Sleeve gastrectomy is a surgery which makes the stomach smaller and help people lose weight. - See more at: https://map2heal.com/health-guide/details/2058#sthash.AOmOhuqG.dpuf
SLEEVE GASTRECTOMY (GASTRIC SLEEVE)
Sleeve gastrectomy is a surgery in which the stomach is vertically straitened. This surgery is also called as parietal gastrectomy, gastric sleeve or weight loss surgery. There are two ways for the weight loss in surgical treatment. One aims to decrease the amount you eat. The second way aims to decrease the food absorption.
Sleeve gastrectomy surgery makes the stomach smaller and help people lose weight. In this surgery the most enlargeable part of the stomach is removed leaving a thin vertical sleeve, or tube, that is about the size of a banana. This part cannot stretch too much and avoid overeating. Your bits become smaller. The foods entering to the stomach is transferred faster to the small intestine.
In this operation, the most flexible part of the stomach is surgically removed. The remaining part can’t expand too much. This prevents to eat too much.
* Making the stomach as a tube increases the resistance of the stomach against foods. It doesn’t authorize the passage of big sized foods. Your bits become smaller.
* Making the stomach as a tube helps to empty quickly the foods entering to the stomach. The foods which can’t stay too much in the stomach won’t find any time to enlarge stomach and leave it.
* Food passage to the intestine is accelerated and this passage stimulates the motion of the intestine. In this operation despite there is no changes in intestine, the over absorption of the calories taken is prevented.
The surgery which can be performed by laparoscopy, will cause lower pulmonary problems and provide rapid healing.
Who do we offer laparoscopic sleeve gastrectomy?
This can be offered to the patients who should be treated because of obesity. Patients who have a very high body mass index (BMI) or who are at risk for undergoing anesthesia or a longer procedure due to heart or lung problems may benefit from this staged approach.
Surgery is generally considered when your body mass index (BMI) is 40 or higher. In the early years, even so this surgery was applied to the patient having BMI 50kg/m, today this index is decreased to 35 or higher if you have a life-threatening or disabling problem that is related to your weight. Patient who abstains from gastric bypass operation and patient who are planned to be a stomach band surgery can be having sleeve gastrectomy.
What are the risks of sleeve gastrectomy?
In this operation a part of the stomach is removed, so at the remained part of the stomach there will be a staple line. In some cases, it can be leakage of digestive contents from this staple line. The risk is below 10%. Most of these leakages can be self-healed. In other cases, abscess related to these leakages can be formed, that can be resolved by using an antibiotic or empting the abscess outside. Rarely the patient should be re-operated.
The causes of that leakage can be related with both the surgery method and the patient problem. Today a number of preventive measures and methods to decrease the leak rate are developed. These methods are differently used by the surgeons. The problem occurring depending on the patients is related with the weakening of immune system because of obesity. This can increase the period of healing process. Whereas we can see scarcely any risks related with the high level nursing standards before and after the surgery.
The advantages of sleeve gastrectomy
- Because of being a laparoscopic surgery, the wound healing is faster, the pain is lower and the hospitalizing period gets shorter/shortens.
- While stomach size and volume are reducing, its function is not changed and this provides minimum consumption of foods.
- Because Ghrelin (hunger stimulating hormone) producing fundus part of the stomach is removed, the appetite decreases and weight loss occurs.
- Dumping syndrome is prevented because the pylorus is conserved. Foods leave the stomach late; this creates to live feeling of fullness.
- Ulcer risk is minimized.
- Because of being avoided intestine bypass; intestinal obstruction, marginal ulcer, anemia, osteoporosis, protein and vitamin deficiency risks are eliminated.
- Sleeve gastrectomy creates a good result for the patients having high risk (BMI is higher than 55) and who should have two operations.
- This can be an available and good option for the patients; who have a chron diseases or anemia, intestine bypass or who have high risk for who afraid of complications that can be occurs after intestine bypass.
- This surgery can be transformed to a bypass or duodenal switch if needed.