Sleeve Gastrectomy is the surgical removal of the part called the fundus that constitutes 80% of the stomach. By removing the fundus section of the stomach, the secretion of the hunger hormone, which in medicine is called the ghrelin hormone, decreases. The ghrelin hormone is a peptide protein secreted from the fundus. It is also an important stimulus for the feeling of hunger in the brain. As sleeve gastrectomy involves the removal of the fundus part of the stomach, less amount of hormone is secreted, and accordingly, the person feels full. In this way, it can significantly contribute to weight loss by reducing appetite.
Since sleeve gastrectomy has fewer postoperative complications and can be converted to malabsorptive surgery when needed, it is practiced more commonly with every passing day all over the world.
Sleeve gastrectomy is performed by laparoscopic (closed surgery) method under general anesthesia, by making 5-6 half-centimeter incisions. During the operation, a tube is inserted into the stomach. With the help of a stapler, a large part of the stomach is removed through a hole of 2 cm, under the guidance of the inserted tube. At the end of the operation, the suture line is checked for bleeding. In addition, the stomach is inflated with special dyes to check for leaks at the suture line. After the control procedures, the tube placed in the stomach is removed and the procedure is ended by placing a drainage system in the abdomen.
Sleeve gastrectomy It is an irreversible surgical procedure. However, it can also be converted to a bypass surgery if necessary.
If your Body Mass Index (BMI) is above 35 and you have one or more of the co-morbid diseases such as hypertension, type 2 diabetes, insulin resistance, sleep apnea, and fatty liver, we can say that you are generally a suitable candidate for this surgical procedure.
If your Body Mass Index (BMI) is over 40 and your age is over 18, you are generally a suitable candidate for this surgical procedure.
First of all, your Body Mass Index should be above 40. If you are found eligible after the examinations, a committee report is issued and SGK covers a certain amount of the cost of the sleeve gastrectomy operation performed in a private hospital.
Since Sleeve Gastrectomy is a Laparoscopic procedure (closed surgery), the pain it causes is at a low level.
Yes, you can. Sleeve Gastrectomy has no adverse effects on the pregnancy process. However, it is recommended that people who have just had surgery reach their ideal weight first.
You should wait for a period of minimum 12 months. The recommended waiting period for pregnancy after surgery is between 18 and 24 months.
We recommend resting at home for 7 to 10 days on average after sleeve gastrectomy. Our patients who work at a desk job can start working after 7 days on average. We recommend that our patients whose job requires physical activity start working after 30 days.
We recommend you to avoid activities that require high effort for the first 3 weeks after the Stomach Reduction operation.
If you regularly do body-shaping sports after surgery, you can minimize the sagging skin problem. If you need aesthetic intervention, we recommend you to have it at least 12 months after your surgery.
It is recommended no to consume acidic and carbonated beverages such as coke, soda, soda pop, which adversely affect the healing process of the stomach. We recommend the consumption of mineral water rich in minerals 3 months after the operation on average. You must wait well enough to let any of such products go flat before consuming it.
Hair loss can be observed in some of those who have had tube stomach surgery. Vitamin and mineral deficiency is the main cause of this problem. Hair loss is not a permanent problem. After about 7-8 months, the lost hair grows again. If you pay attention to your diet, vitamin and mineral values, you may avoid encountering this problem.
We do not recommend consuming alcohol in the first six postoperative months. After the sixth month after operation, you can limitedly consume low-alcohol drinks.
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