What is Gastric Sleeve Surgery?
Turkey and in the world as the most widely used method of weight loss surgery, gastric tube or also known as stomach reduction surgery is an operation performed to reduce the capacity of the stomach. In sleeve gastrectomy performed by laparoscopic method, popularly known as closed surgery, 80 to 85 percent of the patient’s stomach is vertically removed in the form of a tube. The volume of the stomach remaining after surgery is approximately 100 to 150 ml.
Since most of the stomach is removed after this operation, the relative hormone, that is, the hunger hormone, is also greatly reduced. In this way, the patient gets a feeling of fullness more quickly and the amount of food eaten is seriously reduced.
Who Can Have Stomach Reduction Surgery?
Stomach reduction surgery with a body mass index of 40 and above; It is applied to patients between the ages of 18-65.
Body mass index is between 35 and 40, and stomach reduction surgery is performed for patients who have problems with survival such as Type 2 diabetes (diabetes), hypertension and sleep apnea due to excessive fat.
In addition, patients with a body mass index between 30 and 35 can have Type 2 diabetes due to obesity and a related metabolic disorder, at the decision of their doctor, stomach reduction surgery can be performed.
In patients under the age of 18, gastric sleeve surgery can be performed in line with the physician’s decision, considering the degree of obesity and the health problems they experience. However, parental consent is absolutely required.
This surgery can be performed on people over the age of 65, but if the patient’s health condition and surgery are deemed to be positively affected, this surgery is performed.
How Long Does Gastric Sleeve Surgery Take?
Since it is an operation performed by laparoscopic method, the operation is completed in 1 to 2 hours.
Will There Be Any Trace on My Abdomen After Stomach Reduction Surgery?
In the surgery performed by laparoscopic method, 4-5 holes not exceeding the size of 1 TL coin are drilled into the patient’s body. After the operation, after the stitches heal in the patient’s abdomen, there are scars smaller than the size of a 25-cent coin. Afterwards, depending on the healing state of the skin tissue of the person, it either completely disappears or a vague scar remains.
Is There Any Pain After Gastric Sleeve Surgery?
Since gastric sleeve surgery is not performed with an open method, there are very mild pains. These take about 48 hours and are kept under control with painkillers given under doctor’s control.
How Many Days Can I Return To My Normal Life After Weight Loss Surgery?
Since stomach reduction surgery is an operation performed with a closed method, patients can return to their daily lives on the 3rd day after the operation.
What Should Be Done After Stomach Reduction Surgery?
Let’s not forget that overeating is also an addiction. Although patients like to lose weight even on the first day after the operation, they cannot break their desire to eat when they do not receive psychological support. In this case, the weight loss of patients who do not receive support 1 year after the operation stops and, on the contrary, they start to gain weight. That’s why we, as a team, provide free dietitian and psychological support to all our patients who underwent surgery for 2 years.
How Many Weight Can I Lose After Gastric Sleeve Surgery?
It varies from person to person. Because not everyone’s metabolic rate is the same. In addition to this, eating and drinking habits and starting physical activity also play a big role here, but on average we can say:
After Surgery
10% of the starting weight of the week
15% of the starting weight of the month
20% of the starting weight of the month
25% of the starting weight of the month
30% to 35% of starting weight of the month
disappears. We observed that the weight loss rate reached 50-55% in the 12th month in patients doing sports with personal trainers.
How is Nutrition After Gastric Sleeve Surgery?
In order for the gastric sleeve or stomach reduction surgery to be successful, the patient’s lifestyle must be radically changed. It is very important that he leaves his old lifestyle, adds plenty of movement to his life and changes his eating habits completely by working with a nutritionist.
The diet programs created are on patient basis, but in general;
Since the rapid weight loss process begins in the postoperative period, it is very important to ensure that sufficient protein is taken to support tissue healing and minimize muscle loss. This consists of approximately 60-80 grams of protein per day. (Red meat, chicken, turkey, fish)
The food to be consumed should minimize reflux and dumping syndrome while maximizing weight loss.
Not skipping meals helps to heal wounds in the digestive system while avoiding postoperative complications.
The gradual diet program to be applied is the most suitable diet for the postoperative period.
You should drink at least 6-8 glasses of non-carbonated, decaffeinated and most importantly calorie-free drinks every day. Do not drink anything half an hour before meals. Thus, you prevent your stomach from nausea.
After the stomach reduction surgery, a 5-stage diet is applied. These; It includes the Clear Liquid Period, the Dark Liquid Period, the Puree Period, the Soft Solid Period and the Transition to Solid Food Period.
What are the Exercises After Gastric Sleeve Surgery?
The first 3 months after the operation is very important. You should avoid excessive tiring and weight lifting movements. Light walks are ideal in the first month. After the second month, walking, swimming and fitness will minimize the sagging in your body while losing weight without putting pressure on the abdominal muscles.