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Sleeve Gastrectomy

Surgical removal of most of the stomach is based on leaving a tubular stomach. For this reason, sleeve gastrectomy is also known as ’sleeve gastric surgery‘. After surgery, food intake decreases, with a small amount of food saturation occurs. During the operation, the fundus part of the stomach which secretes fasting hormone is also taken. Therefore, the level of fasting hormone decreases. A small amount of satiety occurs with meals and appetite is reduced. The complication rate of sleeve gastric surgery is very low. Persons who undergo this operation will lose a large part of their excess weight within about 18 months after the operation.

Sleeve stomach surgery (sleeve gastrectomy); with a closed method, 1-5 pieces of incision into the abdomen by opening several cm incisions, using surgical instruments and monitoring by camera, with a stapler-like device that can make both cutting and suturing of 80-85% of the stomach, called stapler. It is a bariatric surgery that restricts the intake of nutrients, which allows the stomach to be removed and thus restricts the amount of food that the stomach can receive at one time.

1

When not preferred

People who will not benefit significantly from surgery

Sleeve gastric surgery is performed under general anesthesia.People who are not

Sleeve gastric surgery is performed under general anesthesia.

  • People who are not eligible for general anesthesia,
  • People with addiction,
  • Persons who will not benefit from surgery (psychiatric)
  • Sleeve gastric surgery is not preferred.

2

Are the results permanent?

Results are permenant in long-term 

The results of sleeve gastric surgery are permanent. The weight lost is largely

The results of sleeve gastric surgery are permanent. The weight lost is largely maintained. If the correct habits are not gained, some weight gain may occur. However, weight gain slows down or is prevented to a great extent compared to the absence of surgery.

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3

What are the risks of gastric sleeve surgery?

Complication Rate Is Very Low Compared to Obesity and Other Metabolic Surgery Operations

The rates of complications observed in sleeve gastric surgery are similar to tho

The rates of complications observed in sleeve gastric surgery are similar to those of other abdominal operations (gall bladder, intestine, stomach ... etc). The average risk of complications in sleeve gastric surgery

  • Leakage Risk Average % 2,1           In Our Clinic % 0,2   
  • Risk of Bleeding  % 1,2                          In Our Clinic % 0,2
  • Stenosis-Narrowing Risk % 0,6                In Our Clinic % 0
  • Mortality  % 0 ,08                                In Our Clinic % 0

4

Is There A Long Term Matter Of Sleeve Gastric Surgery?

Sleeve gastric surgery is very safe when compared to obesity-related health problems

Studies have shown that sleeve gastric surgery has no negative effects in the lo

Studies have shown that sleeve gastric surgery has no negative effects in the long term. On the contrary, it has been proved by many studies that it prolongs the expected life expectancy and is a very effective method in the long term in the treatment of obesity related diseases and problems.

5

Since when is surgery

Since 1997

Sleeve gastric surgery was first performed in 1997 as open surgery. It has been

Sleeve gastric surgery was first performed in 1997 as open surgery. It has been applied laparoscopically since the beginning of 2000s.

6

Postoperative Health

All life and health changes in a positive direction

Weight loss is started rapidly after sleeve gastric surgery and the negative eff

Weight loss is started rapidly after sleeve gastric surgery and the negative effects of obesity are reduced from day to day.

  • Sexual life improves.
  • Pregnancy problems decrease.
  • Hormonal problems improve.
  • Depression decreases.

Refer. Health after bariatric surgery

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7

What does it cost ? Why does it vary?

Quality and experience are important when it comes to health

Sleeve gastric surgery fees vary worldwide. Prices ; * Material selection, * Hos

Sleeve gastric surgery fees vary worldwide. Prices ; * Material selection, * Hospital, * Physician experience * Pre-operative and post-operative examinations, * Post-operative follow-up * Other services (accommodation, transportation, medicine, etc.). Bariatric surgery, US from $ 15,000 - $ 50,000, 4000 EUR -60 000 euros in Europe, and in Turkey 1800 euro - varies from 20,000 euros.

8

Why is it so preferred

It is preferred because of its rapid weight loss and low complication.

Sleeve gastric surgery has become the most widely used method in the treatment o

Sleeve gastric surgery has become the most widely used method in the treatment of obesity worldwide thanks to its advantages; · Triggers weight loss. Provides fast and meaningful weight loss. Decreases your appetite and increases your health. Does not alter the digestive tract Does not inhibit absorption (not malabsorbtive) Dumping syndrome is not expected to occur. Does not require a gastric band. It can be performed laparoscopically even in obese patients. It can be used in the pioneering treatment of diseases such as diabetes, sleep apnea, high cholesterol and high blood pressure. It can be converted to gastric bypass or duodenal switch operations. Does not require long hospital stay, can return to normal life quickly It is generally cheaper than other surgical methods. The complication rate is low. Success rate is high.

