Sleeve Gastrectomy is an effective surgical technique for fighting extra kilos.
Until recently, stomach-reducing surgery, or sleeve gastrectomy was performed as a part of biliopancreatic diversion as the first stage of a complex intervention. Simultaneous gastrectomy and gastric bypass commonly turned out to be impracticable in patients with severe obesity. At the same time, doctors registered excellent results of reducing excess weight as early as after the first stage. Gastrectomy aimed at weight loss was first ever performed as a separate procedure in 1993.
It’s the most conserving bariatric surgery when it comes to anatomical changes. The surgeon removes only the lateral distended part of the stomach and forms a tube 1-1.5 cm in diameter with a volume of 60-80 ml. The process of food propulsion is unchangeable, the intestine is not getting injured while performing surgery. The part of the stomach, which produces the hunger hormone – ghrelin is subjected to resection.
As a result of the procedure, the concentration of bile acids, increasing insulin synthesis, raised in patients. Insulin converts glucose into energy, not fat, as takes place without its involvement. The synthesis of glucagon-like peptide, responsible for satiation, is also stimulated. Patient gorges himself/herself on with a small amount of food and, at once, gets rid of discomfort that provokes constant hunger.
Surgery effect and benefits
The principle of sleeve gastrectomy is to restrict nutrient absorption, thus the specific outcome will hinge on sticking to recommendations of our experts and selecting the appropriate diet. Patients lose 50-61% of extra kilos over the first year. The severity of comorbidities reduces when the weight approximates normal values, complete recovery is believable. However, the procedure is more tolerable, as far as the intervention on the gastrointestinal tract is minimal in contrast to other bariatric procedures. A patient doesn’t require reoperations as well, such as balloon removal after intragastric balloon installation or cuff adjustment after placing a gastric band.
Sleeve Gastrectomy at the Metabolic Surgery Center
Andrian Reiti, PhD, bariatric surgeon, performs surgery in our clinic. Participation in scientific conferences, internships with respected experts provide a practitioner with an opportunity to use the most advanced and effective treatment methods. Gastrectomy is performed using minimally invasive technique under general anesthesia and lasts 1-2.5 hours due to the up-to-date equipment at the Center and laparoscopic equipment, unique for Ukraine. On the same day, a patient can drink water and consume liquid food. Discharge from the hospital is possible on the second day after the procedure. The doctor offers the solution for complicated cases of obesity as well, when a patient is denied by other surgeons to perform surgery. Successful laparoscopy, performed in super obese patients, who initially weighed 250 kg with BMI of 82.5 kg/m2, might serve as a prove.
Our medical staff supports patients not only while their staying in the clinic. Long-term work in the postoperative period includes assistance in lifestyle modeling and maintenance.
A comment by Andrian Reiti, bariatric surgeon, on how to maintain a stable result and give extra kilos no chance to return:
“Sleeve gastrectomy will help to lose weight and bring the BMI closer to normal values. Meanwhile, the principle of a long-term effect is a patient’s desire to change dietary habits and embrace a healthy lifestyle.
Caloric restriction is required to maintain a normal weight. It is easy achieved when you choose appropriate groceries, avoid sweetened beverages, fast food, do not overconsume sweets, flour-based food. You should take meals 4-5 times a day and exclude all kinds of snacks from your menu. When hunger strikes – just drink water. You should drink at least 6-8 glasses of water daily.
Sport (or any other physical activity) should become a habit. Healthy sleep is also important: make sure you sleep 7-8 hours a day”.
When Sleeve Gastrectomy is recommended:
The operation is recommendable in almost all patients with the BMI higher than 35 kg/m2, as well as in case of severe comorbidities, turning out to be contraindications for other types of surgery. May be recommended as the starting procedure.
Sleeve Gastrectomy: how to prepare?
It’s preferable to start doing sport before surgery, it will help to lose some weight. When consulting, the doctor will provide the detailed list of tests and examinations that can be made in a convenient way: in our Center or another lab. On the surgery day, coming to the clinic on an empty stomach is necessary.
In our Metabolic Surgery Center you will get a detailed medical advice and answering all questions regarding sleeve Gastrectomy.
Let us introduce the doctor
PhD in Medical Science, Chief Surgeon at the Metabolic Surgery Center