Gastric Sleeve

Gastric Sleeve

Gastric sleeve surgery, also known as vertical sleeve gastrectomy (VSG), is a surgical procedure that reduces the size of the stomach by removing most of the stomach. While part of the stomach is removed, the remaining part is left in the shape of a smaller arm or banana. In this way, the desired weight loss can be achieved.

About Gastric Sleeve

A feeling of satiety is achieved with small portions of food thanks to the smaller stomach designed. In addition, ghrelin, the hormone in responsible for the feeling of hunger, also plays a major role in reducing the desire to eat.

How the Procedure Works

The procedure is performed laparoscopically under general anesthesia.Laparoscopy offers both a less invasive type of operation and a faster recovery time.
The surgeon repositions the remaining stomach into a tube shape after removing the majority of the stomach.

One of the key points of gastric sleeve surgery is the stapling of the stomach to make it into a tube shape.Having these staples applied by a skilled and experienced surgeon will reduce the risk of leakage.Additional sutures to the staples can also be used to prevent leakage.After leak testing, the incisions are closed and sutured with self-absorbant sutures.

Incisions and Scars

The incisions in gastric sleeve surgery are strategically positioned by your surgeon in inconspicuous places.The incisions are considerably smaller than in traditional bariatric surgery.The most common incision areas made in the gastric sleeve to allow access to the abdominal area are around the navel, upper abdomen and lower abdomen.Incisions around the navel are usually made in or near the belly button.

Additional incisions are made in the upper abdomen to access the stomach.Incisions can also be made along the midline or slightly to the sides.In some cases incisions can also be made in the lower abdomen to reach the abdomen. 

The incisions are usually about 0.5 to 1.5 centimeters (0.2 to 0.6 inches) in length and will heal and fade over time.Incision scars in gastric sleeve operations vary according to individual factors as in every procedure.Following the post-operative instructions that your surgeon will provide for you will be the first step to a quick recovery.

FAQs

You can get answers to your questions about the gastric sleeve process and the postoperative period as follows. You can contact us for detailed information and get free consultancy about the Gastric Sleeve from our expert consultants. The type and area of gastric sleeve application varies from person to person, please consult a specialist to make a decision.

1
How much weight can I expect to lose with Gastric Sleeve?

Weight loss varies from person to person.In general, patients can lose a life-changing amount of weight within the first year after surgery.

2
Will I need to make lifestyle changes after gastric sleeve?

The dietitian service you will receive after the surgery, increasing your physical activities and determining a healthy lifestyle will increase both the success of gastric sleeve surgery in the long term and the longevity of the result.

3
Does losing weight after gastric sleeve surgery cause sagging skin?

Significant weight loss in a short period of time can lead to excess skin. In some cases, intensive physical activities can prevent sagging skin, while in other cases, body contouring surgeries may be recommended.
 

4
Can I get pregnant after gastric sleeve?

Yes, it is possible to get pregnant after a gastric sleeve when you have fully recovered and are back to your normal routine.

5
Will I need to take supplements after gastric sleeve?

Yes, you will need to take vitamin and mineral supplements such as multivitamins, calcium, vitamin D and B vitamins for some time after the gastric sleeve.

6
Can the stomach go back to its former size?

The stomach may expand to some extent over time, but the shrinkage of the stomach after gastric sleeve is permanent.Following the postoperative instructions and adopting a healthy lifestyle will prevent the growth of the stomach.

7
Can I eat regular food after gastric sleeve?

Once you have recovered, you can gradually reintroduce regular food with the help of a dietitian, but it is important to establish a healthy dietary routine to ensure success and avoid discomfort. The first 15 days can be challenging, but after the 1st month you will have a more normal diet and after 3 months you will be able to eat almost completely normally.

8
What is gastric sleeve?

Gastric sleeve is a surgical procedure that involves removing about 75-80% of the stomach, leaving a smaller banana-shaped stomach.

9
How much does gastric sleeve cost?

Sleeve gastrectomies are types of surgical operations that require a comprehensive evaluation and planning.The cost of the surgery can vary depending on the patient's condition, additional tests and the experience of the doctor.Individuals who think they need gastric sleeve surgery can apply to us 24/7 and receive a detailed evaluation from our obesity surgeons.

