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Sleeve gastrectomy



Principle of gastric sleeve surgery

sleeve gastrectomy (gastric) in TunisiaThe Gastric sleeve surgery is a type of weight loss surgery. Weight loss surgery is also called bariatric surgery. This operation is also known as sleeve gastrectomy or vertical sleeve gastrectomy. Sleeve Gastrectomy surgery limits your food intake, which leads to weight loss.
It is a laparoscopic surgery, with small incisions in the upper abdomen. Most of the left side of the stomach is removed. The remaining stomach is then a narrow tube called a sleeve. Food empties from the lower stomach into the small intestine the same way it did before surgery. The small intestine is neither operated nor modified. After surgery, less food will fill you up when you eat.

Who should undergo a sleeve gastrectomy

Gastric sleeve surgery is used to treat severe obesity. It is recommended for people who have tried other weight loss methods without long term success. Your doctor may advise gastric sleeve surgery if you are severely obese with a body mass index (BMI) over 40. Your doctor may also advise if you have a BMI between 35 and 40 and a problem with health such as sleep apnea, high blood pressure. , heart disease or type 2 diabetes.

Procedure of the gastric sleeve

You will have general anesthesia for your surgery. This will make you sleep during the operation. Your surgeon will use laparoscopy. He or she will make several small cuts (incisions) in the upper abdomen. The surgeon will then insert a laparoscope and put small surgical tools through these incisions.
The anesthesiologist will then pass a sizing tube through your mouth into your stomach. The surgeon will then use a laparoscopic stapler to divide the stomach, leaving a narrowed vertical sleeve. The part of the stomach that has been removed is then extracted from the abdomen through an incision. Your surgeon can then look for any leaks in the sleeve using dye or upper endoscopy.

Post-operative sleeve gastrectomy

You will probably go home 3 days after surgery. You will be on a liquid diet for the first week or two. Our surgical team will give you a schedule of meal types over the next few weeks. You will move from liquids to pureed foods, then to soft foods, then to regular foods. Each meal should be very small. Be sure to eat slowly and chew each bite well. Do not switch too quickly to regular food. This can cause pain and vomiting. Work with your healthcare team to determine what is best for you. Once your stomach heals, you will need to change your eating habits. You will need to eat small meals for your small stomach.
People undergoing weight loss surgery may have difficulty getting enough vitamins and minerals. This is because they take in less food and can absorb fewer nutrients. You may need to take a daily multivitamin, as well as a calcium-vitamin D supplement. You may need additional nutrients, such as vitamin B-12 or iron. Your medical team will give you instructions.
You will need regular blood tests every few months for the year following surgery. This is to ensure that your blood iron level (anaemia), high blood glucose level, calcium or vitamin D level is not low. If you have heartburn, you may need medicine to reduce stomach acid.
After losing weight, it is possible to regain some of the weight you lose. To avoid this, be sure to follow a healthy diet and exercise regularly. The sheath can expand over time. This will allow you to eat more. But keep in mind that if you eat all you can, you can regain weight. You may want to join a weight loss surgery support group to help you stick to your new eating habits.

How can I prepare my sleeve?

Your healthcare team will need to make sure that gastric sleeve surgery is a good option for you. Weight loss surgery is not advised for people who abuse drugs or alcohol, or who are unable to commit to a permanent change in eating and exercise habits.
Before having surgery, you will need to enroll in a bariatric surgery education program. This will help you prepare for surgery and life after surgery. You will have nutritional advice. And you can have a psychological evaluation. You will also need physical exams and tests. You will need blood tests. You may have imaging tests of your stomach or have an upper endoscopy.
If you smoke, you will need to quit several months before surgery. Your surgeon may ask you to lose weight before surgery. This will help reduce the size of your liver and make surgery safer. You will need to stop taking aspirin, ibuprofen, and other blood-thinning medications in the days before your surgery. You should not eat or drink anything after midnight before the operation.

Advantages of sleeve gastrectomy

The benefits of sleeve gastrectomy are as follows:
While your stomach size is small and you need to minimize the amount of food you eat, your stomach is still functioning normally.
You are less susceptible to complications that can result from bowel bypass, such as as protein and vitamin deficiencies, intestinal obstruction, anemia and osteoporosis.
The majority of the area of ​​your stomach that produces the hormone ghrelin which stimulates hunger, is eliminated.
There is less risk of ulcers and “dumping syndrome (when your body reacts to eating foods high in fat and sugar, causing a range of symptoms of pain, fatigue, nausea and vomiting, as well as diarrhea and intestinal cramps).
High-risk patients with anemia, Crohn's disease and other conditions affected by bowel bypass may be able to undergo this surgery.
Sleeve gastrectomy can be performed safely laparoscopically in all patients. weight patients.
Type 2 diabetes goes into remission for 50% to 65% of patients.

Risks of gastric sleeve

The risks associated with sleeve gastrectomy include:
Weight gain can occur over the long term, as with any surgery to weightloss.
Complications from stomach stapling, such as leaks may occur.
The procedure is not reversible.
Postoperative bleeding, pneumonia, gastric reflux, abdominal wall hernia may occur .

Different bariatric surgery techniques

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