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What is Sleeve-Gastrectomy ?
What’s A Gastric Sleeve?
The rising problem of obesity causes major health problems, reduced quality of life and reduced life expectancy. A gastric sleeve bariatric surgical procedure is indicated in any adult who has a BMI over 30, has problems with their obesity and has made substantial effort to reduce their weight by lifestyle methods.
Bariatric surgery is performed by removing a large portion of the stomach and leaving a portion of the stomach in the form of a pouch. This pouch looks like a sleeve or tube; that's the reason why the procedure is also called "sleeve surgery", "bariatric sleeve" or "stomach sleeve".
What Happens During Gastric Sleeve Bariatric Procedure?
The gastric sleeve procedure can be performed as a stand-alone bariatric procedure or as the first step of a two-staged procedure, such as gastric bypass surgery or the duodenal switch procedure. The second stage of surgery is not always required, but is an option if additional weight loss is necessary.
The gastric sleeve surgery can usually be performed laparoscopically. Laparoscopic surgery is a minimally invasive surgical technique that allows the surgeon to operate through several small incisions.
Gastric sleeve operating time lasts between 1-3 hours and general anaesthesia is used for the entire procedure. Your surgeon will make Small incisions in the abdominal wall to insert small trocars. After that your surgeon will inspect the stomach by laparoscope and divide the blood vessels to the lateral side of the stomach. Before dividing the stomach into two parts, a bougie tube will be inserted into the stomach. Bougie tube will serve as a sizer for the new stomach. 3/4 of the stomach will be removed and finally, your surgeon will reattach the rest of your stomach to form the "sleeve" or "tube".
After the surgery patients have to stay at hospital for about 2-3 days.
Who's A Good Candidate For Gastric Sleeve Surgery?
The candidates of Gastric Sleeve Surgery are;
- Both men and women who is age is between 18 and 65,
- The ones who is body mass index (BMI) is bigger than 35 or more,
- The ones who is body mass index (BMI) is bigger than 40 or higher and 100 pounds overweight,
- The ones who have obesity-related major comorbidities such as type II diabetes (T2DM), hypertension, sleep apnea and other respiratory disorders, non-alcoholic fatty liver disease, osteoarthritis, lipid abnormalities, gastrointestinal disorders, or heart disease.
- The ones who have made substantial effort to reduce weight by lifestyle methods but unable to achieve their goals.
How Long Does Gastric Sleeve Recovery Take?
All patients are encouraged to walk as early as 3-4 hours after surgery. In general, the pain is easily manageable after surgery. Discharge occurs after 2-3 nights hospital stay. All patients must take multivitamin and B complex after surgery.
Returning to normal activities such as going back to work and/or school usually takes 2 to 4 weeks.
First 2 weeks patients have to go on a special diet called liquid diet. First day after the surgery is a clear liquid diet, starting from the 2nd day to the 14th day a full liquid diet including protein shakes, yogurt, broth, milk, and juice are required. During the first 2 weeks because of the low calorie intake from liquid diet fatigue is common however feeling hunger is not.
Weeks between 3-5 turning to a soft food diet, the energy level improves quickly.
After 5 weeks patients can begin to eat regular food. It is important to eat a small amount of food each time and have meals that are more frequent.
Time for full recovery starts by 3 weeks after surgery, patients will be able to begin exercising 5 weeks after surgery.
Can I Get Pregnant After Gastric Sleeve?
Can I Get Pregnant After Gastric Sleeve?
Yes you can get pregnant after gastric sleeve surgery, but you should wait at least 18 months for a safe and healthy pregnancy. It is important to stabilize weight before getting pregnant. After the surgery, your body will go through a lot of demanding changes.
Advantages And Disadvantages Of Gastric Sleeve Surgery
- Gastric sleeve surgery restricts the amount of food the stomach can hold,
- Bariatric Sleeve provides weight loss of >50% for 3-5+ year data,
- Involves a relatively short hospital stay of approximately 2 days,
- Bariatric surgery causes positive changes in obesity-related major comorbidities that suppress hunger, reduce appetite and improve satiety,
- Another advantage of gastric Sleeve surgery is that no foreign material (such as the stomach band) is placed in the body and no change is made in the inner and outer part of the stomach.
- Gastric Sleeve is a non-reversible procedure,
- After surgery long-term vitamin deficiencies are potential.
As your body adapts, you may experience side effects such as; feeling cold and tired, dry skin, mood changes, muscle aches and fatigue, hair thinning and loss.
