Gastric Sleeve Gastrectomy

Sleeve Gastrectomy in Obesity

It is a stomach reduction surgery for the treatment of obesity.

One of the most common obesity surgeries in the world and in our country is sleeve gastrectomy surgery.

How to Perform Gastric Sleeve Gastrectomy

The stomach is turned into a banana in this surgery. The aim here is to try to reduce the food capacity of the stomach. This is called restriction surgery.

On the other hand, since the fundus part is removed, the ghrelin hormone secreted there, which stimulates our appetite, is deactivated. Thanks to this surgery, the patient's appetite is also reorganized in a way.

The operation is performed laparoscopically, that is, closed. It is performed by entering the abdomen through 4 or 5 holes of 1 or 0.5 centimeters in diameter and using special tools called staplers.

Advantages of Gastric Sleeve Gastrectomy

• With this surgery, the patient loses 80 percent of the excess weight in a period of one year. Since the surgeries are closed, the patient regains his/her social life early and can return to work after a week.
• In addition, since the digestive system, especially the small intestine and duodenum, are not treated, the patient will not have any problems with malabsorption in the future.
• The patient may still periodically need vitamins such as vitamin B12.
• Since all parts of the stomach can be examined with an endoscope thanks to this surgery, endoscopy can be easily used to diagnose other stomach-related diseases that may develop in the future.
• You can return to normal daily life within a few weeks. Follow-up results are close to perfect.
• Patients start to lose weight within days after surgery. The weight loss becomes evident within a few months.
• It shows that patients with sleeve gastrectomy lose 70-80 percent of their excess weight.
• In the long term, there are no significant problems with the absorption of essential nutrients for the body.
• Since the surgery is performed with closed technique, it is possible to stand up on the same day. Hospitalization for 3-4 days is sufficient.

Disadvantages of Gastric Sleeve Gastrectomy

• If the patient cannot control his/her eating and does not pay attention to what he/she eats, he/she may regain 35-40 percent of the weight lost within 3 to 5 years.
• This is important. The patient must pay utmost attention to his/her diet. Especially sugary foods must be avoided.
• Gastric sleeve surgery is a moderately risky surgery among all surgeries in general.
• The majority of patients do not experience any additional problems.
• The incidence of a major complication is around 2 percent.