also be taken into account. For example, infection may develop during the surgery or the patient’s body may reject the gastric sleeve. Therefore, the decision to perform gastric sleeve surgery should be carefully evaluated.

80 kilos gastric sleeve surgery?

Regarding the 80 kilo gastric sleeve surgery, the suitability of the gastric surgery generally depends on the person’s overall health, whether the surgery is necessary, and other factors. Your doctor can evaluate the most appropriate treatment option or whether the surgery is suitable for you.

Nutrition after gastric sleeve surgery

After gastric sleeve surgery, nutrition usually begins with a liquid and protein-based diet immediately after surgery. Due to the reduced size of the stomach, this diet requires you to eat small amounts of food at frequent intervals. Your doctor will explain what you need to eat and how often you need to eat immediately after surgery.

A few weeks after the surgery, you can return to your normal eating habits, but this may still require eating small and frequent meals. Your doctor will plan your postoperative nutrition schedule appropriately.

Who is not eligible for gastric sleeve surgery?

Gastric sleeve surgery is a surgical procedure performed in cases of morbid obesity where all other treatment methods have failed. This surgery is not performed on people with serious heart conditions, severe liver diseases, severe lung diseases, or other serious health problems.

In addition, those who cannot understand or accept the risks of this surgery or are not willing to comply with the recommended diet and exercise program during the postoperative period are not suitable for this surgery.

What does dumping syndrome mean?

Dumping syndrome is a condition that often occurs in people who have undergone gastric sleeve surgery. This syndrome occurs as a result of excessive and rapid stomach emptying caused by carbohydrate-heavy foods after surgery.

Symptoms of dumping syndrome may include nausea, vomiting, abdominal pain, gas and bloating, rapid or irregular heartbeat, sweating, blurred mind, and weakness. The treatment for this syndrome is generally possible with changes in diet and medication.

Will the stomach grow after being measured?

After gastric sleeve surgery, the stomach does not grow, but the stomach cells continue to regenerate. Therefore, the number and size of stomach cells may change after surgery.

However, these changes do not cause an increase in post-operative stomach volume. With this surgery, the stomach volume is reduced, so the person tends to feel full earlier. Therefore, it is important to lose weight by following a diet and exercise program after surgery.

What is prohibited after gastric sleeve surgery?

After gastric sleeve surgery, attention should be paid to the consumption of certain foods and drinks. In particular, carbohydrate-heavy foods, sweets, and dairy drinks can trigger dumping syndrome symptoms by accelerating gastric emptying.

In addition, reducing fluid intake and prolonging the chewing time of foods is also recommended. It is important to follow the diet and exercise program recommended by your doctor in the postoperative period. This way, you can lose weight healthily and maintain a healthy lifestyle after surgery.

How much water should gastric sleeve patients drink?

The daily water intake after gastric sleeve surgery can vary from person to person. However, the generally recommended daily water intake is 2-3 liters. This amount may be low during the postoperative period due to reduced fluid intake.

Therefore, you should try to adjust your daily water intake according to your doctor’s recommendations. During the postoperative period, an increase in the rate of weight loss due to reduced fluid intake can be expected. However, insufficient consumption of water and other fluids can cause dehydration in the body. Therefore, sufficient fluid intake is important.

Can gastric sleeve patients smoke?

Smoking is not healthy after gastric sleeve surgery. Smoking affects the digestive system negatively by hindering the proper functioning of the stomach and intestines. In addition, smoking can make it difficult to lose weight during the postoperative period. Therefore, smoking after gastric sleeve surgery can cause serious health problems. During the postoperative period, you may consider quitting smoking to maintain a healthy lifestyle.

Why does weight loss stop after gastric sleeve surgery?

The rate of weight loss after gastric sleeve surgery can vary from person to person. However, rapid weight loss is usually seen in the first 6 months after surgery. In later periods, weight loss slows down and may reach a plateau for some people.

The reason for this is the decrease in body fat stores and slowing of metabolism. In addition, not following a proper diet and exercise program during the postoperative period can make weight loss difficult. Therefore, to maintain a healthy lifestyle after surgery, you should try to lose weight by following your doctor’s recommendations.

What is the expected weight loss in the first 6 months after a gastric sleeve surgery?

Weight loss after a gastric sleeve surgery can vary from person to person. However, generally, rapid weight loss is observed in the first 6 months after the surgery. During this period, an average weight loss of around 10-20 kg can be expected.

However, this number can vary from person to person, and you should try to lose weight by following the diet and exercise program determined by your doctor during the postoperative period. In the postoperative period, proper nutrition and regular exercise are important to maintain a healthy lifestyle.

Will there be any scars on the body after gastric sleeve surgery?

There is a possibility of scarring after gastric sleeve surgery. However, the size and shape of these scars can vary depending on the surgical technique. While some techniques leave a very small scar, other techniques can result in a larger scar.

