With Gastric Sleeve Gastrectomy
Get Rid of Your Excess Weight
In Istanbul, with more than 15 years of experience, SADI is the first clinic in Turkey to apply the advanced bypass technique, but it is a program that has adopted the Sleeve Gastrectomy Operation as the first step!
What is Gastric Sleeve Gastrectomy?
Gastric Sleeve Gastrectomy is the most common bariatric surgery for severe obesity that cannot be controlled by diet and exercise and provides effective weight loss. With sleeve gastrectomy, the stomach is cut vertically and narrowed into a tube shape and the person becomes full with less food. With sleeve gastrectomy, the stomach volume is reduced by 80%. When sleeve gastrectomy is performed safely with the contributions of developing technology, the person quickly returns to normal life.
Gastric Sleeve Gastrectomy Conditions
In order to answer the question of what are the conditions of sleeve gastrectomy surgery, we would like to remind you that obesity is not an ordinary condition, but when neglected, it harms our health. Obesity is a serious problem that impairs our quality of life at low levels and can threaten our health at advanced levels. Chronic diseases that require lifelong treatment such as diabetes, high blood pressure and apnea enter our lives at an earlier age with obesity and shorten the life expectancy if neglected.
The biggest problem with diet in the presence of obesity is that when excess weight exceeds a certain level, it becomes more difficult to return to normal weight. The weight lost through diet and exercise is often regained, which discourages the enthusiasm and resistance of the person to lose weight.
What are the conditions for gastric sleeve surgery? Who is gastric sleeve surgery for? Gastric sleeve surgery is suitable for those who are at least 25 kg over their normal weight. If a woman with a height of 1.65m has reached 85kg and above when she should normally be 60kg, gastric sleeve surgery can be an effective treatment to return to normal weight and maintain it. The age limit for gastric sleeve surgery is given as 11 - 65.
What is gastric bypass surgery? How is gastric bypass surgery performed?
Gastric sleeve gastrectomy is the most preferred bariatric surgery method in the world, followed by gastric bypass surgery. With gastric bypass surgery, both a small pouch (gastric pouch) is created above the stomach and the part of the small intestine 50 cm below is connected to this pouch. In this way, no food passes through the stomach and the first 60 cm of the small intestine. The most important difference between gastric bypass and sleeve gastrectomy is that in gastric bypass surgery, food does not pass naturally. After gastric sleeve gastrectomy, the food passes to the stomach outlet and from there to the small intestine, that is, it is absorbed in its natural course. In bypass surgery, the food that does not pass through the gastric outlet bypasses the first 60 cm of the small intestine. Since the absorption of drugs and vitamins in these first 60 cm is very important, vitamin support may be required for many years after gastric bypass surgery.
Scientific data on the question of whether gastric sleeve gastrectomy or gastric bypass is more effective report equal success. In our clinic, we prefer to start with Gastric Sleeve Gastrectomy and if weight is gained over the years, we prefer to apply Gastric Bypass.
How is sleeve gastrectomy performed?
Gastric sleeve gastrectomy is performed closed (laparoscopically) by entering through small holes in the abdominal wall. Since the abdominal wall is not cut in sleeve gastrectomy, the person can stand up and walk on their own after 1-2 hours. The large part of the stomach on the left is separated from the surrounding tissues, then the anesthesiologist advances a silicone 12 mm diameter tube through the mouth into the stomach. The name “sleeve gastrectomy” is given because a new stomach is created in the shape of a tube in this way. Under the guidance of this silicone tube, the stomach is cut on the vertical axis using a stapler (stapler) tool and the stomach is tubularized in the shape of a banana following the esophagus. The large part of the stomach (about 70%) is removed through the hole in the abdominal wall. The stapler line is reinforced with a second suture line before the end of the gastric sleeve surgery. Unlike many other clinics, no resistance is placed in our clinic after sleeve gastrectomy surgery. Thanks to this inward folding suture technique, the risk of bleeding and leakage, one of the complications of sleeve gastrectomy surgery, is minimized.
How much weight is lost with sleeve gastrectomy? When does weight loss stop?
In the first six months after sleeve gastrectomy surgery, 70% of the excess weight is lost. Weight loss slows down and continues until 18 months. With sleeve gastrectomy surgery, it becomes possible to take fewer calories during the day, while the person gets rid of the stress of starvation in diets. The change in hormones (decrease in Ghrelin and Glucacon) after sleeve gastrectomy reduces hunger and contributes to weight loss. Weight loss after sleeve gastrectomy surgery stops at the 18th month and then a few pounds are regained and the plateau period begins. People who can create a healthy lifestyle do not gain weight again.
Will I become extremely weak with sleeve gastrectomy?
