GASTRIC SLEEVE

The benefits of Laparoscopic Gastric Sleeve Surgery are multifaceted, offering individuals a comprehensive and effective approach to weight loss. First and foremost, the procedure presents a lower risk profile due to its simplicity, focusing solely on reducing stomach size. This results in fewer complications during and after surgery compared to more intrusive procedures. The operation is less invasive, avoiding changes to the gastrointestinal food passage route and minimizing the risk of malnutrition, particularly when compared to gastric bypass surgery.

On the medical front, Gastric Sleeve Surgery significantly reduces obesity-related illnesses such as high blood pressure, stroke, type 2 diabetes, cholesterol issues, infertility, sleep apnea, asthma, and cancer. Additionally, it contributes to long-term control of type 2 diabetes, potentially leading to reduced dependence on medications or their elimination altogether.

Physiologically, individuals experience less hunger and an increase in energy, along with benefits like the elimination of back and joint pain, improved mobility, decreased depression, enhanced breathing, and increased overall energy levels. Psychologically, the surgery brings about dramatic improvements in overall health and quality of life, fostering an enhanced self-image, increased self-confidence, and greater satisfaction in engaging in a wider range of activities with friends and loved ones. It's crucial to note that individual results may vary, and sustainable outcomes are best achieved through a combined approach, incorporating lifestyle changes for optimal and enduring results.

Preparation for gastric sleeve surgery involves meticulous steps in the weeks and days leading up to the procedure. Weeks before surgery, comprehensive medical screening, lab tests, imaging assessments, psychological evaluations, nutritional assessments, and pre-counselling sessions are conducted to determine the suitability and fitness for the surgery.

A crucial element in this preparatory phase is adhering to a pre-surgery weight loss diet, which is low in fat and carbohydrates. This dietary regimen aids in reducing glycogen levels and shrinking the liver, creating optimal conditions for the operation. Additionally, abstaining from caffeinated drinks at least a week before the surgery is recommended. The dietary focus in the week preceding the surgery should shift towards increased fluid intake, vegetables, and fruits.

As the surgery date approaches, it becomes imperative to cease smoking, alcohol consumption, caffeine intake, and the consumption of heavy, unhealthy meals. Avoiding aspirin, ibuprofen, and other blood-thinning medications is crucial. It's essential to inform the doctor about any medications being taken beforehand. Furthermore, a fasting period is observed, refraining from eating or drinking anything after midnight the night before the scheduled surgery. These meticulous preparations contribute to a smooth and successful gastric sleeve surgery.

Recovery after gastric sleeve surgery varies among individuals, but certain key aspects are essential to understanding the process. Following the procedure, patients typically stay in the hospital for 2-3 days for proper healing, rehabilitation, and progress monitoring. Those who undergo laparoscopic procedures may return to work in less than a week, although engaging in intense physical activities is not advisable during this early phase.

Post-surgery, meticulous follow-up care is crucial. Dietary adjustments play a pivotal role, guided by a nutritionist who will assist in reintroducing foods gradually to accommodate the reduced stomach size. The transition involves phases such as a clear liquid diet within 24 hours post-surgery, followed by a progression to a full liquid diet, soft food diet, and eventually a return to a regular diet in the subsequent weeks. Patients are advised to reduce certain foods, particularly simple sugars, to prevent dumping syndrome. Proper chewing, avoiding drinking 30 minutes before or after meals, and adherence to dietary recommendations are essential to prevent complications like constipation, dehydration, diarrhea, or, in rare cases, gastric acid leakage.

Supplements, including Vitamin B12, iron, and multivitamins, may be recommended during follow-up visits to address nutritional needs. Patients should promptly report any unusual symptoms or complications to their doctors, such as fever, painful wounds, respiratory issues, vomiting, diarrhea, or abdominal, chest, shoulder, or leg pain.

During the weight-loss phase, temporary side effects like body aches, dry skin, mood changes, and hair thinning may occur. As weight stabilizes, these issues typically resolve, and weight loss continues for about a year until it stabilizes at the body's optimum BMI. Adhering to post-surgery guidelines and seeking prompt medical attention for any concerns contribute to a successful recovery journey.

Before contemplating gastric sleeve surgery, it's crucial to understand the potential risks associated with bariatric procedures, with variations based on the patient's health. Some uncommon issues that can be managed fairly easily include minor wound or skin infections, excess/loose skin, vomiting or nausea, acid reflux (heartburn), the development of gallstones or gallbladder disease, and nutritional deficiencies due to food bypassing the stomach.

Complications that could necessitate re-operation include internal bleeding, blood clots in the legs or lungs, gastric leaks, and risks associated with laparoscopic sleeve gastrectomy, such as deficiencies in vitamins, minerals, iron, metabolic bone disease, and chronic anemia due to vitamin B12 deficiency. General risks of surgery, such as bleeding, infection, and blood clots, may occur. Over time, difficulty absorbing certain nutrients, narrowing of the stomach sleeve, and potential exacerbation of heartburn or reflux are also possible concerns.

The decision to undergo gastric sleeve surgery should be made after a thorough discussion with our team of professionals, considering individual health and potential risks. Despite potential disadvantages, the data from a large number of patients nationwide shows that the risk of death is relatively low, highlighting the overall safety and benefits of weight loss surgery in addressing obesity-associated medical problems.