In this surgery, the surgeon removes a large portion of the stomach (approximately 80%) along the greater curvature (fundus) leaving the stomach shaped like a tube.
The stomach is significantly reduced in size, which limits the amount of food that the patient can eat. Another effect is that some degree of malabsorption may occur after surgery which also helps in the weight loss process.Hunger will also decrease.This procedure is not only performed to improve the appearance of the patient’s body, but more importantly to reduce the life-threatening risks that come with obesity such as heart disease, type 2 diabetes, high blood pressure, sleep apnea and many more.
How do you prepare for the gastric sleeve operation?
Initially, a full medical evaluation will be done so that the doctor can determine the appropriate procedure and schedule the surgery
The most important thing before surgery is diet.
In obese people, there is always a buildup of fat around the liver, which makes it enlarge which makes the surgery more difficult for the surgeon and more dangerous for the patient which is why a strict diet is necessary two weeks before the surgery.You will have to reduce carbohydrates and sweets, and then two days before surgery you will be on a liquid diet only (this includes protein shakes for energy). Note that caffeinated and carbonated drinks should be avoided
Another important step to be aware of is that you must stop smoking at least 4 weeks before the surgery or it will be cancelled.
Before gastric sleeve surgery
- The first thing you do is psychological preparation that this process will completely change the system and routine of your previous life
- If you’re not ready, you may be depressed or traumatized by such a big change in your body.
- Start exercising before the operation because you will have to make it a part of your day after the operation
- Start taking vitamins so that your body does not experience a deficiency in them and deficiencies in the functions that depend on them.
- Do not forget to drink water.
- Avoid foods saturated with fats and sugars, because after the operation you will not find a place for them in your small stomach.
- You have to change your eating habits, the process will reduce the amount of food you can eat,
- Stop smoking before the procedure and do not take blood-thinning medications.
- If you are taking any kind of medication, tell your doctor about it and ask him if you need to stop it.
- One day before the operation, avoid heavy foods and large quantities and focus more on water and drinks.
People eligible for gastric sleeve surgery
- The age of the patient should be between 18-65 years.
- BMI over 35.
Techniques used in sleeve gastrectomy
First method: This type is not preferred by everyone, especially women.
Where a surgical incision is made in the abdomen, the stomach is sutured and the incision closed after that. This method leaves a large scar at the place of the incision, and it needs a cosmetic operation to treat it.
The second method
- Sleeve gastrectomy is done by making very small incisions in the abdomen and then inserting the endoscope where the operation is performed.
- The doctor gives the patient a general anesthetic
- In certain cases, the doctor may have to resort to a surgical incision.
- The doctor reaches the stomach, treats its tissues, cuts the part he wants to remove, and then closes the rest.
- After the operation, these incisions are closed, and its advantages over the previous type, first in terms of aesthetics, and secondly in terms of speed of recovery.
Post operation
- When you eat you will notice the difference quickly with your first meal and you will feel full soon after you start eating.
- After the sleeve gastrectomy, you need to follow a healthy and beneficial diet.
- At first, you may experience diarrhea and a constant feeling of nausea just by eating food.
- In the first month, the doctor will put you a list of allowed foods until the stomach heals
- After the operation, do not try to eat more than the capacity of your stomach, because that will lead to two things: one is vomiting, and the other is the stomach widening again, so that your operation becomes useless, so stop as soon as you feel full.
- There is an important fact that some people overlook, which is that this is a gastric sleeve operation and not a sculpting or liposuction process, which means that it will not reduce your weight alone without your help.
- You should exercise regularly to lose your extra weight.