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Sleeve gastrectomy is a surgical procedure that is performed to help patients struggling with obesity lose weight. If you are considering undergoing sleeve gastrectomy surgery in undefined, get in touch with us at Pristyn Care and book your consultation with our qualified and experienced team of general surgeons today.
Sleeve gastrectomy is a surgical procedure that is performed to help patients struggling ... Read More
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Sleeve gastrectomy, sometimes called vertical sleeve gastrectomy, is a surgical weight-loss procedure that is performed to treat obesity. During sleeve gastrectomy, about 80% of the stomach is removed, leaving a tube-shaped ‘sleeve’ that is about the size and shape of a banana. A sleeve gastrectomy surgery is performed to limit the size of your stomach and, as a result, restrict the amount of food you are able to consume.
Additionally, gastric sleeve procedure also reduces the hunger hormones (known as ghrelin) your stomach can produce. This helps decrease your appetite and prevent impulses that cause most patients to regain their lost weight. Sleeve gastrectomy is also considered to be an effective treatment for various obesity-related comorbidities such as:
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If you’ve passed your medical screening and qualify for gastric sleeve surgery, your doctor will likely put you on a two-week liquid diet. Your doctor will give you very specific instructions and guidelines to follow during this two-week period. The purpose here is to lose as much fat in your abdomen and liver as possible to make the surgery safer. In the weeks leading up to the surgery, you may be required to start a physical activity program and refrain from smoking or using tobacco.
Twelve hours leading up to the surgery, you will likely be asked not to eat or drink anything. This is to make sure your stomach is completely empty during the procedure. Having food or liquid present in your stomach during the procedure could result in unpleasant or even dangerous side effects.
Before surgery, your healthcare provider will likely perform a series of simple tests and diagnostics to evaluate your overall health and take any precautions if necessary. These tests generally include a Complete Blood Count (CBC) test, urinalysis, chemistry panel, and gallbladder ultrasound. To better understand your condition, your surgeon may also perform some additional tests, such as:
There are primarily two types of sleeve gastrectomy surgeries: Laparoscopic Sleeve Gastrectomy and Robotic Sleeve Gastrectomy. While both are safe and effective, they vary in procedure and equipment.
Once the abdomen has expanded enough, the surgeon will then insert a small lighted video camera (called a laparoscope) through the port. The laparoscope will relay a live feed of your abdomen to a monitor in the operating room. The surgeon will then make one to three additional incisions to insert small surgical tools and, using the live feed, remove about 80% of the stomach.
The surgeon will measure out the gastric sleeve to divide and separate the remainder of your stomach using a surgical stapler. The remainder of the stomach is removed along with the laparoscope and the other surgical tools. The incision is then closed, and you will be moved to a recovery area.
In a robotic sleeve gastrectomy procedure, the surgeon makes small incisions and controls the robotic arms from a console to make precise movements. The robotic arms hold specialized surgical instruments and a camera, providing the surgeon with a high-definition, 3D view of the surgical site. This enables the surgeon to see inside the body and use surgical tools to bifurcate the stomach vertically. The larger section is removed, and the remaining stomach is stapled shut to create a sleeve.
Robotic-assisted surgery provides surgeons with much-improved visualization and greater dexterity, and it’s a less invasive approach compared to traditional open surgeries. Benefits to the patient can include smaller incisions, less blood loss, and quicker recovery.
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Alongside its ability to treat obesity, a sleeve gastrectomy surgery can provide a multitude of additional benefits, such as:
On average, recovery after sleeve gastrectomy surgery can take anywhere from 4-6 weeks. Most patients can return to work in 2 weeks after surgery. However, each patient has different healing capabilities, and depending on your overall health and quality of postoperative care, recovery time may vary. To ensure a smooth recovery and minimize the chances of any complications as much as possible, your urologist may also lay down some easy-to-follow tips and guidelines. It is imperative to follow these guidelines to the best of your ability.
