Sleeve gastrectomy surgery

Obesity Surgery

Obesity Surgery Sleeve gastrectomy surgerySince the problem of obesity in the world is increasing various bariatric surgeries have been performed for about half a century. Surgical intervention is required in case of appropriate indications where there is no response from the treatments and diet methods given to the patient as a result of the examinations. The results of our surgical operations with the laparoscopic (closed) method are highly satisfactory.

The most common types of surgeries we perform are laparoscopic gastric bypass and sleeve gastrectomy surgeries. Nowadays, laparoscopic surgery is being applied in our country and all over the world with increasing success.

Conditions under which bariatric surgery cannot be performed:

  • Unstable psychiatric state and severe eating disorders
  • Alcohol addiction
  • Serious systemic diseases (eg. liver cirrhosis, serious respiratory disease, diseases that increase the risk of bleeding or infection, and serious heart disease)
  • Patients over 65 years of age
  • Inappropriate BMI (BMI)

Sleeve gastrectomy surgery

Obesity Surgery Sleeve gastrectomy surgery 1Sleeve gastrectomy is an operation performed on the basis of removing a large part of the stomach, including the area where the hunger hormone is secreted. The size of the removing part of the stomach varies according to the size of the stomach, while the size of the remaining part is mostly standard because it has its certain width. In some cases 60% of the stomach may need to be removed, sometimes up to 90%. The hunger hormone called ghrelin is secreted from the fundus of the stomach, which is mostly removed. This surgery does not contain any components related to the intestines, in this way, it is the most natural and most physiological surgery. After this surgery, the stomach is filled with a small amount of food and satiety is felt faster. Since the hunger hormone region is mostly removed, there is less feeling of hunger and while the food goes through its physiological pathway a natural process of fat loss occurs.

Sleeve Gastrectomy surgeries are nowadays very well defined and the risk of complications is very low. In these surgeries, there is a 1% risk of leakage from the suture line and a 3-4% risk of infection and bleeding. In addition, complications such as thrombosis, that is, blood clot, heart, lung, anesthesia complications, drug allergies, which can occur in every surgery, are present in this type of surgery too. Taking all possible complications into account, the operative and postoperative mortality rate is 0.5 per 1000.

Nutrition After Sleeve Gastrectomy:

The patients start liquid nutrition on the first day after the surgery, protein shakes and similar liquids may be introduced on the second day, on the third day soup is allowed. For the first two weeks, only liquid food is allowed. In the third and fourth week, the patient can introduce mashed food. After the first month the patient can usually start eating regular foods except the prohibited food. Patients are given protein and vitamin supplements as well as all the medicines they will use several months after surgery.

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