Is There Any Other Alternatives to Gastric Sleeve
Sleeve gastrectomy is a permanent procedure and cannot be undone. As they can be reversed you may consider to think about the other surgical alternatives like the adjustable gastric band and gastric bypass. All 3 surgical procedures can provide similar weight loss benefits.
Roux-en-Y Gastric Bypass (RYGB): In gastric bypass procedure a portion of the stomach is stapled off in order to form a gastric pouch. After this step to bypass the lower stomach and intestines, the small intestine is attached to the pouch.
Adjustable Gastric Band: In gastric band procedure a band is placed around the upper part of the stomach. This band separates the main part of the stomach from the smaller part. Gastric band surgery provides limited food intake, by filling up the smaller part of the stomach with food faster and empty slowly into the rest of the stomach.
Gastric Balloon: Gastric balloon is a nonsurgical procedure that provides weight-loss for people with a BMI of between 27 and 40. The aim of this procedure is to make the patient feel fuller and eat less by taking up space in the stomach. Before deflated or removed the balloon will stay in, up to six months to a year.
Gastric Botox: Gastric botox is an non surgical procedure that helps accelerate weight loss. Gastric botox, also known as
"stomach botox", performed endoscopically to the stomach wall. Botulinum toxin "botox" slows down the stomach so patients start to feel fuller. Stomach botox is performed under anesthesia, patients may leave the hospital two hours after the procedure.
How Much Does A Gastric Sleeve Cost?
The average cost of a gastric sleeve surgery is $14.900, but it can vary widely from country to country. Depending on location, the surgeon, and other factors, it can range from $10,000 to $25,000.
The price is based on factors like;
- Location (Country/State)
- Surgeon’s credentials, qualifications, and expertise
- Hospital facility
- What the price includes
- Insurance coverage (if you choose to go through your healthcare provider)
Although this procedure (also called gastric sleeve resection, sleeve gastrectomy, vertical sleeve gastrectomy, tube gastrectomy and laparoscopic sleeve gastrectomy) is a newer type of bariatric surgery many insurers have started to cover a huge percent of the costs.
You may also consider taking your surgery by travelling abroad. Turkey is the safest destination with certificated, high standards and equipped clinics and hospitals, fully equipped surgeons and affordable prices.
How Much Does A Gastric Sleeve Surgery In Turkey?
The average cost of gastric sleeve surgery Turkey is $5,500. Depending on location, the surgeon and other factors that are offered in the all inclusive package, costs can range from $3,500 to $8,000.
In Turkey, you can get your gastric sleeve surgery with experienced and expert board certified surgeons, in nationally accredited hospitals.
In Turkey the "All Inclusive Package” concept is applied for patients coming from abroad. The package includes transportation costs, airport and hotel transfers, hotel expenses and accommodation, all meal expenses are calculated as included in the price.
The Advantages Of Gastric Sleeve Surgery In Turkey?
Gastric Sleeve Surgery in Turkey is a safe and affordable procedure. You can get the same procedure 50- 60% more expensive in Europe.
Turkey is an impressive destination with natural beauties, historical past and culture. To reduce the stress experienced before the surgery you can get a short vacation in Turkey.
There are skilled Gastric Sleeve Surgery doctors, expert teams and experienced patient consultants in Turkey.
The Advantages Of Gastric Sleeve Surgery In İstanbul
Over 2500 years of history, culture and traditions, amazing landmarks and breathtaking views İstanbul is the hotspot of Europe where you can have your Gastric Sleeve Surgery. Besides all these beauties İstanbul offers a fascinating climate for quick healing.
İstanbul is an important destination in plastic surgery operations carried out in recent years. In İstanbul you will find world wide standards hospitals and clinics, with large numbers of surgeons with extensive knowledge. The average price of gastric sleeve surgery in Istanbul is $6,000. The costs of gastric sleeve surgery starts from $4,750. All the bariatric surgery procedures are perfectly performed in İstanbul.
Before the surgery you may enjoy your time in İstanbul.
- Laparoscopic Gastric Sleeve and Micronutrients Supplementation: Our Experience (hindawi.com)
- The Gastric Sleeve: Losing Weight as Fast as Micronutrients? | SpringerLink
- The long-term effect of pregnancy on weight loss after sleeve gastrectomy - ScienceDirect
- The advantages and disadvantages of sleeve gastrectomy; clinical laboratory to bedside review - ScienceDirect
Written on 01/01/2018
Last Update: 27/06/2022
Sleeve-Gastrectomy Before & After Photos
Before & After
Before & After