Complications of any kind after sleeve gastrectomy are rare. However, as is the case with any other surgical procedure, they can still happen and should not be taken lightly. Some sleeve gastrectomy risks and complications are given below:
A sleeve gastrectomy procedure can significantly help you on your weight loss journey. However, it is not a cure for obesity but rather a tool to help you lose weight. Long-term success depends on your ability to follow guidelines for diet, exercise, and lifestyle changes such as:
Aim for 45 minutes of aerobic exercises (such as walking or bicycle riding) at least 4 days a week, and keep doing some strength training. For certain people, high-intensity training may work better. Your doctor can recommend to you the best exercise plan after surgery.
For the best results after bariatric surgery, you should include as many of these changes as possible. To make the process easier on everyone, consider discussing your intended lifestyle changes with friends and family before the procedure.
Sleeve gastrectomy surgery is a major surgery that alters your digestive system itself to treat obesity. Therefore, you will probably need to spend at least 1-2 days at the hospital. After the surgery is completed, you will be taken to a recovery room and closely monitored by your surgeon.
It is normal to feel some pain and discomfort. To help, your surgeon may prescribe pain medications. You can also expect to have some drainage from your incision sites as well as slight bruising and swelling. It is essential to keep your incisions clean and dry to avoid infection. Your surgeon will give you specific instructions on how to care for your incisions.
One week after gastric sleeve surgery, you will likely have a follow-up appointment with your surgeon. The aim of these appointments is to ensure a smooth recovery after sleeve gastrectomy and timely identification of any complications. Your surgeon will also discuss your progress and answer any questions that you may have. Continue taking any pain medication as needed at this point and avoid strenuous activity. Most people feel well enough to return to work or their normal activities by this point.
Two weeks after gastric sleeve surgery, you can expect most of the side effects, such as pain and discomfort, to subside. You may still have slight bruising or swelling, but it should be significantly less. You can slowly start returning to your daily routine by this point, but avoiding any strenuous activities that may exert excessive force on the surgical site is crucial.
4-6 weeks after gastric sleeve surgery, you will likely be feeling back to your normal self. The majority of patients are able to return to work and their normal activities by this point. You can begin to slowly increase your activity level and start a low-impact exercise routine if approved by your surgeon.
Yes, patients can regain their weight even after gastric sleeve surgery. While small amounts of weight regain 1-2 years after surgery are to be expected and considered normal, significant weight regain can lead to the recurrence of obesity-related comorbidities and a decreased quality of life.
On average, sleeve gastrectomy price in India can start from Rs. 200000 and go as high as Rs.400000 However, depending on a multitude of factors, such as consultation charges, operating fees, hospital charges, preoperative diagnostic tests, and postoperative follow-ups, the exact sleeve gastrectomy surgery cost in India will likely vary.
You can likely start exercising just a day after your gastric sleeve surgery. However, it is important to take it slow. Avoid any strenuous activities. Instead, perform low-impact exercises such as walking for at least 2 weeks after surgery. Once you feel comfortable and your doctor thinks it’s safe, you can move only moderate exercises, but strenuous or heavy lifting is still to be avoided.
Health insurance plans in India generally cover sleeve gastrectomy surgery but only if specific requirements are met, such as:
A normal stomach can hold approximately 1 kg of food. After a sleeve gastrectomy, your stomach can hold only about 50-140 grams of food. A sleeve gastrectomy surgery works by limiting the amount of food your stomach can hold. You can expect to feel full after eating a small meal and continue feeling full for several hours.
Some foods that you should avoid after your sleeve gastrectomy surgery are given below:
After around 7 to 8 weeks, you should be able to resume a regular solid food diet. Your gastric sleeve will allow you to eat almost any type or texture of food. You should aim for three well-balanced meals each day. Your calorie intake should be between 1000 and 1200 kcal per day. It is also important to make sure that you thoroughly chew your food at least 20 times before swallowing.
Sleeve gastrectomy is a major surgical procedure that works by altering the stomach itself and reducing its capacity to hold food. Unlike gastric banding or gastric balloon, sleeve gastrectomy is a permanent procedure and cannot be reversed.
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