Gastric Sleeve

It is a stomach reduction surgery applied for the treatment of obesity. The operation process is comfortable and the complication rate is relatively low. Provides satisfactory weight loss. It is still the most common weight loss surgery in the world. The original name in the medical literature is “Laparoscopic Sleeve Gastrectomy”.With this surgery, the bombe part of the stomach, which is normally in the form of a balloon, is removed. The operation is performed with the patient completely asleep (under general anesthesia) and closed (laparoscopic) surgical technique. The abdominal wall is not opened.The operation is performed with a rod-shaped camera and rod-shaped instruments inserted into the abdomen through small holes. Automatic punching-cutting devices (staps) are used. The cambered part of the stomach (about 70-80%) is separated and removed. The stomach capacity is reduced to the extent that it can only take one tea glass of food at a time.The stomach is converted into a vertical thin long tube.Structural and functional changes caused by the surgery lead to a decrease in appetite and restriction of eating and drinking.The hormone ghrelin is one of the factors that cause the feeling of hunger in the stomach. Most of this hormone is secreted from the camber part of the stomach. In gastric sleeve surgery, this part is removed. The level of the hormone ghrelin in the blood drops significantly. The feeling of hunger weakens and appetite decreases. In addition, since the digestive flow path is relatively narrowed after the surgery, the eating rate slows down considerably and it becomes easier to feel full.After the surgery, there is a nutrition adaptation period that lasts for one month under the guidance of a dietitian. It is necessary to feed with liquids for the first two weeks and soft foods for the next two weeks. At the end of a month, solid foods can be fed.

Appetite is surprisingly reduced. It is possible to be satisfied with much smaller portions than usual. Healthy table habits are easily formed by themselves.
Patients are less hungry, eat less, eat slowly, get full quickly
The operation does not lead to a serious deterioration in the work of the digestive system. In the first months, food intake is relatively limited and weight loss is rapid. For this reason, powdered protein supplements and multi-vitamin supplements are recommended for the first 2-3 months. In addition, stomach acid reducing drugs are given.
In the long term, there is no significant problem in the absorption of the nutrients necessary for the body.
Gastric sleeve surgery is generally a mild to moderately risky operation among all surgeries. The vast majority of patients do not experience any additional problems. The complication rate is around 2%.Since the surgery is performed with a closed technique, it is possible to stand up on the same day. 3-4 days of hospitalization is sufficient. You can return to normal daily life within a few weeks.
Follow-up results are close to perfect. Patients begin to lose weight within days after surgery. Within a few months, the weakening becomes evident. Long-term medical follow-up results of thousands of patients show that patients who underwent sleeve gastrectomy lost 70-80% of their excess weight.
Most of the excess weight is lost within a year.
The physical and mental relaxation brought about by weight loss noticeably increases the quality of daily life. It offers a fresh start in life.
After the surgery, three-quarters of obesity-related diseases such as type 2 diabetes and sleep apnea, more than half of high blood fat and high blood pressure problems, half of knee pain, most of leg varicose are resolved. These improvements occur spontaneously with the onset of weight loss, without the need for any other treatment.
The fact that the change created by the surgery is close to the natural functioning (physiological), the debilitating effect is satisfactory and the rate of side effects is low has led to the fact that sleeve gastrectomy has become an operation that is increasingly preferred by patients and surgeons in recent years.