Gastric Sleeve Surgery in Turkey

Who Is Eligible For Gastric Sleeve Surgery ?

Gastric sleeve surgery is typically an appropriate treatment method for people whose body mass index is too high or for whom a longer procedure such as gastric bypass is at risk due to various conditions such as heart or lung problems. In some cases, both operations are performed gradually.

About 12 to 18 months after sleeve gastrectomy, gastric bypass surgery can be used as the second step. This process also includes reducing the size of the small intestine. Due to the significant weight loss of the patient during this period, the risk of complications from the operation is greatly reduced, and the possibility of scar tissue formation is also reduced due to the reduction in liver size.

Gastric sleeve surgery qualifications

Below we list what is curious about gastric sleeve surgery, the most popular obesity surgery in the world. And here’re the Gastric sleeve surgery qualifications:

• Gastric sleeve surgery is performed for people aged 18-65 years. In order for a person to be a suitable candidate for stomach surgery, the body mass index (BMI) values determined by the World Health Organization must be 35 and above.
• The entire procedure is performed by laparoscopic surgery. 
• Patients typically lose about 70-80% of their excess weight within 12-18 months.
• Associated conditions such as high blood pressure and sleep apnea usually improve quickly.
• The preparation process for surgery and possible complications are always specific to the patient.
• What needs to be done before and after surgery, you’re eating and exercise habits need to be completely reorganized.
• Gastric sleeve surgery is performed with very small incisions by piercing the abdomen. These incisions are millimeter.
• Because the operation is performed by a closed method, only very small incision scars remain in the abdominal area. These lines become completely invisible within a few months.

How is Gastric Sleeve Surgery Performed ?

The entire procedure is performed by laparoscopic (closed) surgery method. Laparoscopic surgery is performed by making many small incisions. The ports placed through these incisions are used for hand tools to reach the abdomen. One of them is a surgical telescope connected to a video camera and the others are for the introduction of specialized surgical instruments. The surgeon watches the operation on a video monitor. With experience, an experienced laparoscopic surgeon can perform many procedures laparoscopically, just as in open surgery.

The abdomen is inflated by introducing carbon dioxide gas into the abdomen. Then, a special tool called a trocar is used to enter the inside of the abdomen. First, place a silicone tube from the mouth to the stomach outlet to adjust the remaining stomach width. It is separated from the adipose tissue surrounding the stomach, vessels and the adjacent spleen. Then, the excess part of the stomach is cut and separated with special devices called staples. There is still a stomach volume of about 80-150 ml.

This separated part is taken out of the abdomen and sent to pathology. Then, bleeding is controlled in the cut and stapled part. Additional metal clips can be used for this, or additional stitches can be placed if needed. Also, if needed, some special drugs can be applied to the wound site in order to reduce bleeding. Then, a silicone drain is placed in the area of the surgery to remove the accumulated fluids. The wound area is aesthetically closed, and the operation is terminated.

What are the Possible Risks of Gastric Sleeve Surgery ?

In gastric sleeve surgery, the common risks involved in each surgical procedure are also effective. The professional team should always be with you before, during and after the operation.

Possible complications specific to this operation are respiratory problems that may occur due to the mobilization of clots formed in the veins of the leg depending on the patient’s weight, especially leaks at the sutures and related abscesses and are seen in 1%. The reason for this reduction is the widespread use of the procedure, the increase in the number of experienced centers and surgeons, and the advancement of the technology used.

Gastric sleeve death risk

However, the risks of these operations in surgical treatment applications are one of the most important causes of anxiety. Especially a fat person has serious problems after surgery and even the risk of death can be found is the most important reason for the negative point of view. Mortality rates according to general and surgical types were reported as 0.1% in gastric band-clamp, 0.15% in vertical Band Gastroplasty, 0.54% in Gastric Bypass, 0.8% in Biliopancreatic diversion, and 0.25% overall average when all types of surgery were evaluated in general. According to scientific studies, the risks of appendicitis and gallbladder surgery in fat people are slightly higher than in the weak. But that risk does not mean death. For example, in cardiovascular surgery, the early death rate is about 2 percent, and in obesity surgery, it is 1 thousand. Before tube stomach surgery, patients are comprehensively informed about these risks by doctors in hospitals performing tube stomach surgery. Obesity surgeries are not aesthetic surgeries! Because the life expectancy of morbidly obese patients is reduced by 10-15 years due to obesity, the risks associated with obesity are significantly higher than the risks of tube stomach surgery. In morbidly obese people who have Gastric sleeve surgery, the risks associated with other health problems, such as liver lubrication, the risk of developing kidney diseases, sugar or high blood pressure, are eliminated. Therefore, bariatric surgery is both a small risk and a surgery that reduces the risk of other operations.

How many pounds can be lost with gastric sleeve?

After gastric sleeve surgery, most patients become perfectly weak. In general, the weight loss rate is about 70% of excess weight. Most of the weakening happens in the first year. In the next year, there will be some more weight loss. After two years, the weight usually remains constant. For example, for a patient who is 160 cm tall and weighs 124 kg, the ideal upper limit of weight is 64 kg, and the excess weight is 60 kilos. This means that the patient loses 70% of their excess weight, which means that they lose 42 pounds and fall to 82 pounds. It is almost impossible not to lose weight after tube stomach surgery. Just as there are patients who are completely reduced to their ideal weight, there may also be patients whose weight loss is insufficient. In follow-up reports of large patient groups, the rate of long-term weakening is about 85-90%. A small number of patients may experience repeated weight gain over a long period of time. The probability of returning to the old weight is 1 %.

As with all obesity surgeries, there is no fixed weight loss value guaranteed for gastric sleeve surgery. Closed gastric sleeve surgery surprisingly lowers Appetite, severely slows the rate of eating. As a result, the amount of food that can be eaten at a meal is greatly reduced. The psychology of patients who begin to weaken easily quickly turns positive. In a short period of time, the cycle of restricted everyday life, poor nutrition and inactivity is broken. It becomes possible to create a healthy lifestyle. Better results are obtained in patients who have a regular daily life after surgery, a balanced diet and sports.

What are the Advantages of Gastric Sleeve Surgery ?

Issues such as 40% to 70% weight loss in an average year, preserved stomach function due to no change in the stomach inlet and outlet valves during the operation, the possibility of low vitamin and mineral deficiency since no changes are made in the small intestine can be counted as the advantages of this operation.

In addition to these advantages of sleeve gastrectomy, performing the procedure with laparoscopic methods also provides advantages such as less pain relief need after the procedure, less risk of infection, faster recovery and return to daily activities, very small incisions in the skin and less hospital stay.

How Is The Recovery Process After Gastric Sleeve Surgery ?

Those who have a desk job can return to work within 7-10 days after surgery. In those with heavy work, the restriction lasts until the 3rd week after surgery. Those who return to work after the 7th day should also avoid movements that compress the abdominal wall.

It is desirable for the discharged patient to quickly return to his daily life. Daily activities will reduce the risk of embolism. Laparoscopic gastric reduction surgery is an operation in which patients can quickly return to their daily life due to the closed method. In closed surgery operations, there are small incisions of about half a centimeter on the skin and these incisions, which are hidden stitches, heal completely after a week.

The suture of the reduced stomach will heal completely in about ten days. In other words, patients are at risk of leakage for about ten days. For this reason, heavy activities and solid nutrition are not recommended for the first ten days. If a patient undergoing surgery is not working in a heavy work done with muscle power, he can start working after a week.