What is Tube Stomach Surgery?

The surgical procedure in which a large part of the stomach is removed and the remaining part of the stomach is formed into a tube is  called sleeve gastrectomy  . Gastric sleeve surgery is called Sleeve Gastrectomy in medical language. In society, this operation is also known as stomach reduction surgery. With this operation, approximately 80% of the stomach is removed. Since a large part of the stomach is removed with this surgery, the amount of food taken is greatly reduced and a feeling of fullness is achieved, the brain feels less hungry and the patient starts to lose weight immediately.

Since this type of surgery is a restrictive operation, a feeling of fullness is easily achieved with a small amount of food. However, since the amount of a hormone called “Ghrelin” secreted from the stomach decreases, the patient’s appetite control is partially provided. Therefore, it is aimed for the patient to feel full with very little food in the postoperative period. Gastric sleeve surgery is one of the most preferred surgical operations in the treatment of obesity.

How is Tube Stomach Surgery Performed?

The operation is  performed  with a closed surgery technique called the laparoscopic method . Large incisions as in open surgeries are not in question in this surgery. In laparoscopic surgery, a few holes of approximately 0.5 centimeters are opened and the camera and other treatment tools are sent to the abdomen through these holes.

The surgeon, who performs sleeve gastrectomy, performs the treatment while watching the operation area on the screen. Laparoscopic surgery is more comfortable and safe than open surgery. In this surgery, which is performed by applying general anesthesia to the patient   , approximately 80% of the stomach is removed.

Does Gastric Sleeve Surgery Have a Risk ?

There are certain risk factors in the process after  sleeve gastrectomy  , as in all operations. Therefore, the patient should be kept under control by physicians before and after the operation. The patient should carefully follow and apply the instructions conveyed to him. The risks of sleeve gastrectomy surgery can be listed as follows:

Stapler Line & Leakage Formation

In order to minimize these risks, both air and liquid leak tests are applied. As a result of these tests, it is useful to understand whether there is any leakage in the stomach. With these tests, the  risks of leakage formation  are minimized. If any leakage is observed in these tests performed during the operation, the stomach is repaired with various techniques. In addition, the use of quality materials in the surgery considerably reduces the risk of leakage.

Stomach Injury Risks

In the process after sleeve gastrectomy, there may be stomach injuries that can occur in the stapler line, although rare. These injuries do not pose a problem since the stomach has a very thick structure. However, if there is an injury in the inner layers of the stomach, if it is not noticed, leaks may occur in the stomach.

Operation Vision

Liver examinations should be done in detail. Fatty and large livers in surgical stomach operations pose a great problem for surgery. One of the most common risks in this type of operation is the limitation of vision due to the large size of the liver. In order to eliminate these risks, the patient should be given a preop diet, which is an intensive diet program for the liver, for two weeks before the operation. The preop diet greatly reduces the risk of vision impairment.

Spleen Injury

The stomach tissue is in close relationship with the spleen. Injury to the spleen may occur with a very low probability as the stomach leaves the spleen. Minor injuries can take immediate control, while larger injuries can result in removal of the spleen.

Bleeding Risks

There is a risk of bleeding in every surgery. However, every bleeding must be controlled during the operation in order to avoid bleeding problems after the operation. However, post-operative bleeding can occur, albeit very rarely. Such bleeding can usually stop spontaneously with the measures taken, or rarely secondary surgeries may be required.

Anesthesia Risks

Surgical operations are a very rare type of risk. It refers to the allergic conditions that occur against the components in the anaesthesia.

Cardiovascular Risks

cardiovascular risk; These are the risks arising from situations such as hiding the patient’s health history, inadequacy of the examinations, and failure to examine the results carefully. Generally, such risks occur in the post-operative period.

Liver Injuries

In general, patients with a very large body mass index may have excessive fat in the liver and abdomen. Having an excessively large liver increases the risk of injury during surgery. However, unnoticed injuries can lead to serious problems in the postoperative period. For this reason, it should be ensured that the bleeding control is done well before the operation is terminated. While ongoing bleeding may cause excessive blood loss, it may also cause various infections in the body in the future.

The Risks of Gastric Sleeve Surgery

Reflux problem may occur in the advanced stage after the surgery. The stomach, which is put in the form of a tube, can expand after surgery. The weight lost as a result of the expansion of the stomach can be regained. The patient may experience problems such as bloating, nausea or vomiting.

Who Is Tube Stomach Surgery Performed?

After the sleeve gastrectomy  , one of the most curious questions  is to whom the surgery can be performed. The answer to whom the surgery can be performed is as follows: Gastric reduction surgery can be applied to people between the ages of 18-65. In addition, the person’s body mass index should be 35 and above.

In order to be able to operate on people under the age of 18, the degree of obesity and the causes of the disease should be evaluated. As a result of these evaluations, surgery can be performed with the doctor’s decision and parental approval. Thus   , the doctor makes the final decision on who can be operated on. On the other hand, people over the age of 65 are evaluated according to the health status of the person and the necessity of the surgery (problems experienced due to weight).

What should life be like after sleeve gastrectomy?

After stomach reduction surgery, patients start a new life. Therefore, the patient should create a new lifestyle for himself. There are certain steps that need to be taken in order to accelerate the healing process and allow the patient to start losing weight. First of all, after the surgery, the diet recommended by the doctors should be strictly followed and the right foods should be consumed. Protein, vitamin and collagen supplements recommended by the doctor should be used correctly during the post-  operative  nutrition process.

After sleeve gastrectomy surgery, an  exercise program must be  applied to the patient. The exercise program applied should be updated frequently according to the patient’s condition. After the operation, the patient should be supported in terms of morale and motivation. The patient should not be put in the expectation of miraculous weight loss. Water consumption should never be neglected after the operation. After the surgery, smoking should not be allowed for the first 1 month and alcohol should not be consumed for the first 6 months. The patient should also change his perception of socialization after surgery. Especially when eating out, healthy choices should be made.

How Is Nutrition After Gastric Sleeve Surgery?

After sleeve gastrectomy, the patient should definitely seek help from a dietitian who specializes in nutrition. The  nutrition list  to be applied should be prepared individually by the dietitian. During the first 2 months, a gradual transition from liquid food to solid food is achieved. Immediately after the operation, the patient begins to be fed with liquid foods.

At the first stage, supplements such as vitamins and proteins recommended by the doctor should be used. The diet  should be rearranged by the dietitian when the patient switches to normal eating  habits. It is especially important to consume low-calorie and sugar-free beverages. It is not recommended to consume liquids with meals after the surgery.

How Much Are Tube Stomach Surgery Prices?

Gastric sleeve surgery  prices  vary according to the hospital preferred by the patient and the quality of the equipment to be used. In addition, surgery prices differ according to the experience and expertise of the doctor. You can get the most accurate information about sleeve gastrectomy surgery prices from your clinic. If you want to get detailed information about surgery prices and get professional support, you  can contact us by clicking here  .

Op. Dr. Mücteba Gündüz
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