9

Is Sleeve Gastric Surgery Safe?

Sleeve gastric surgery is very safe when compared to obesity-related health problems

Sleeve gastric surgery is a very safe operation among surgical operations. . Gas

Sleeve gastric surgery is a very safe operation among surgical operations. . Gastric banding (gastric clamp), which has a low percentage of complications and success in recent times, has been reported frequently in the press and in public and has caused bias against bariatric surgery. However, any physician who will perform surgery should not go beyond the medical literature, because each surgery carries a variety of risks, and in a possible negative situation, the surgeon must defend himself from the forensic aspect. In other words, the surgeon decides the surgery by evaluating your current health condition, possible health problems and surgical risks together. Of course, it is not wrong to get different opinions of physicians, as in every field of medicine, there may be a difference in interpretation. However, do not forget that every physician considers your health as a priority.

10

Pre-operative controls -why necessary.

It is necessary to minimize the risks of surgery

1. Blood test To determine a possible problem in advance, to check whether there

1. Blood test To determine a possible problem in advance, to check whether there is an obstacle to surgery, the patient

2. Dexamethasone suppression test, Obesity problem may also be caused by hormonal problems. It is very important to test the presence of diseases such as Cushing syndrome by pre-operative cortisol suppression for patient safety.

3. All abdominal ultrasound (usg) - (Radiology control) In terms of the safety of the patient's internal organs, lubrication, bile, stone and so on. examination of the formation, combined operations in cases where it is desired (gallstones in the case of gallstones), laparoscopic operation can not be done with an open method, such as ultrasound should be examined.

4- Psychiatric control; The psychiatrist should check the patient's drug-alcohol dependence, eating disorder, consciousness level and awareness. Thus, conditions such as possible anorexia and conditions that may lead to deterioration in the patient's health should be examined. 6- Internal Medicine - Endocrinology control; Diabetes, thyroid and many other diseases should be examined and conditions that may interfere with surgery, and the conditions to be considered during and after the hospital should be evaluated.

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11

How Stomach Reduction Surgery Helps to Lose Weight

Satisfaction and appetite decreases with a small amount of food

Sleeve gastrectomy helps you lose weight in the following ways: Physical effects

Sleeve gastrectomy helps you lose weight in the following ways: Physical effects; Limits the amount of food that can be eaten at any time to less than the ⅓ value of what you can eat before surgery Hormonal Effects; It reduces the feeling of hunger by lowering the level of hunger hormone called Ghrelin. Glucagon-like peptide-1 hormone, GLP-1, is increased after Sleeve gastric surgery, and increased levels of GLP-1 are considered to contribute to weight loss by improving glucose metabolism, reducing hunger and increasing satiety. fast effect, etc.) For example, a person who is saturated with 2 portions of food before the surgery feels a sense of saturation with 1/2 portions after the operation. In addition, because of the fullness of the stomach ghrelin (fasting) hormone level decreases, leptin (saturation) hormone level increases in a shorter time, so that the person does not want to eat more. See. Ghrelin Hormone.

12

Do you need lifelong vitamins and minerals?

Lifetime use of vitamins is not required

Sleeve gastric surgery does not restrict absorption, so long-term use of vitamin

Sleeve gastric surgery does not restrict absorption, so long-term use of vitamins is not mandatory if properly fed. However, in the first months, protein and vitamin supplements are required for prevention.

13

Who Can Have Sleeve Gastric Surgery?

VKi is greater than 40, Vki is more than 35 and has co-morbidities, VKi is higher than 30 with doctor's approval

Because of the low complication and high success of sleeve gastric surgery, the

Because of the low complication and high success of sleeve gastric surgery, the indications for surgery have been expanded. In any sense, any patient that the surgeon considers appropriate may have this operation. When the surgeon evaluates; How much the patient will benefit from surgery, Obesity (Body mass index) level of the patient, Obesity-related diseases (diabetes, blood pressure, sleep apnea, etc.) Possible diseases due to obesity (genetic predisposition, early disease symptoms) Quality of life of the patient, Psychological factors, decides whether the patient is suitable for the operation by evaluating all the factors such as;
Refer. Who can have surgery

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14

How much weight do I lose after the sleeve stomach

30% of excess weight given in the first 3 months

Weight gain is rapidly started after sleeve stomach surgery. 15-20% of overweigh

Weight gain is rapidly started after sleeve stomach surgery. 15-20% of overweight in the first month is given in 30% of the first three months.


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