Sleeve gastrectomy, also called vertical sleeve gastrectomy, is a surgical weight loss method. This procedure is typically performed laparoscopically, which involves the introduction of instruments through several small holes in the upper abdomen.
During Sleeve gastrectomy, about 80 percent of the stomach is removed, leaving a tube stomach the size and structure of the banana. Limiting the size of your stomach also limits the amount of food you can consume. In addition, this method activates hormonal changes that help in weight loss.
The same hormonal changes also help alleviate conditions associated with excess weight, such as high blood pressure or heart disease.
The procedure is performed laparoscopically with a stapler called a stapler. Laparoscopic Sleeve gastrectomy (LSG) is a safe and effective surgical method for patients with high body mass index (BMI) and high risk of weight loss.
Vertical sleeve gastrectomy is a new obesity surgical technique that reduces the volume of the stomach, which can be performed laparoscopically. The stomach takes the form of a tube, like a continuation of the esophagus. Because the stomach volume drops to 25%, patients are saturated when they eat 1/4 of what they have already eaten.
In this method, absorption disorder does not occur because bypass is not performed in the intestines, less food leads to weight loss. Sleeve gastrectomy has emerged as a restrictive method of eating. But it has also been understood to have metabolic effects through hormonal changes.
Table of Contents
What is Vertical Sleeve Gastrectomy?
Sleeve gastrectomy is one of the most restrictive food intake operations in obesity surgery. Vertical Sleeve gastrectomy is an excellent surgical procedure for morbid obesity. Generally, 50% of excess weight is given within 12 months and 75% in the first 6 months after surgery.
In summary, a new tube-shaped stomach with a volume of 150-200 cc is created by cutting and removing the large edge of the stomach vertically by laparoscopic method.
Reducing the volume of the stomach restricts food intake and the feeling of satiety caused by removing the fundus part of the stomach, where the hormone Ghrelin, known as the hunger hormone, is secreted, also leads to a decrease in appetite, contributing to weight loss.
Here are the some features of Vertical Sleeve Gastrectomy:
- Sleeve gastrectomy is performed under general anesthesia using laparoscopic method 4 inputs.
- Laparoscopic sleeve gastrectomy surgery is performed with a stapler called stapler.
- The part of the stomach separated by punching is taken out of the abdomen from the entrance of the 12 mm trocar.
- After laparoscopic sleeve gastrectomy surgery, the volume of the stomach decreases by 75%.
- It is a method with lower risk compared to other methods.
How is Vertical Sleeve Gastrectomy performed?
In Vertical Sleeve Gastrectomy surgery, technically about 80-85 percent of the stomach is removed vertically. Therefore, after surgery, a stomach volume of about 100 – 150 ml remains. This makes patients eat less.
However, in the removed part of the stomach, there is a release of a hormone called ghrelin. Since most of the stomach is disabled after vertical Sleeve Gastrectomy, the level of the hormone ghrelin, also popularly defined as the hunger hormone, is significantly reduced, and the patient experiences a faster feeling of satiety. In this way, patients ‘ appetite is reduced, which helps reduce their eating.
The patient does not have to cope with a constant feeling of hunger compared to before. Thus, weight loss begins immediately after surgery.
General anesthesia is applied to patients before surgery. The operation can vary from 45 minutes to 1 and a half hours. Tube stomach surgery is the vertical removal of 75% of the stomach and the transformation of the stomach into a banana or tube shape.
It is intended to reduce food intake as the stomach shrinks. After surgery, the feeling of appetite decreases as the fundus region, where appetite hormone is secreted in the stomach, is removed.
By removing the reservoir area, the passage of food into the intestine becomes faster, and the satiety hormone is released early. Structural and functional changes caused by surgery lead to decreased appetite and restriction of eating and drinking.
Is vertical sleeve gastrectomy safe?
Sleeve gastrectomy, also called vertical sleeve gastrectomy, is a surgical method of losing weight. This procedure is typically performed laparoscopically, which involves the introduction of instruments through several small holes in the upper abdomen.
During sleeve gastrectomy, about 80 percent of the stomach is removed, leaving a tube of the stomach in the size and structure of the banana. The operation is safe, but it is very important that you follow the doctor’s recommendations.
After sleeve gastrectomy, your diet begins with sugar-free, non-carbonated liquids for the first seven days, then progresses to foods with a puree consistency for three weeks, and finally to normal foods about four weeks after your surgery. You will need to take a multivitamin twice a day, a calcium supplement once and an injection of vitamin B-12 once a month.
Vertical Sleeve Gastrectomy Risks
This method, known as Vertical Sleeve Gastrectomy, is based on the principle of surgical removal of a certain part of the stomach in a vertical plan and leaving a tube-shaped part of the stomach behind.
Even when a small amount of food is taken after surgery, patients experience a feeling of satiety, loss of appetite occurs after a while due to the fact that the part of the stomach that is taken also releases hunger hormone, so this method greatly helps to lose weight.
Currently, the Vertical Sleeve Gastrectomy Risks are very low, and the recovery process after surgery and surgery is quite short and comfortable. In the first 2-3 years after surgery, 70-80% of excess weight is lost.
Many weight increases are not observed in the long period after surgery. Sleeve gastrectomy is preferred as the first method to avoid unwanted complications of gastric bypass surgery in patients with BMI above 40 or between 35-40 and ta diabetes, hypertension, hyperlipidemia and metabolic syndrome.
– Risk of bleeding: during the operation, the stomach is reduced and stapler, that is, colloquially a stapler, is used for this.
