Stomach reduction surgery is one of the most preferred practice of obesity surgery today. The purpose of this operation, also called Sleeve Gastrectomy, is to reduce the volume of the stomach. With this operation, the stomach of people with obesity problems are reduced to approximately 100cc. Thus, people with stomach reduction surgery experience maximum satiety with very little food below normal.
In stomach reduction surgeries, a portion of the stomach is removed with surgical procedures and a stomach is left in a tube-shape. Excessive food consumption is prevented by shrinking the volume of the stomach. In addition, since the hunger hormone secretion section in the stomach is removed, patients do not feel hunger.
How Is Sleeve Gastrectomy Surgery Performed?
We perform the sleeve gastrectomy operation laparoscopically. This involves making five or six small incisions in the abdomen and performing the procedure using a video camera (laparoscope) and long instruments that are placed through these small incisions.
During the laparoscopic sleeve gastrectomy, about 75% of the stomach is removed leaving a narrow gastric “tube” or “sleeve”. No intestines are removed or bypassed in sleeve gastrectomy operation. The operation lasts from one to two hours.
Benefits Of Sleeve Gastrectomy
According to their pre-operative weight, patients can expect to lose between 40% to 70% of their overweight in the first year after surgery.
Many health problems associated with obesity can be improved or resolved after bariatric surgery. Diabetes, hypertension, obstructive sleep apnea and abnormal cholesterol levels improve or cure in more than 75% of patients after surgery. Weight loss after surgery leads to a significant improvement in these type of diseases in the first year after surgery.
Who Is Eligible for Sleeve Gastrectomy Operation?
In general, sleeve gastrectomy operation could be an option for you if:
Your body mass index (BMI) is 40 or higher (extreme obesity).
Your BMI is 35 to 39.9 (obesity), and you have a serious weight-related health problem, such as type 2 diabetes, high blood pressure or sleep apnea. Sometimes, you can be have certain types of weight-loss operations if your BMI is 30 to 34 and you have serious weight-related health problems.
You must also make permanent changes in your lifestyle. You can be required to participate in long-term follow-up plan which includes monitoring your nutrition, your lifestyle and behavior, and your medical conditions.
How Much Weight Can You Lose With Sleeve Gastrectomy?
Usually patients want to know how much weight exactly they will lose after sleeve gastrectomy surgery. The answer changes according to the patient. But there are some ways to calculate your expected weight loss. Having proper expectations for how much weight you can expect to lose, assuming you follow the guidelines after the surgery, is an important factor when considering your overall happiness with having the surgery.
How Much Weight Will I Lose?
The amount of weight you will lose depends on a number of factors. These factors include, diet, exercise, lifestyle, and your overall commitment to changing old habits. The size that your surgeon makes your new sleeve can make a difference in overall weight loss.
Let’s assume you do everything right and you’ve changed your diet and created new healthy habits. You exercise on a regular basis. On average people lose 60% of their overweight with gastric sleeve operation. This includes people who have followed their post operative guidelines and people who have not.
If you follow the guidelines, change bad habits, replace them with new healthy habits, then you can expect to lose more than 60% of your overweight.
What is Average Weight Loss With Sleeve Gastrectomy Operation?
Before you make any calculations, let’s look at the average weight loss from sleeve gastrectomy operation. Because each person has different weight and height, therefore different body mass index’s, we cannot use pounds alone to measure expected weight loss. Someone who is 6 foot and 350 lbs will lose a different amount of weight than someone who is 5 foot and 230 lbs. But both of these patients will lose a similar percent of their overweight.
Before Sleeve Gastrectomy Operation
Two or three days before surgery you’ll need to start liquid diet. Restrict your food intake to water, broth, gelatins (no sodas). You’ll need to stop consumption entirely starting at midnight on the day of your surgery – even water. Failure to follow these guidelines may prevent from having sleeve gastrectomy operation.
How Long Will You Be in The Hospital After Sleeve Gastrectomy Surgery?
Due to the minimally invasive nature of gastric sleeve surgery, patients are usually discharged from the hospital within 1-3 days.
During your time in the hospital, you will be monitored by staff, and tests will be administered to ensure there are no major leaks or issues with the incisions. Once you are cleared by your surgeon, you will be discharged to return home and continue your recovery process.
When Can I Return to Work After Sleeve Gastrectomy Surgery?
After gastric sleeve surgery, most patients can return to work within 1 week, and some patients can even return to work after 3-4 days. However, there are different factors that contribute to how fast you can return to work.
These factors include:
Type of Work – Returning to a desk job is much different than returning to a job in constructions. The physical demands and level of activity required in your work will affect the amount of time you will need to take off.
Overall Healing Process – Everyone heals differently and at their own pace. Returning to work depends on how your individual recovery goes and if you experience any complications that can cause the healing process to take longer.
How Long Will It Take For My Stomach To Heal Fully?
There is a difference between returning to everyday activities and full recovery. As time passes after your surgery, you will gradually be able to start eating more and taking on a more active lifestyle. Within a few weeks, you should start to feel less tired and get back into your normal routine. But, your stomach will still be healing.
On average, the incisions take about 2–3 weeks to heal, and 6–8 weeks for the staple line to heal. After a month, most people are able to start regular exercise and are on their way to full recovery.
Sleeve Gastrectomy Diet, Nutrition, Eating Plan
The first day after surgery, you can drink only clear liquids. After some time you will leave the hospital, you can start eating pureed foods and protein shakes and continue to do so for about 4 weeks. Keep in mind that you have to make changes in your eating habits forever. After first month, you’ll switch to eating soft solid foods very slowly.
Other points to keep in mind:
- Everything must be chewed thoroughly and well before being swallowed.
- Don’t drink while you eat, as this might cause your new stomach to overfill.
- Drink liquids a half an hour after finishing a meal.
- Avoid sodas and snacks, as they are high-calorie products.
- Take vitamin and mineral supplements every day.
After 2 or 3 months, you can continue with regular meals. But remember, you will not be able to eat as much as you used to eat before.
How Much Does Sleeve Gastrectomy Surgery Cost?
Due to ethical rules of competition between institutions and awareness of internet pollution, our prices for sleeve gastrectomy operation are not listed on our website. Because our goal is to provide you with the highest quality and most accurate medical information and services. Thus, we can provide the necessary information about which medical operation will be the right choice for you. Contact us for details. Our consultants who are experts in their fields are ready to help you.
Prof. Dr. Alper Çelik
Related Medical Services.