Excessive weight loss after sleeve gastrectomy surgery is not a common condition. It often happens due to an unintentional technical error in gastric sleeve surgery. During sleeve gastrectomy surgery, especially when surgery is performed through fewer holes, there may be a spiral rotation in the stomach. This torsion can lead to stenosis and therefore excessive weight loss after sleeve gastrectomy.
Weight regain after sleeve gastrectomy surgery
Weight regain after gastric sleeve surgery has been found to be 18% and 28% in scientific articles in 5 and 10-year follow-ups, respectively. After sleeve gastrectomy, those who eat arbitrarily, do not live actively, sleep irregularly, have a habit of snacking, and develop frequent eating habits gain weight again. Despite gastric sleeve surgery, this weight gain does not return to the preoperative weight. For example, a gastric sleeve gastrectomy patient who goes down from 104 kg to 60 kg can go up to 83 kg after 2 years. Click for more detailed information about the reasons for weight regain after gastric sleeve surgery
Is gastric sleeve surgery risky?
The risks of sleeve gastrectomy are acceptable and very low in experienced clinics. Leakage of the staple (suture) line after sleeve gastrectomy is one of the most serious complications. In our clinic, we have reduced the risk of leakage to almost negligible levels by strengthening this sleeve gastrectomy suture line with a second inward folding suture application on the staple line.
Benefits of Gastric Sleeve Gastrectomy
Which diseases improve while losing weight with sleeve gastrectomy surgery?
In the first 3 months with sleeve gastrectomy surgery, there is approximately 24% decrease in body weight. This decrease is mostly from adipose tissue. With the decrease in adipose tissue, insulin resistance improves first. Since salt intake also decreases, high blood pressure disease, which is present in most patients, also decreases. Since the fat in the neck decreases, the person after sleeve gastrectomy starts to breathe comfortably while sleeping at night and snoring stops. Sleep apnea improves within a month after sleeve gastrectomy. The load on the heart decreases and effort capacity increases. Blood sugar levels tend to decrease after sleeve gastrectomy surgery, most diabetics get rid of insulin. Fertility increases in women who cannot have children. Sexual capacity increases significantly in men. Blood fats, which are elevated after sleeve gastrectomy, decrease. In general, many chronic diseases that threaten health improve.
Is gastric sleeve surgery harmful?
When answering the question 'Is gastric sleeve surgery harmful?', we should look at the benefit and harm ratio. In fact, since serious obesity is much more harmful to our health, the harm of sleeve gastrectomy surgery is less important.
Vitamin deficiency may be seen after sleeve gastrectomy surgery. Vitamin deficiency after sleeve gastrectomy is temporary in most people. In general, all people who have undergone gastric sleeve operation are given multi-vitamin support during the first month of liquid-based nutrition. Especially in female patients with preoperative vitamin deficiencies, normal vitamin levels are reached thanks to the multi vitamin support given after sleeve gastrectomy surgery. The need for vitamin support after sleeve gastrectomy surgery decreases significantly after the 1st year.
Are there non-surgical methods other than sleeve gastrectomy?
Are gastric balloon or gastric botox application effective weight loss methods?
Gastric balloon application provides 15-20 kilogram weight loss. Gastric botox application can provide 6-10 kilograms of weight loss. Both are for people who have too low body mass index to undergo surgery but cannot stay at the desired weight with diet and exercise.
How does the process work if I decide to lose weight with sleeve gastrectomy?
You can reach our coordinator by calling +90 532 7281484 or by writing on whatsapp, you can get preliminary information. Alternatively, you can get information by clicking on the free appointment or get a price quote buttons on this web page. Your meetings with our surgeon can be face-to-face, video or voice call free of charge.
For sleeve gastrectomy surgery, those coming from outside Istanbul can plan to stay 2 nights and those coming from abroad can plan to stay 3 nights. You do not need to stay in a hotel outside the hospital. For those coming from abroad, your transfer from the airport to the hospital is made by us.
What is the price of sleeve gastrectomy surgery?
The price of gastric sleeve surgery is related to the hospital where the surgery is performed, the quality of the materials used, the experience of the surgeon and more importantly, the importance he attaches to this work. Private hospitals have created new structures by realizing the demand for sleeve gastrectomy surgery. Especially with overseas promotions, they started to accept patients with as low costs as possible. When the prices of gastric sleeve surgery were so low, in a sense, as the competition for the lowest gastric sleeve surgery price emerged, hospitals reduced the quality of the materials and forced surgeons to perform many gastric sleeve surgeries in one day. Naturally, it was not possible to perform a careful sleeve gastrectomy surgery in these surgeries that exceeded the capacity of a normal surgeon, and many risks and problems came with it. We can say that as the price of gastric sleeve surgery decreases, the care and quality also decrease.
