Gastric surgery
Gastric Sleeve
Sleeve gastrectomy is a surgical weight-loss procedure in which the stomach is reduced to about 15% of its original size, by surgical removal of a large portion of the stomach along the greater curvature. The result is a sleeve or tube like structure. The procedure permanently reduces the size of the stomach, although there could be some dilation of the stomach later on in life. The procedure is generally performed laparoscopically and is irreversible.
For some people, the cause could be more related to their environment and how they are raised. Or, a patient’s food intake habits and exercise load may have an effect too. Though, as we said, obesity usually stems from a combination of these causes.
On the bright side, even a small difference in weight helps the patient with the risks associated with obesity. Making changes in the diet, getting more physical activity throughout the day, and certain changes in behaviour can help a lot in this process. Also getting prescription medications from a doctor can be a contributing factor.
Contact us to schedule your free Consulting
Gastric sleeve in Turkey
Procedure
Sleeve gastrectomy was originally performed as a modification to another bariatric procedure, the duodenal switch, and then later as the first part of a two-stage gastric bypass operation on extremely obese patients for whom the risk of performing gastric bypass surgery was deemed too large. The initial weight loss in these patients was so successful it began to be investigated as a stand-alone procedure.
Sleeve gastrectomy is the most commonly performed bariatric surgery worldwide.In many cases, sleeve gastrectomy is as effective as gastric bypass surgery, including improvements in glucose homeostasis before substantial weight loss has occurred. This weight-loss independent benefit is related to the decrease in gastric volume, changes in gut peptides, and expression of genes involved in glucose absorption.
Sleeve gastrectomy surgery
The procedure involves a longitudinal resection of the stomach starting from the antrum at the point 5–6 cm from the pylorus and finishing at the fundus close to the cardia.The remaining gastric sleeve is calibrated with a bougie. Most surgeons prefer to use a bougie between 36 and 40 Fr with the procedure and the ideal approximate remaining size of the stomach after the procedure is about 150 mL.