During and at the end of the operation, these lines are checked, and usually the operation is terminated after making sure that there is no bleeding in these controls. But in the first hours after the operation (the first 24-36 hours), if a capillary vessel bleeds, it is called “bleeding”, and it can reach dangerous dimensions if it exceeds a certain rate and does not stop on its own.
In such a case, it can be expected depending on the size of the event, or the patient can be re-operated according to the severity of the condition. After this operation, the probability of bleeding is about 1-2%.
– Risk of leakage: stapler, that is, when there is a problem in the staple line, an opening, a disconnect, when there is an infiltration, this is called leakage. Even if the risk of leakage is 1% or lower, when it develops, it can make the patient seriously ill and reach dangerous dimensions.
If there is a leak, it is usually checked during the operation. However, these are of no importance. Because the main cause of the leaks is blood and oxygen problems in the tissue. The main reason why oxygen is low in the tissue can be zigzags in the staple lines.
When oxygen is low in the tissue, the tissue wears out and can lead to leakage in the staple line. This can usually occur between 7-14 days.
For this reason, patients are given only liquid food for the first 2 weeks so that the punch line is not too pressurized in the Tube stomach operation, and for the first two weeks, pureed food can be given because the risk of leakage is lower in other operations.
– Stomach rotation or twist: stomach rotation on its axis after a certain period of time, this can usually occur for a few months, the first 2-3 years. One of the most important reasons for Twist is that the front and back surfaces of the stomach are not equal.
In addition, it can cause changes that occur due to healing of the tissue. When stomach rotation occurs, the patient experiences problems with food intake. The patient may even vomit frequently.
– Narrowing of the stomach: one of the effects of the above-mentioned rotation of the stomach is the narrowing of the passage of the stomach.
In addition, if the stomach was left too narrow during the first procedure, it can become even narrower with the healing of the tissue over time and create serious problems with the passage of food.
In case of tube gastric stenosis, it is important in which part of the stomach the stenosis is. If the stricture is in the upper regions, it is difficult to cure. If the stricture is in the lower areas, which is usually the case, the patient can get rid of the narrow area by translating the Rny gastric bypass operation.
Vertical Sleeve Gastrectomy Healing Process
After performing Vertical Sleeve Gastrectomy, the patient first wakes up in the operating room. After the patient is kept in the operating room until his breathing improves, he is followed up with the necessary procedures.
At this time, there may be complaints such as some pain and nausea due to anesthesia given to the body and surgery performed. Psychologically, when the patient wakes up, his morale and motivation when he goes into surgery somehow wakes up.
Therefore, it is important to keep the patient’s morale high before surgery. Painkillers and necessary treatments are provided by the hospital for the pain that occurs in the patient after surgery.
When the side effects that are tolerated to a certain extent reach suspicious dimensions, necessary interventions are made by doctors. For this reason, it is unwarranted to worry about normal pain and complaints. It is forbidden to feed the patient orally as liquid or solid for about 6 hours after surgery.
After that, water use can gradually begin. If everything goes well, in the evening of the day of surgery, the patient may be advised by his doctor to take small walks in the hospital. Usually, depending on the patient’s recovery state, the patient is discharged about 4 days after tube stomach surgery.
How Long Does Vertical Sleeve Surgery Take?
Typically, the vertical sleeve gastrectomy, also known as gastric sleeve surgery, lasts between one and three hours. Both the difficulty of the procedure and the patient’s unique medical condition will affect the duration of the surgery. As general anaesthesia is frequently used during gastric sleeve surgery, patients will be rendered unconscious. Individuals usually spend a few hours in the recovery area following surgery before being moved to a hospital room or released for discharge.
Which country is the cheapest for vertical gastric sleeve?
The short answer is Turkey, because the average cost for Vertical sleeve gastrectomy (VSG), commonly known as gastric sleeve surgery, in the Us is around $15,400. In terms of the typical cost of gastric sleeve surgery in Tukey in 2021, your maximum gastric sleeve cost would be around €4.500.
Does health insurance cover a vertical gastric sleeve surgery?
Gastric sleeves, duodenal switches, mini-gastric bypasses, and other semi-cosmetics treatments have always been excluded from insurance coverage. Today you can get a vertical gastric sleeve surgery covered by insurance as many health insurance companies offer coverage.
Which country is the best for the vertical gastric sleeve?
Turkey is your best option for gastric sleeve surgery or also known as vertical Gastrectomy, in 2021.
Many experienced and proven surgeons are based in the famous city of Istanbul, and as the country continues to thrive in the field of health care, medical, and cosmetic operations, it is only fair that you choose Turkey if you are traveling overseas for weight loss surgery.
How Much Does Vertical Sleeve Gastrectomy Cost?
If you’re thinking about having gastric sleeve surgery, you need to know how much the procedure will cost. Fortunately, the cost of the procedure will vary greatly, depending on several factors.
One of those factors is where you live. Although most hospitals offer the procedure for a fixed price, surgeons are able to charge a higher rate if they want to offset the costs of their facility. Also, it can save you money if you opt to travel.
The total cost of gastric sleeve surgery varies from $7,000 to $10,000, depending on the clinic’s location and services. Because many surgeons practice in high-traffic areas, the cost of gastric sleeve surgery is likely to be higher.
After having a Vertical Sleeve Gastrectomy surgery, you can expect to spend one to two nights in the hospital. You’ll likely need to follow a special liquid diet for several weeks, after which you’ll gradually move on to soft or solid foods.
It’s important to drink plenty of fluids to avoid muscle and kidney problems and to avoid constipation. After undergoing this procedure, you can expect to be on a liquid diet for the next four to six weeks.
