OBESITY TREATMENT

LAPAROSCOPIC SLEEVE GASTRECTOMY

Sleeve Gastrectomy: What is it, What are the Applications and Procedures, Frequently Asked Questions

Gastric sleeve gastrectomy surgery is performed with the laparoscopic (closed) method and under general anesthesia. Especially in the recent years, it is the most frequently applied bariatric surgery method. It is the process of turning the stomach into a tube up to the esophagus with the help of special tools, starting from the pylorus, which is the end point of the stomach, about 3-6 cm. After the procedure, which takes about 45 minutes, approximately 75-80% of the stomach is removed. Gastric sleeve surgery helps to lose weight with 3 mechanisms.

Since the fundus part of the stomach that secretes the Ghrelin hormone is completely removed in sleeve gastrectomy surgery, the patient's appetite decreases after the surgery. A feeling of fullness occurs with a small amoun of feeding due to the reduction of stomach volume. Since the reservoir part in the stomach is removed, the passage of food to the small intestine is accelerated and the satiety hormone called GLP is released from the small intestine early, so that the patient feels satiety earlier.

1.Who Is Sleeve Gastrectomy Surgery Performed?

In order for a person to have sleeve gastrectomy surgery, the following conditions should be; body mass index values of people with obesity disease are 40 and above, or having a body mass index between 30-39.9 and having health-threatening conditions such as high blood pressure, high cholesterol, diabetes, sleep apnea. Although sleeve gastrectomy surgery is generally recommended for obesity patients between the ages of 18-65, the age limit can be reduced to 13-70 in special cases. It should not ve overlooked that diagnosis by specialist surgeons and the seriousness of the health conditions of the people are important in sleeve gastrectomy surgery.

After sleeve gasterctomy surgery, a feeling of early satiety occurs with a small amount of feeding due to the reduction of the stomach volume. In addition, the feeling of hunger is suppressed as a result of removing the fundus where Ghrelin, known as the appetite hormoned, is secreted.

After sleeve gastrectomy surgery, the patients loss weight rapidly in the first three months, especially in the first month. During this period, patients are generally well motivated and follow the recommendations as they lose weight very easily. However, some patients may ignore the recommendations as they lose weight without doing sports during this period. For this reason,with sleeve gastrectomy surgery, it is strongly recommended to follow the nutritional and sports in terms of adaptation to the future and continuation of weight loss.

The most important benefit of sleeve gastrectomy surgery is that there is no change in the natural way of the digestive system. Since the part that releases the Ghrelin hormone, which triggers the feeling of hunger, is removed, hunger is suppressed for a long time, and you do not want eat much. Sleeve Gastrectomy Surgery is an easier operation compared to other surgeries and the operation time is shorter. Compared to other procedures, vitamin and mineral deficiency is much less common.