Obesity Surgery

Obesity Surgery (Sleeve Gastrectomy)

Today, the most common challenge on obesity surgery is tube gastric surgery and is commonly known as “gastric reduction surgery“.

In tube gastric surgery, the stomach is turned into a long tube that is almost as thin as a banana. Laparoscopically (closed surgery) 80 percent of the stomach is cut off. Thus, food intake of the stomach is restricted.

Those who have tube gastric surgery insulin resistance is broken even before weight loss.

Obesity (Bariatric) surgery is performed in an average of 1,5 hours. The risk after tube gastric surgery is low and some unwanted side effects are reported very little because the exit and inlet part of the stomach is preserved and the continuity in the digestive system is ensured exactly.

Who is obesity surgery for?

• Those with a body mass index of over 40 kg/m² (morbidly obese i.e. extremely obese).
• Those have type 2 diabetes; hypertension and sleep apnea due to obesity are also considered morbidly obese and may need gastric reduction surgery.
• Obesity surgeries are not performed for aesthetic purposes.

What is the age limit for Obesity Surgery?

Obesity surgery is performed for people between the ages of 18-65 years. The Body mass index (BMI) values determined by the World Health Organization must be 35 or higher.

For people under the age of 18, the degree of obesity and the presence of the above mentioned diseases are important and parental consent is required as well as the physician’s decision.

For people over 65 years of age, health status and the necessity of surgery (problems related to the weight of the person and problems experienced) are evaluated.

What is a revision surgery after obesity surgery?

Revision surgery operation performs due to different complications such as weight regain, stenosis or leakage after obesity surgery. The most important reason for revision surgeries is usually regaining weight.

The basis of the reasons for patients’ return gain is that patients are not adequately monitored, patients are inadequately informed or not to follow the process even if they are conscious.

Is There Pain After Tube Gastric Surgery?

Obesity surgery is currently performed with laparoscopically very (small incisions by drilling the abdomen). These incisions are millimetric.

Laparoscopic surgeries do not cause much pain after surgery because the abdominal muscles and membranes are not cut. After surgery, painkillers are given to the patient.

Will there be a incision after Tube Gastric Surgery?

The surgery is performed with closed method, only very small incision marks remain in the abdominal area. These lines become completely invisible in a few months.

How Much Weight To loose With A Tube Stomach Surgery Lose?

Those who have tube gastric surgery lose 60 percent of their excess weight 5 years after surgery. This method is almost equivalent to gastric bypass (gastric bypass) in weight loss.

What is the Difference Between Tube Stomach and Gastric Bypass?

Gastric bypass surgeries are a type of surgery that is performed especially in patients with severe diabetes for many years and patients with reflux in the esophagus. Gastric Bypass surgery, which has a history of nearly 20 years in Turkey and replaced by tube gastric (sleeve gastrectomy) surgeries.

One of the important reasons for the spread of the tube stomach is the anatomical structure. Gastric bypass surgery reduces the stomach, gallbladder and intestinal arms by restricting the patient’s food intake. Where in the tube stomach surgery, a part of the stomach, including the secretion of fasting hormones, no changes to the intestines, does not change the anatomical structure.

What are the Risks of Tube Gastric Surgery?

In gastric reduction surgery, vital complications can develop very rarely. These interventions can be observed at 1 percent, such as bleeding or leakage after tube gastric surgery.

The important thing is that if these complications occur, the necessary correction interventions are urgently applied by the obesity surgery team.

Obesity surgeries are not plastic surgeries! The risks associated with obesity are higher than the risk of tube gastric surgery, as the life expectancy of morbidly obese patients is reduced by 10-15 years with tube gastric surgery..

Leaking Risk Symptoms After Tube Gastric Surgery

After obesity surgery patients are given opaque fluid from the mouth and checked for any leakage in the stomach. All patients are closely monitored while in the hospital for the first 3 days after surgery.

Those who have tube gastric or gastric bypass surgery should pay attention to the following two points in order to understand the leaks after discharge:

• Unexplained fever
• Extreme abdominal pain

Nutrition after Gastric Surgery

Although a special program is created for each patient the following principles are essential in feeding after tube gastric surgery:

• Protein will be the most important nutrient in diet (60g of protein sources a day such as 1 serving of chicken, turkey, fish or 1 serving of low-fat cheese).
• Take great care not to skip meals. Consume at least 3 main meals per day. In addition, it is appropriate to consume 2 intermediate meals.
• After tube gastric surgery, always eat at the table.
• Prepare your meals both in small portions and in small pieces. Use small plates and small forks – spoons to avoid eating too much. Eat your food too slowly and chew well. Do not keep the serving plates and pots on the table and never take the second serving.
• For at least 6-8 cups of decaf, calorie-free and non-acidic drinks per day. Don’t drink anything half an hour before the food.
• Regularly take the vitamins and minerals recommended by the doctor following tube gastric surgery.
• Do not use any other medication or dietary supplements without asking your doctor.

Don’t think of obesity surgery as a cure or diet. These healthy eating habits you will acquire will be your new way of life from now on.

Exercise after Gastric Surgery

Adopting a regular sports program under expert supervision is known to play a role in the success of obesity surgeries and accelerate recovery. However, for people who have not previously had a habit of exercising, it is not easy to adopt such a program. As you lose weight and do the exercises you love, it can be easier to gain the habit of exercising.

Although a special program is created for each patient, the following principles are mainly important in sports after gastric surgery.

• Never start exercising without the approval of your doctor.
• Exercise 3 months after surgery, start doing it slowly and never do any longer than recommended exercises or different exercises, with the anxiety of losing weight quickly.
• In the early period, the ideal type of exercise for you will be walking. Be careful to walk at the time and pace recommended by your doctor.
• After surgery, if your doctor approves – usually will give approval within 6 weeks – avoid abdominal movements and weightlifting.
• Swimming and fitness are extremely ideal exercises.
• All of our patients are followed by our nutrition and diet specialists in diet after tube gastric surgery.