Laparoscopic Sleeve Gastrectomy (LSG) is a weight loss surgery also known as “the sleeve” or “Gastric Sleeve“. During LSG, about 4/5 of the stomach is removed. The remaining stomach is a banana-like shaped pouch. LSG, it is a non-reversible procedure. LSG can be used not only as a single surgery but also as the first stage before a gastric bypass. Several studies conclude that the LSG is as effective as the gastric bypass in terms of weight loss. Moreover, it is an efficient method to improve type 2 diabetes management. LSG changes some gut hormones such as ghrelin, the decreased secretion of which leads to increased levels of satiety.
In LSG, the surgeon makes 2-5 incisions in the belly. These incisions are used for the insertion of the instruments and the camera which are necessary for the surgery. This camera is connected to a video monitor that helps the surgeon to view in the belly and perform the operation.
After removing about the 80% of your stomach, surgical staples are used to join the remaining parts of the stomach.
Before & After
- No silicone implants.
- Great appetite suppression.
- Lower risk of peptic ulcer.
- No dumping.
- No vitamin or drugs malabsorption.
- It does not impair patient’s dietary habits.
- Better weight loss than gastric banding.
- No important late complications.
GASTRIC SLEEVE COST COMPARATIVE
What is the most appropriate age for a "Gastric Sleeve" ?
There is no appropriate age for Laparoscopic Sleeve Gastrectomy. Body Mass Index (BMI) indicates if someone is appropriate for Laparoscopic Sleeve Gastrectomy. This method is also recommended to teenagers.
Will sutures be removed after "Laparoscopic Sleeve Gastrectomy" ?
Yes, about a week later.
What happens the day of "Gastric Sleeve" Surgery?
The patient is checked once more and after a final blood test examination and a brief clinical examination is ready for the procedure. Any drugs you are advised to take, are taken with a small sip of water and not the usual quantity of liquid. In addition, for at least 6 hours before the surgery you don’t eat anything.
What happens during "Laparoscopic Sleeve Gastrectomy" surgery?
The Laparoscopic Sleeve Gastrectomy takes 60-90 minutes and the patient is under general anesthesia.
What happens after "Laparoscopic Sleeve Gastrectomy" surgery?
The average hospital stay is 2 days after the surgery. The radiologist will administer a swallow test to make sure there are no major leaks. You do not eat anything during the first day, just drink clear liquids. The following days when you arrive home you go on a pureed diet. In addition, you should take pills for the protection of the stomach. Gradually you will be able to eat normal food. Because of the small size of the pouch, even after eating a very small amount of food, you will feel your stomach full. Therefore, some consultation with a dietitian is needed to educate you on the recommended eating behavior with your smaller stomach. Additional support by a psychologist is also beneficial to help you follow the eating and exercise guidelines and deal with the post-operative feelings or concerns. The recommended follow-ups:1 month, 3 months, 6 months and 1 year after LSG and on a yearly basis after the first year. Nutrient deficiency tests should be performed at 6 months, one year and on a yearly basis afterwards.
Will I need to have any post-operation touch-ups?
LSG cannot be reversed once it has been done. In cases of severe obesity, it may be a first stage procedure of gastric by-pass.
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