Also known as Sleeve Gastrectomy (SG), the Tube Stomach procedure is a bariatric operation that takes an average of 75% of the stomach and leaves a narrow gastric tube that will restrict food intake. After the sleeve gastrectomy procedure, both gastric emptying and intestinal transit increase significantly. Because with the intake of food, the intra-gastric pressure increases, which increases the tension of the stomach wall.
The Gastric Sleeve procedure typically results in a 25-35% body weight loss (approximately 60-80% excess body weight loss) from baseline. Most weight loss occurs in the first 6 months after administration. This significant weight loss can lead to rapid improvement of many obesity-related comorbidities, including type 2 diabetes. This practice is fast becoming one of the most frequently performed bariatric surgeries and is well positioned for surgical risk, weight loss and resolution of obesity among other frequently performed procedures.
This practice has many advantages over other procedures. The application is simpler and safer. It results in fewer vitamin and micronutrient deficiencies than other procedures. Other important advantages of the procedure are the absence of dumping syndrome and the very low risk of stomach cancer from the remaining part of the stomach.
Sleeve gastrectomy is a procedure that greatly reduces the volume of the stomach. In metabolic or obesity surgery applications, the principle of reducing the enlarged stomach at certain rates and taking less food as a result is essential. However, patients must pay attention to their diet after the application and use their willpower not to consume too much food. Otherwise, side effects may occur after the application and patients may not be able to lose weight because they consume excessive amounts of food.
After the application, exercise and nutritional conditions will be the most important criteria. Since operations are performed on the stomach, it is very important for patients to pay attention to the rate of food consumed. In addition, the consumption of certain foods should be limited. Exercise and sports program is another important factor. Exercise is essential both for the result of weight loss after application and for maintaining the effective functioning of the body.
Since sleeve gastrectomy is a large-scale procedure, it may carry some risks both in the long term and in the short term. This application is also preferred to prevent some problems that may occur with overweight in obese patients. After this application, there may be a possibility of not losing enough weight or not gaining weight again. Failure to comply with post-operative exercise and diet habits is the biggest cause of these side effects. In general, the side effects of Tube Stomach application are as follows:
It is necessary to quit smoking before tube stomach application. Smoking should be stopped at least 2 months before the application date and it is recommended not to use it after the surgery. Smoking also greatly increases the risk of respiratory tract infection, as it causes patients to experience a longer recovery phase after the application. Similarly, substances containing alcohol should also be strictly avoided. Before and after the procedure, weight monitoring is carried out under the guidance of a dietitian. All prescription and non-prescription drugs and supplements used should be reported to the doctor.
Drinking water is started 6 hours after tube stomach application. After 24 hours, feeding is started in the form of sugar-free liquids. According to the patients' ability to tolerate nutrition well, a puree diet is started and then solid foods are started. Most patients are discharged within 2 to 3 days.
Although there is no need for vitamin supplements after sleeve gastrectomy, temporary mineral and vitamin supplements may be recommended by the doctor for some patients. Exercise activities are started in the form of walking slowly 10 days after the application.
Nutrition after sleeve gastrectomy can be classified as short-term and long-term. During the first three months of the recovery period, patients should consume foods that will not tire their stomach too much. It is extremely important to comply with the measures to be given in this process. In addition to following a natural diet after the surgery, it is necessary to stay away from foods that are difficult to digest and to pay great attention to the protein, fat and carbohydrate balance specified in the diet list.
In the short term, the consumption of liquid foods will turn into normal diets within a few weeks, and after the 6-month period, the foods consumed before the application will be consumed. However, in this process, a diet-appropriate feeding period should be preferred. Also, the doctor may not allow certain foods to be consumed. Mineral and vitamin supplements during the recovery period are standard for almost every obesity operation. Taking medications and nutritional supplements as described is very important for the results of the application.
Tube Stomach application is an important surgery that is frequently preferred for weight loss. Losing weight will not only be possible by minimizing nutrients, but also by following an exercise program. Therefore, patients need to do certain exercises even during the recovery period. After all surgical applications, it is necessary to be able to act in the routine balance of the digestive system. Inactivity is a big problem for all people in any case, and physical activities must be done after the application.
View MoreIn order to be a suitable candidate for bariatric surgery, the patient must be between the ages of 13-14. Today, the upper limit of age is quite high. As long as there is no heart or lung disease that prevents surgery, these applications can also be applied to patients aged 70 years.
Gastric sleeve gastrectomy is an operation performed with the laparoscopic method and entering through an average of 5 port holes. Since these opened holes are very small, they do not close in a short time and do not cause an appearance in the form of a surgical scar. Since this operation is performed with a closed method, it is very fast for the patients to return to their normal lives.
Take care to consume enough water, pay attention to a balanced and healthy diet. Avoid carbonated and acidic drinks. Make time for exercises. Stick to the nutrition program prepared for you, try to keep your blood sugar balanced and take care of a protein-rich diet. Get regular sleep habits.