Sleeve Gastrectomy:
Sleeve Gastrectomy, also called sleeve gastrectomy, is a surgical operation for weight loss. It is one of the most frequently applied bariatric surgery procedures. The operation generally reduces the volume of the stomach, restricting the food intake, and thus provides weight loss with reduced calorie intake. An incision and suture is applied laparoscopically (closed) starting from the region of the stomach called the antrum, extending along the staple line ending at the proximal sense angle. Approximately 80% of the stomach (which may vary depending on its size) is removed. The stomach that remains after the operation is likened to a tube because there is no dome, and for this reason, although it is called sleeve gastrectomy in medicine, it is popularly referred to as Tube Stomach Operation.
Apart from getting rid of excess weight, sleeve gastrectomy can also contribute to the improvement of the following conditions due to excess weight:
- Heart disease
- Hypertension
- high cholesterol
- obstructive sleep apnea
- type 2 diabetes
- Stroke
- Infertility
To Whom Is Tube Stomach Surgery Applied?
Those with a Body Mass Index (BMI) of 40 and above (morbid obesity),
Those who have a Body Mass Index (BMI) between 35-40 and have a health problem such as obesity-related diabetes, sleep apnea,
It is suitable for obese patients with a Body Mass Index (BMI) between 30-35 and those who have serious health problems due to obesity and whose living standards are affected by their excess weight.
Even for patients who meet the above criteria, the type of operation and its necessity are decided together with the patient in line with the recommendations of the surgeon who will perform the operation.
After Tube Stomach Surgery
In the post-operative period, adequate energy and nutrient intake is important to support weight loss and tissue healing. In addition, while the consumed foods support weight loss, the patient should minimize the occurrence of reflux, heartburn, nausea, early satiety and dumping syndrome that may occur after obesity surgery.
Dietary phases (clear liquid, liquid, puree, soft and solid), protein intake, fluid requirements and vitamin mineral supplementation are among the priority requirements in the nutrition of postoperative obesity surgery patients. A low-sugar clear liquid diet can usually be started within 24 hours of any bariatric surgery. However, the progress of this diet and nutritional procedure should be evaluated by the doctor and dietitian. The protein requirement of the patient is individual and should be planned by the dietitian according to gender, height and age. It is recommended that the patient take an average of 60-80 g of protein or 1-1.5 g/kg of protein during the day.
Clear liquid diet (post-operative day 2): It is used as the first step in nutrition after obesity surgery. According to the results of the leak test performed 24-48 hours after the operation, with the approval of the surgeon performing the operation, the patient starts to be fed with sugar-free or low-sugar clear liquids (apple juice, diluted buttermilk, meat/chicken broth...) and water. Fluids in a clear liquid diet should be at body temperature and have minimal gastrointestinal residue.
Liquid Diet (post-operative Days 3-12): The liquid diet is more textured and has a higher gastric residue than the clear liquid diet. During this period, more viscous liquids such as milk and dairy products, supplementary protein powders can be started, while care should be taken to ensure that all liquids are homogeneous and free of grains. For this purpose, it is important to consume granular, lumpy liquids after they have been thoroughly filtered through a tight cheesecloth.
Liquids that can be used in the liquid period;
- protein powder
- lactose-free milk
- Plant-based milks such as soy milk, almond milk
- Diluted buttermilk made with lactose-free yogurt
- diluted kefir
- Meat/chicken stock (clear soups made from meat/chicken stock)
- yogurt juice
- Whey
- Reconstituted unsweetened, organic fruit juices (should not be acidic)
- Decaffeinated herbal teas such as linden
Fine Puree Diet (post-operative days 13-22): In this period, the foods should be blenderized and have the consistency of baby food-boza. Consumed foods should not contain foods that can increase stomach acid such as spices, onions, tomato paste. Protein intake should be at the forefront, but in addition to protein, fruit or vegetable purees can be added. During this period, the patient should begin to practice solid-liquid separation and should maintain the rule for life.
In addition to the liquid period, the foods that can be consumed during this period are;
- Cheese
- Egg
- Yogurt (home yoghurt, strained yoghurt or probiotic yoghurt)
- Boiled vegetable purees
- fruit purees
- Double minced meat
Puree period (23-32 days): In the puree period, which consists of more viscous foods compared to the fine puree period, it will be sufficient in terms of consistency to mash the foods with the back of a fork without the need to pass the leftover food through the blender. Although the consistency of the food increases, the patient's chewing the food thoroughly, consuming it by waiting between small bites and bites also improves gastric tolerance.
important for the mess. Consumed foods should not contain foods that can increase stomach acid such as spices, onions, tomato paste.
In addition to the fine mash period, the foods that can be consumed during this period are;
- Soft-fleshed fish such as grilled/steamed fish or tuna
- Mince
- chicken legs
- Unpeeled raw cucumber
- Curd cheese
Solid nutrition (1st month and later):
After the 30th day, in line with healthy nutrition recommendations, the consumption of raw vegetables and other solid foods is encouraged and planning is made depending on the tolerability of the patient. The patient's compliance with the nutrition list planned according to his daily protein needs is also important in terms of weight loss and adaptation to the process without experiencing problems such as reflux, heartburn, and dumping.
What is Tube Stomach Surgery Duration?
The average operation time is 45 minutes. The duration of the operation may vary depending on the experience of the surgeon performing the operation, the surgical technique and the size of the stomach. After making the necessary checks, the doctor can give detailed information about the duration of the operation.
Gastric Sleeve Surgery Prices 2023
People who decide to have surgery should compare hospital and performance while doing research. You can contact our institution at any time to get detailed information about our tube stomach prices. You can contact us for information about tube stomach surgery prices 2023.
