Sleeve Gastrectomy (Stomach Reduction)
Sleeve Gastrectomy is the most common restrictive type of obesity surgery in the world. The aim is to permanently reduce the stomach volume. Furthermore, loss of appetite eases weight loss because the fundus part of the stomach, called the appetite center, is removed. This surgery is also called sleeve gastrectomy or stomach reduction surgery due to the shape of the stomach left.
How is sleeve gastrectomy performed?
Sleeve Gastrectomy is performed under general anesthesia with laparoscopic method. In this surgical procedure, approximately 80% of the stomach is removed with vertical gastrectomy, leaving a part equal to the width of the esophagus. Special devices called staplers are used during the cut made in the stomach. After the bleeding and leak controls, the stomach part is removed through the hole in the abdominal wall. Staple line in the left part of the stomach is sutured to increase the safety of the surgery.
What are the advantages of gastric tube (stomach reduction) surgery?
It is technically easier than other methods.
The duration of surgery is shorter.
Complication rates are lower.
Ghrelin (appetite hormone) level decreases, appetite decreases.
Because the surgery is performed only on the stomach, the intestinal structure is maintained.
Physiological flow of nutrients is not disturbed.
It is not malabsorptive, you can 100% benefit from the food.
It does not require taking vitamin and mineral supplements.
Dumping syndrome is not seen.
When needed, endoscopy is used to visualize the left stomach.
It can be easily transformed into other bariatric surgery methods if needed.
What are the disadvantages of sleeve gastrectomy (stomach reduction) surgery?
It is an irreversible surgical procedure.
Patients should be careful about the weight regain because it is not malabsorptive.
Its metabolic effects are more limited than surgeries such as gastric bypass and duodenal switch, which cause malabsorption.
Which patients can have sleeve gastrectomy (stomach reduction)?
Those between the ages of 18-65,
Those with a body mass index over 35,
Those with body mass index between 30-35 and obesity-related additional diseases (hypertension, cholesterol, diabetes, sleep apnea, heart failure, metabolic syndrome, etc.)
Those who have tried other treatment methods to lose weight and failed,
Those who can endure surgery and anesthesia,
Which patients cannot have sleeve gastrectomy (stomach reduction)?
Those with serious and untreated psychiatric disorders,
Those who are addicted to drugs or alcohol,
Patients with severe hormonal and endocrine disorders,
Patients who cannot adapt to diet and lifestyle changes after surgery,
Those who have a disease that will prevent anesthesia administration,
Those who plan pregnancy within the first 1 year after surgery,
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