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Gastric sleeve surgery

Gastric sleeve surgery or stomach reduction surgery is one of the types of surgeries known as bariatric surgeries in the treatment of people suffering from obesity and overweight.

In this method, generally 70-80% of the stomach volume is removed during surgery and a banana-shaped piece of the total stomach volume remains.

What is the purpose of gastric sleeve surgery?

In this method, 2 main goals are followed:

  1. Reducing the volume of the stomach to reduce the amount of food and calories intake
  2. Reducing the amount of absorbent material

Of course, it should be noted that during this surgery, in addition to the mentioned cases, the hormonal changes that occur in the body cause early satiety and decrease in appetite, which will lead to a person’s weight loss.

View samples of gastric sleeve surgeries

Frequently asked questions for patients!
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How is gastric sleeve surgery performed?

This surgery is performed using one of the most up-to-date methods in the world in abdominal surgeries. Gastric sleeve surgery using the laparoscopic method and using a camera and tools that are inserted through the holes created on the abdomen and without the intervention of hands inside the abdominal space.

What are the steps of gastric sleeve surgery?

In performing this procedure, after your preparation and the start of anesthesia, 5 very small holes (with a diameter of 1-2 cm) will be made on the abdomen, and there will be no large incisions on the abdomen. Then a tube is inserted into the stomach for the pattern of the desired size. After inserting the equipment required for surgery (such as a camera, cautery, scissors and stapler…) from the holes created into the stomach, the excess amount of the stomach is sutured and separated with a surgical stapler, and often the piece separated from the same the created hole is removed.

How many hours does gastric sleeve surgery take?

The time of this surgery will be different according to the skill of the surgeon and also the condition of the patient.

Due to the high skill of bariatric surgery specialist surgeon who has high experience in performing this surgery; It usually takes between 30 minutes to 1 hour. which may take up to 90 minutes in certain circumstances.

After the surgery, you will enter the recovery department and then you will be able to be discharged from the hospital after 24 hours.

How many days after gastric sleeve surgery person be able to do activities?

Gastric sleeve surgery has a short recovery period due to the laparoscopic method and not using open surgery, and you can continue your activities shortly after the surgery.

After 24 hours of surgery, you will be able to be discharged and go home, and after 2 weeks you will be able to perform daily activities such as office work and university work.

To start heavy activities as well as physical activities such as sports, 4 weeks should pass after the surgery.

Of course, it should be noted that during the first 10 to 14 days after the surgery, due to the reduction in calories intake compared to the past, you may feel a little tired and weak until the body conditions reach a new stable state and get used to the new calorie intake. It is normal and will improve over time.

What is the difference between gastric sleeve and gastric bypass surgery?

In sleeve surgery, by removing a part of the stomach and reducing the capacity of the digestive system, the stomach actually acts as a communication channel between the esophagus and the intestine, and by reducing the volume of the food storage space, the person gets full sooner, and as a result, the number of calories consumed by the person is reduced. In this procedure, the intestine remains intact.

But in the bypass operation, in addition to changing the volume of the stomach and reducing the number of calories consumed, a part of the intestine is also removed from the cycle of digestion and absorption of food, and in this way, the absence of food in a part of the intestine reduces the absorption of nutrients and calories.

In addition, gastric sleeve surgery is performed in a shorter time (30 to 60 minutes), but bypass requires a longer time between 2 to 4 hours.

What are the benefits of gastric sleeve surgery?

One of the most important benefits of this surgery is significant weight loss in a short period of time, so about 50% of the person’s excess weight is reduced within 6 months after the surgery.

Another important benefit of this surgery is to help improve some past medical diseases of the person.

Also, this surgery increases self-confidence by reducing weight, and it also plays a role in the treatment of infertility.

In this surgery, due to the non-change of the intestinal absorption system, there will be no disruption in the absorption of vitamins.

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Which diseases does the gastric sleeve cure?

This surgery plays a role in the treatment of many underlying diseases, including:

What are the risks and complications of gastric sleeve surgery?

Every surgery in the body has its own risks.

But in the case of gastric sleeve surgery, it should be said that due to the progress of medical science and the use of new methods, as well as the existence of specialized fields related to bariatric surgery in which the surgeon acquires a special and high skill in performing these surgeries, the risks to At least it arrives.

Does sleeve surgery play a role in cancer prevention?

In answer to this question, yes of course!

Since obesity is a very effective factor in many cancers, sleeve surgery significantly reduces the risk of many cancers by reducing the weight of an obese person.

 How much weight will we lose after gastric sleeve surgery?

In gastric sleeve surgery, due to the reduction of food and calorie intake and early satiety and loss of appetite due to hormonal changes, it can be said that about 10 kg of a person’s body weight is reduced within 2 weeks after the surgery.

Then, within 6 months after the surgery, about 50% of the person’s excess weight is reduced, and this amount reaches 70% within 1 year after the surgery, and finally, about 80% of people can lose up to 95% of their excess weight within 2 years after surgery.

In relation to this issue, it should be said that by performing sleeve surgery and following the doctor’s diet and instructions after the surgery, a person will have a suitable weight loss in 80-90% of the cases, and within 2 years after the surgery, sometimes up to 95% of the excess weight will be reduced.

But in some people, if they do not follow the proper diet and doctor’s orders, we may see weight gain in them after 1-2 years the surgery.

In some people, this complication may occur due to the technique used in surgery, which is not serious and can be completely treated with antacids.

Of course, performing surgery by a bariatric surgery specialist and using the right technique minimizes the possibility of this complication.

 Between 2 days to 2 weeks after surgery, the patient should use a liquid diet including fruit juice, thin soup, milk, etc., so that the patient’s stomach is fully recovered and ready to accept and digest other foods.

From the 3rd week, the patient is able to use soft solids, and after 1.5 months of surgery, the patient can have daily nutrition diet.

In gastric sleeve surgery, the ability to absorb vitamins by the digestive system does not change, but according to the special diet and also the reduction of calorie intake, in order to avoid the deficiency of vitamins and its complications, the patient should regularly take multivitamins and calcium supplements.

  • before surgery, some general blood tests need to be done.
  • Cardiologist consultation may be required according to underlying diseases.
  • An anesthesiologist must be consulted before surgery.
  • It is necessary to avoid smoking, alcohol and certain foods before surgery. Some medications should be stopped a few days before the surgery with the doctor’s advice.
  • Consultation with a psychiatrist is one of the most important things required before surgery.
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