Sleeve Gastrectomy for Weight Loss: Pros and Cons

We each dream of a healthy and slim body, but, unfortunately, lots of obese people are unable to lose weight on their own. The reasons are distinctive: a sedentary lifestyle, prohibition on sports due to physical limitations, increased appetite or a simple lack of willpower. Just consider a sleeve gastrectomy for weight loss in case of inability to lose weight by means of traditional methods.

In addition to obesity, a similar surgical procedure can be prescribed also for other diseases: tumors, ulcers, pyloric stenosis and in case of abdominal trauma as well.

Performed laparoscopically: a doctor makes 5 punctures on the anterior abdominal wall, then the patient’s abdomen is inflated by filling it with carbon dioxide, which, as opposed to oxygen, doesn’t trigger peritoneal inflammation. After inserting the necessary surgical instruments into punctures, a surgeon starts the operation, which lasts 1-3 hours. Everything happening inside is broadcasted on the computer monitor.

результат резекции желудка

Pros and cons of sleeve gastrectomy

1.Simplicity of the procedure

This high-tech operation, among surgeons, is considered the easiest in bariatric surgery – no reason for connecting two different parts of the gastrointestinal tract.

2.No more annoying hunger!

The part producing ghrelin, the hunger hormone, is removed. As a part of this procedure, a surgeon removes three-fourths of the organ, containing the cells producing this hormone. The feeling of hunger becomes ultimately dull or even disappears in lots of patients (but may reappear sooner or later).

3.Small portions provide rapid satiety.

After sleeve gastrectomy for weight loss, a patient is physically unable to eat more than the “new” stomach, formed by a surgeon, can hold. Its postsurgical capacity comes to 40-60 ml, it may enlarge slightly with age. The fewer calories, the faster the person loses weight – the principal goal of this type of obesity treatment is achieved.

The surgery is irreversible, the internal organ is resized forever, thus, at this stage it’s critical to turn the temporary discomfort, implying quick satiety and nausea, into the habit of eating a certain amount of food, avoiding overeating. Eating slowly and chewing thoroughly are required for better digestion.

4.No vitamin deficiency

As the continuity of the gastrointestinal tract is not disrupted in case of sleeve gastrectomy for weight loss, the food passes through all intestinal segments in the same way as before, and in each, the specific vitamin or mineral group is absorbed. A patient is not required to take dietary supplements to make up a deficiency.

5.No foreign bodies

In contrast to gastric banding and the placement of intragastric balloons, this type of treatment doesn’t imply foreign body implantation. Therefore, we get rid of the allergy to the object material, infections, erosions, etc.

Рукавная резекция желудка для похудения: плюсы и минусы

Cons and side effects of sleeve gastrectomy

1.Risk of suture breakage

The operation involves shaping and suturing of the resected stomach line – the length usually comes to 30 cm. The longer the line, the higher the risk of suture breakage (sutures may come apart).

During the surgical intervention, a surgeon uses a special intestinal and gastric stapler, which, like any other surgical instrument, may fail. International instrument manufacturers constantly gaining the effectiveness of the technology in order to minimize the risk for patients. But sometimes sutures break that demands reoperation to urgently fix the health issue. Complications with the breakage of a stapler line in bariatrics are reported in 2.1% of cases after sleeve gastrectomy.

2.Potential bleeding

In some types of obesity, tissues are extra flaccid. Despite the simplicity of the procedure, bleeding is possible – a vessel that starts bleeding in the adipose tissue can’t be quickly and clearly identified by doctors.

3.Expectations don’t always match reality

According to patients’ experience and their feedback, sleeve gastrectomy helps to quickly and effectively lose weight in the first 2 years – 65% of excess body weight on average. But within 5-10 years, the process of losing weight is slowing down, the effectiveness becomes less than in case of gastric bypass, for example.

One of the reasons is the patient’s habit of eating large portions, which causes another distension of walls of the organ, larger consumption of calories and, consequently, gaining weight. Another mistake is made when high-calorie foods are eaten in small frequent portions, or, even worse, high-calorie liquids are drunk: latte, cappuccino, fat smoothies, ice cream.

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Keep in mind that sleeve gastrectomy for weight loss is the first step in treating obesity. It’s crucial to eat a balanced diet after surgery, quit drinking and smoking, take exercises, drink enough water. Training habits of a healthy lifestyle will enable You to enhance the surgery effect. It will be easier to get rid of extra kilos, and, finally, you’ll be able of maintaining desired numbers on the scales.