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Gastric Sleeve Surgery
Relevant information about Gastric Sleeve Surgery.
- What does the surgery consist on
Gastric Sleeve Surgery, which has been technically named “gastric sleeve resection”, consists on helping patients who have obesity problems or who are not able to have more invasive weight loss surgeries. This type of surgery is used on patients who present cases of risk. This surgery allows obese patients to achieve an adequate weight, so after going under a gastric sleeve operation they can undergo other kind of surgeries such as, duodenal switch surgery or gastric bypass surgery.
- Which problem does the surgery solve
Gastric Sleeve Surgery is oriented to patients who present severe weight problems. This kind of surgery is indicated for those patients who are super-obese (presenting a mass index of more than 60), and cannot find other ways to achieve an adequate weight stability. The surgery will solve many problems and it is appropriate for people in a risky situation because of their obesity; people who are very anxious and present problems related to self control, will feel healthier by decreasing their mass index and amount of weight. Gastric Sleeve Surgery is used to facilitate posterior operations related to weight loss; many patients who are in a risky situation can go under a gastric sleeve surgery in order to reduce the amount of danger. The stomach contains a hormone called “ghrelin”, this hormone causes the sensation of hunger, slows metabolism and decrease´s the natural ability of the body to burn fats; by going under a gastric sleeve surgery, the area in where this hormone is generated will disappear. The result of the elimination of “ghrelin” prevents the increase of the appetite. For this, gastric sleeve surgery is considered by doctors as highly efficient: one reason is because it reduces the size of the stomach, and the other one is because it reduces the production of the hormone.
- How is the surgery performed
The surgery is performed by a specialist in the area, which is called a bariatric surgeon. He/she will be in charge of the removal of about 60 percent of the patient’s stomach, so this organ will take the shape of a sleeve or a tube. The bariatric surgeon will make small incisions, instead of making a big incision. Through them, the professional will insert a tiny camera (that is commonly named laparoscope), and using this and another instruments he/she will remove part of the stomach. The organ will be then closed by using staples. There are many advantages associated with gastric sleeve surgery: it can help to reduce the patient’s weight within 30 and 60 % in a period of 12 months after the surgery, there are no foreign devices introduced in the body, there have not been any cases associated with the dumping syndrome, after the surgery patients will be able to eat a large variety of foods that are not contra indicated, the stomach will be able to absorb properly all types of nutrients, the surgery is recommended for patients who present delicate health conditions, finally it is the best option for people with a high mass index.
- Surgery length: The surgery has an estimated length of about one to two hours. The doctor will inject general anesthesia to the patient to work in an appropriate situation. The patient is not obligated to spend the night at the clinic, although it is recommended for resting and having a normal recovery.
- How is the post surgery process
The post surgery process will be completely different, depending on each patient; however the majority of the patients feel pain after the operation, especially in the abdomen; it is probable that doctors will recommend pain medication in order to decrease the discomfort. Doctors suggest following a strict diet after the operation which consist on: eating liquid foods for the first two weeks, followed by two more weeks of a semi-solid diet that includes pureed foods; after following this for a month, the patient will be able to eat solid foods. It has been proven that patients who go under a gastric sleeve surgery present improvements in diabetes, high cholesterol and high blood pressure. As the lifestyle of the patient will be changed after the operation, some new activities must be incorporated, these activities include making regular exercise and following new rules at the meals, such as eating slowly, drinking and eating at the same time and consuming small portions of food.
After the surgery, patients can get an infection on the wound. The patient can present problems related to the leaking of the sleeve, it is probable (even though there are low probabilities of this happening) that the staples that were inserted into the stomach could tear apart, resulting in a leak. The patient could present blood clots. As the stomach can stretch as time passes, the person that goes under a sleeve surgery could regain the lost weight. Eating meals such as snacks, and high calorie foods could make the band ineffective.
The surgery will allow the patient to have a healthier way of life. Patients will be able to enjoy their lives because they will feel more agile, fit and vigorous. Before the surgery doctors have made some recommendations which are important to be followed. Professionals recommend patients to stop smoking, because the cigarette increases the possibility of having complications during the operation, related to infections, pneumonia, slow healing and blood clots. It would be ideal, to stop smoking before and after the surgical intervention, however it is important to be done one month before the operation and one week after it. Some surgeons suggest special diets which must be strictly followed at least one month before the surgery procedure.
- What does the surgery not do
The surgery does not imply the incorporation of a foreign body into the human body. The surgery is done by using special techniques that will allow the patient to get better self control and a more enjoyable lifestyle.
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