What is tube stomach surgery (stomach reduction surgery)? And how it is done?
Tube stomach surgery (sleeve gastrectomy): it is a restrictive obesity and metabolic surgery method. The purpose of this method is to reduce the capacity of the stomach in terms of volume. 80% of the stomach is removed by stapling it with a laparoscopic surgery, leaving a section equal to the width of the oesophagus. This operation can also be called sleeve gastrectomy or stomach reduction surgery because of the shape of the stomach left behind.
Stomach reduction surgery
Gastric sleeve surgery (stomach reduction surgery) is performed by laparoscopic method under general anaesthesia. It can also be performed through 5 holes or a single hole. After the vessels of the stomach are separated, a tube is inserted into the stomach through mouth and the stomach is cut from the tube with the help of a tool called stapler. The stomach is taken out through the hole in the abdominal wall. After checking the bleeding and leakage, the tube is pulled and cut part of the stomach is sutured again. After sleeve gastrectomy, a drain is not felt in the abdomen or nose.
What are the advantages of stomach reduction surgery?
- It does not disturb the anatomical structure, intestinal structure and the natural nutrient flow direction.
- The technique is simpler and the complication rates are lower compared to other methods.
- Dumping syndrome and ulcer does not occur.
- The secretion of the appetite hormone called ghrelin decreases, reduces the appetite from the first day.
- There is no need for lifelong vitamin-mineral supplementation.
- In any case, the entire stomach can be visualised with the help of endoscopy.
- The feeling of occlusion and satiety occurs since the pyloric muscle of the stomach is protected.
What are the disadvantages of stomach reduction surgery?
The disadvantages are less than other obesity and metabolic surgery operations.
- There are no going back
- The effect of losing weight and saving from co-morbidities is weaker than gastric bypass and duodenal switch, which case malabsorption.
Who can get it performed?
- Those between the ages of 18-65,
- Sleeve gastrectomy surgery can be performed under the age of 18 and over the age of 65 in special cases if the board decides so.
- Those with a body mass index over 35,
- Those with a body mass index between 30-35 and additional diseases related to weight (hypertension, cholesterol, diabetes, sleep apnoea, heart failure, metabolic syndrome etc.)
- People who have tried other methods to lose weight but failed.
- Those who can handle the surgery and the anaesthesia.
Who cannot get it performed?
- Those with serious, untreated psychiatric illness,
- Those with any type of substance nor alcohol addiction,
- Patients with severe hormonal and endocrine disorders,
- Patients who cannot make the necessary lifestyle changes and diet after surgery,
- Those who have a disease that will prevent them from performing anaesthesia,
- Those who have cancer,
- Those who are planning a pregnancy within 1 year in the near future.
What are the risks of stomach reduction surgery?
The risk ratios of gastric sleeve surgery published in international literature are;
- The risk of leakage complications is 1-2% in a good hospital.
- Bleeding risk 2-3%
- The risk of death is reported as 0.1% in the literature.
These risks are much higher in surgeries that cause malabsorption and are more complicated, such as gastric bypass surgery, Ileal interposition, transit bipartition, and SADI-S.
How much does the Gastric Sleeve Surgery costs? How does the price differentiate?
The hospital segment is one of the leading factors affecting the prices Obesity and Metabolic surgeries. The hospital segments are classified just like hotels. The upper, middle and lower segments (or classes) according to some criteria. In hospitals, the classification is made according to the clinical department, technology, equipment, materials, imaging, and laboratory types and implements they host. Upper segment hospitals are very limited in number and they are hospitals with high level facilities in terms of equipment and medical team. Our Inter Bariatrics team prefers hospitals in the upper segment for surgical service.
One another factor affecting the price is the length of stay in the hospital. According to the hospital segments, the length of stay changes in the price rate. In particular, monitoring the intensive care unit is a factor that significantly increases the cost. It must be taught what is included in the package given to the patient before the operation. Sometimes it is very important to know whether the dietitian package includes the examination fee in the doctor’s controls or not from the affordable prices you will receive. Because the price that seems favourable may not be very economical in terms of the fees you may need to pay later are added.
Tube stomach surgery after dismissal
In the Inter Bariatrics clinic;
- 5 years dietitian follow-up
- Including doctor’s check-ups for 5 years, excluding the tests that are requested by you in your check-ups
- Monthly scheduled obesity group support therapy meetings are included unless otherwise stated.
Frequently asked questions about Stomach Reduction Surgery
Should I go on a diet before the surgery?
Before the obesity surgery, if you do not have a very high weight or a large fatty liver, you do not need to go on a diet. In order to both reduce the risk and facilitate the surgery in over-weights, a liver-reducing diet devoid of carbohydrates and fat can be prepared for a few weeks by the team dietitian upon the suggestion of the doctor and adhered for a few weeks.
