surgery is nowadays the most
effective alternative to treat clinically
severe obesity. The sleeve gastrectomy
reduces the stomach capacity by means
of a vertical mechanical suture that
turns the stomach's natural shape
of a bag into a tube. If you suffer
from morbid obesity, consider bariatric
surgery as the best option to improve
your quality of life and enjoy your
days with your beloved people.
does a sleeve gastrectomy consist of?
is a restrictive procedure; by reducing
the stomach capacity, the patient feels
full after a small intake of food. It is
advisable for people with a body mass index
of 60 or more, since the risks of intra
and post surgical complications for them
is very high. In these cases, sleeve gastrectomy
is performed before a gastric bypass. This
is done so that the patient will weigh a
lot less at the time of the bypass, reducing
the risks of complications. It helps the
patients reduce their weight considerably
in 40% of the cases. If these patients also
change their eating habits, they may not
need a second surgery to complete the treatment.
If it is necessary to resort to a second
surgery, such as a bypass or a gastric band,
the patient will have to wait 18 months.
It may also be used as a first option of
a restrictive procedure in patients of a
BMI of between 45 and 60, if the medical
assessment of the case determines so.
is sleeve gastrectomy performed?
is done by means of laparoscopic techniques.
These techniques involve the use of special
instruments that are introduced through
very small incisions that allow the area
treated to be seen on a closed circuit monitor.The
incisions that the surgeons make nowadays
are of no more than 0.4 inches (1 cm); the
surgical trauma they produce is much lower
and the post surgical pain much more tolerable.
Through these incisions, the surgeon can
reach the stomach and, using a special stapler,
he makes a vertical suture to divide the
stomach in two. One of the sections is shaped
like a tube that goes from the esophagus
to the intestine. The other one is separated
and removed. The staples used are very strong.
surgery procedures have -generally- good
results. Apart from losing weight, most
of the patients recover physical and psychological
thinking about undergoing bariatric
surgery, such as a sleeve
gastrectomy, it is important for
you to bear the following things in mind:
must be at least 18 years old. Your obesity
must not be due to other diseases that could
be treated with other procedures. Your body
mass index (BMI) should be over 40, or at
least over 35 if you suffer from a disease
related to morbid obesity. You must have
lived at least 5 years with that BMI and
failed in your attempts to lose weight by
non-surgical treatments. Take your time
to think about the important changes in
your diet after a reduction of your stomach
capacity. Get psychologically prepared to
follow these new habits for the rest of
your life. Bear in mind that you will not
be able to drink large quantities of alcohol.
If you are used to drinking a lot of alcohol,
you may not be a good candidate for this
3 or 4 days (1 day in intensive care unit
and 2 or 3 days in the recovery room)
You will have small adhesive strips on each
of the incisions of 0.4 inches (1 cm). You
will also have two drainage tubes connected
to airtight plastic bottles, one of which
will be removed on the third day after the
surgery and the other on the seventh day.
Mild to moderate.
Seven scars of only 0.4 inches (1 cm) will
be distributed on your abdomen in the shape
of a diamond; its lower vertex will be on
the navel and the upper one at the base
of the breastbone.
of the stitches
7 to 10 days after the surgery.
At first, you will feel discomfort on the
abdominal area, but very oon the pain will
and complications of vertical gastroplasty
Every surgical procedure, regardless of
its triviality, has some risks and we should
always think of them as a possibility. Gastric
bypass is a major surgical procedure and
it is certainly not against this rule. The
average percentage of immediate post surgical
complications is about 2%.
main complications are:
reflux. The sutures (staples) may open or
there may be leakage through them. Hemorrhages
where the incisions and/or sutures have
been made. Intestinal obstruction. Blood
clots may form on the legs or other parts
of the body and migrate to the lungs, increasing
the risk of pulmonary embolism. Breathing
problems. As time goes by, the remaining
portion of the stomach may stretch and partially
recover its original capacity.
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