10
How does gastric sleeve surgery help with weight loss?

Gastric sleeve surgery limits the amount of food a person can consume by reducing the size of the stomach and leads to a feeling of satiety with smaller portions. People who achieve a feeling of satiety with small portions lose weight.

11
Who is eligible for gastric sleeve surgery?

Typically, individuals with a body mass index (BMI) of 40 or higher or a BMI of 35-39.9 with obesity-related health problems such as diabetes or hypertension may be eligible for gastric sleeve surgery. It is very important to get a detailed evaluation from an experienced bariatric surgeon before gastric sleeve surgery.

12
How long does gastric sleeve surgery take?

The operation usually takes 1 to 2 hours, depending on the patient's condition.

13
Is gastric sleeve surgery reversible?

Gastric sleeve surgery is an irreversible type of surgery as it involves the removal of part of the stomach.

14
What is the recovery time after gastric sleeve surgery?

Recovery time varies, but most patients can return to normal activities within 2-4 weeks after the operation.Strenuous activities may need to be avoided for a longer period.Following the postoperative care recommendations provided by your doctor and dietitian will make the recovery process easier.

15
How much weight can I expect to lose after gastric sleeve? surgery

Weight loss varies from person to person, but many patients can lose 60%-70% of their body weight in the first 12-18 months following surgery.You can monitor the postoperative weight loss process together with your doctor.Your doctor's recommendations will guide you through this process.

16
Will I need to change my diet after gastric sleeve surgery?

Yes, dietary changes are necessary after gastric sleeve surgery.Patients start with a liquid diet after surgery and gradually switch to soft and then solid foods.Your dietitian will guide you after surgery and will monitor your diet.

17
Will I need to take supplements after gastric sleeve?

Patients start to feel full with much smaller portions due to the reduction in stomach size.They may not get enough vitamins and minerals due to small portions and restricted food intake.Vitamin and mineral supplements such as iron, calcium and B vitamins are usually recommended after gastric sleeve to prevent nutritional deficiencies.

18
How long does it take to see the full results of gastric sleeve surgery?

The recovery process is highly personal.However, significant weight loss can usually occur in the first 6-12 months after surgery and improvements may continue in the following months.It can take up to 18-24 months to achieve full results.

19
Do I need plastic surgery to remove excess skin after weight loss?

Skin elasticity differs from individual to individual and some may opt for additional procedures such as body contouring surgeries to address loose skin.
Patients can be evaluated for tummy tuck, leg lift, breast lift and many other lift surgeries after the recovery period is over.

20
Can gastric sleeve surgery be performed laparoscopically?

Yes, gastric sleeve surgery is usually performed using laparoscopically, which involve the use of special instruments with small incisions and a camera. Laparoscopic approaches leave smaller scars and provide easier recovery processes.

21
Will my appetite or food preferences change after the surgery?

Many patients experience changes in appetite and food preferences after gastric sleeve surgery. Surgery alters the production of certain hormones that can affect feelings of hunger and satisfaction.Many patients not only start to feel full with smaller portions, but can also switch to healthier nutritional routines.

22
What is the difference between gastric sleeve and other weight loss surgeries such as gastric bypass?

Sleeve gastrectomy and gastric bypass are both weight loss procedures, but they differ in the way the surgery is performed.Gastric sleeve involves removing part of the stomach, while gastric bypass reroutes the digestive system.You can only decide which procedure is right for you after a comprehensive examination by a bariatric surgeon.

23
Is there a specific diet plan to follow before and after gastric sleeve surgery?

Yes, patients usually follow a specific diet before surgery to prepare for surgery. A different dietary guide is also provided by your postoperative dietitian. 

24
Can I get pregnant after gastric sleeve?

It is generally safe to get pregnant after gastric sleeve surgery. However, the recovery period must be finalized before a pregnancy can be planned.Weight loss may affect fertility and nutritional matters should be considered during pregnancy to ensure that both mother and baby receive adequate nutrients.

25
How long will I need to take time off work after gastric sleeve surgery?

The time off work may vary depending on the work you do and your recovery.However, most patients can expect to take 1-2 weeks off, depending on the nature of their work and the extent of the surgery.Jobs involving physical activity may require a longer recovery period.

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