Can I get Stomach Reduction Surgery?
If your BMI is over 35 or between 30-35 and you have additional co-morbidities. (You can calculate your BMI here)
Between the ages of 18-65
In extraordinary cases, under the age of 18 and over the age of 65,
If you do not have an obstacle to anaesthesia and surgery, you can get the Stomach Reduction Surgery to be performed.
Who cannot get Stomach Reduction Surgery?
Patients who cannot make a life-style change in their post-operative life,
Those with severe hormonal endocrine disorders,
Those who are planning a pregnancy within 1 year or in the near future,
Those with substance and alcohol addiction,
Serious untreated psychiatric patients,
Cannot have the Stomach Reduction Surgery.
How much weight will I lose after Stomach Reduction surgery?
The most weight loss after the surgery is in the first 6 months, people who hasn’t seen you in a long period of time usually cannot recognise you when they see you after 6 months. At the end of the first year, you lose 40% or more of your weight in the operation.
How many days will I stay in the hospital for the surgery?
The internationally recommended hospital rest period for Stomach Reduction surgery is 3 days. If you have surgery with the Inter Bariatrics tea, you will be hospitalised for 3 days.
When can I return to my work or normal life after the surgery?
Stomach Reduction surgery is not a very heavy operation and if you do not perform heavy physical work, you can return to your job after the 10th day control like most of our patients, or even the day you are dismissed from the hospital or the very next day, like some of them.
When can I take a shower after Stomach reduction surgery?
When you are sent away to your home, you can take a shower with lukewarm water without making washcloths or scrubs on your surgical sites.
When can I start normal nutrition after Stomach Reduction surgery?
At the end of the first month, you can slowly start normal foods with the guidance of our Inter Bariatrics team dietitian.
When can I start sports after surgery?
Starting from the 10th day after the Stomach Reduction Surgery, the patient can start walking and swimming from mild to brisk. you can start weight training at the end of the first month without waiting too long.
Should I use vitamins after surgery?
We want our patients to use vitamins and minerals in our Inter Bariatrics Clinic for the first 6 months after the Stomach Reduction surgery. If you have undergone malabsorption surgery such as gastric bypass, you should use vitamins and mineral internationally.
Like organisations, we are also recommended by our team for life.
Can the children get the surgery done?
Children aged 13 and up can have surgery if the check-up team board decides to do so based on special criteria and evaluations. We have had patients who were operated on when they were 13-14 years old and met the necessary conditions in this manner.
Is there an age limit for the Stomach Reduction surgery?
It is normally performed between the ages of 18 and 65, but if the check-up board approval and the patient’s health necessity are deemed appropriate, surgery can be performed between the ages of 18 and 65.
Will I regain the weight after the surgery?
There is always the possibility of regaining weight after surgery. The two most important factors influencing weight gain are: first, you were operated on with a competent and good surgical technique, and second, you made a lifestyle change.
In medicine, the rate of regaining weight is between 5 and 15%, which is considered quite low. Regaining weight is caused by alcohol consumption in men and a preference for chocolate and sugary foods in women following severe traumas (loss of parents, divorce, economic etc.).
Will I Sag Following Stomach Reduction Surgery? How Can I reduce Sagging Skin?
Sagging after a stomach reduction surgery varies greatly depending on the person’s gender, skin structure, age, lifestyle, genetic structure, whether or not he gave birth, and frequency of weight gain and loss. A 40-year-old patient who has given birth to three children may sag very little, whereas a young patient who has never given birth may sag significantly. We recommend that you incorporate sports into your life as soon as possible and permanently in order to protect your muscle mass after surgery and reduce sagging. In comparison to other patients, we see less sagging in our patients who do Pilates and intense sports in various branches.
When can I have sagging surgery after a sleeve gastrectomy?
We recommend that you have your sagging surgery after 1-1.5 years after you’ve had a sleeve gastrectomy, as it would be more accurate to wait until you have reached your ideal weight.
When Will I Be Able to Get Pregnant After Tube Stomach Surgery?
We do not recommend pregnancy before 12-18 months so that you can adjust to your new life after stomach reduction surgery, understand your eating habits and healthy lifestyle, as well as your body is ready for your child in a healthy way.
Is Gastric Bypass Surgery the Last final solution?
Unfortunately, although some circles claim that more severe surgeries that result in gastric bypass or malabsorption are a permanent solution with no weight gain, this is a completely false belief that can result in significant weight gain after gastric bypass surgery. For all surgeries to be successful, the patient and team’s determination, a good surgical operation, adequate information and support before the operation, good follow-up after the operation, and the patient’s ability to change their lifestyle after the operation are all critical.