Additionally, the visibility of scars can vary from person to person after the surgery. Some people may have more visible scars than others. Therefore, you can talk to your doctor to get detailed information about scars after the surgery.

How many hours after gastric sleeve surgery can one drink water?

The time frame for drinking water after gastric sleeve surgery can vary from person to person. Generally, fluid intake is reduced within the first 6-8 hours after the surgery, and during this period, only a light amount of water can be consumed when hunger pangs are felt.

Subsequently, fluid intake can be continued according to your doctor’s recommendations. In the postoperative period, weight loss can be expected to increase due to reduced fluid intake. However, inadequate intake of water and other fluids can lead to dehydration. Therefore, sufficient fluid intake is important.

What are the side effects of gastric sleeve surgery?

Since gastric sleeve surgery is a serious surgical procedure, it can cause some side effects. These side effects may include pain, bleeding, infection, thromboembolism, anesthesia side effects, or symptoms such as dumping syndrome in the postoperative period.

Additionally, it should not be forgotten that this surgery may also cause psychological effects in some people. Therefore, it is important to get detailed information about gastric sleeve surgery and talk to your doctor. In the postoperative period, you should also try to lose weight in a healthy way by following your doctor’s recommendations.

When can one start eating normal food after gastric sleeve surgery?

After gastric sleeve surgery, a certain amount of time must pass before normal eating can begin. This time frame can vary depending on the surgical technique.

However, generally, the first 1-2 days after the surgery are spent on a liquid diet, and later on, a gradual transition is made from liquids to pureed foods. In later stages, finely chopped foods can be consumed.

In the postoperative period, you should try to lose weight by following the diet and exercise program recommended by your doctor. This way, you can lose weight in a healthy way after the surgery and reach your normal eating habits more quickly.

How to prevent sagging after sleeve gastrectomy surgery?

Proper nutrition and regular exercise are important for preventing sagging after sleeve gastrectomy surgery. In the postoperative period, you should consume protein-rich and low-calorie foods in accordance with the diet program recommended by your doctor.

In addition, eating small amounts of food frequently and drinking plenty of water in the postoperative period can help prevent sagging by promoting weight loss. Regular exercise also reduces fat stores and promotes muscle growth in the body. This way, you can lose weight in a healthy way after surgery and prevent sagging.

How many days do you stay in the hospital after stomach surgery?

The hospital stay after sleeve gastrectomy surgery can vary from person to person. However, usually 1-3 days of hospitalization may be required for this surgery. During this process, you can follow the healing process by following your doctor’s recommendations and take medication if necessary.

In the postoperative period, you should try to lose weight by adhering to the diet and exercise program recommended by your doctor. This way, you can lose weight in a healthy way after surgery and return to your normal life faster.

Do people who have undergone sleeve gastrectomy surgery gain weight again?

There is always a possibility of weight gain after sleeve gastrectomy surgery. However, with this surgery, the size of the stomach is reduced and therefore, the person tends to feel satiated earlier.

Thus, by adhering to a healthy diet and exercise program after the surgery, weight gain can be prevented. Additionally, getting psychological support after the surgery can help maintain a healthy lifestyle. This way, you can reduce the risk of weight gain after surgery and lose weight in a healthy way.

How many days after sleeve gastrectomy surgery can you take a bath?

It is best to follow your doctor’s recommendations for taking a bath after sleeve gastrectomy surgery. Each patient’s condition may be different in the postoperative period and your doctor can tell you the best time to take a bath.

In addition, it is generally important to follow the recommendations for cleanliness and care after surgery. If you have any concerns or questions during the postoperative period, you can consult your doctor.

When do stitches heal after sleeve gastrectomy?

The healing time for stitches after sleeve gastrectomy surgery can vary. This process can depend on the size of the surgery, the patient’s overall health condition, and the treatment applied by the doctor.

The healing process of stitches can be accelerated by adhering to the recommended care and hygiene practices after surgery. Generally, the stitches can heal within a few weeks to a few months after the surgery.

Op. Dr Mehmet Altuğ Kazak

PATIENT VIEWS
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Esin S.

I think Altuğ  is a very successful physician. Both my mother had surgery and I had an interview for a treatment. My mother had an operation for this umbilical hernia and we were really pleased with our teacher. His interest and relevance was so good. Even the nurses working with him were people who took care of each patient separately, they were all very interested. At least our teacher can listen to the patient, I think this is a very important feature. I also talked to him about my hemorrhoid treatment and I continue my process with medication. I believe that Altuğ  is a young and talented physician in this sense. For this reason, I am continuing my negotiations with the aim of losing weight.

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Ferhat S.

I applied to my teacher Altuğ to get information about stomach reduction surgery. Very detailed information was given about the operation. I decided to have the surgery. It’s been 1 month now, I’ve already lost 13 kg. I would like to thank you very much for your dietary advice and support after the surgery. good bye

Op. Dr Mehmet Altuğ Kazak