Gastric Sleeve or Sleeve Gastrectomy is a bariatric procedure that involves removing 75-80% of the stomach. This procedure is currently the most widely performed bariatric surgery worldwide. As Rhinoplasty Turkey, we are the leading clinic in Gastric Sleeve in Turkey.

Gastric Sleeve Surgery provides great benefits, including:

• Overall improved quality of life
• Loss of excess weight by approximately 60-70% within one year after surgery
• Alleviating or improving obesity-related health conditions such as type II diabetes mellitus, hypertension, sleep apnea, fatty liver disease, joint pain, and hyperlipidemia
• Decreased desire to eat
• Decrease in the feeling of hunger

How is Gastric Sleeve Surgery Performed?

This procedure works through several different mechanisms. First, the new stomach pocket created has a much smaller volume than the normal stomach, helping to significantly reduce the amount of food that can be consumed (and therefore the calories to be taken). However, the bigger impact is the effect of the surgery on gut hormones, which affects a number of factors, including hunger, satiety, and blood sugar control.

1. Small incisions are made in the abdominal wall for the placement of small trocars.
2. The stomach is examined and the blood vessels on the side of the stomach are separated.
3. A Bougie tube is inserted into the stomach, which will determine the size of the small stomach to be formed
4. A special tool is used to divide the stomach into two parts
5. The stomach is completely divided in half.
6. A new stomach is formed in the form of a tube, which has about 20-25% of the original stomach volume.

How Does Weight Loss Occur in Gastric Sleeve Surgery?

In Gastric Sleeve Surgery, weight loss occurs with 2 mechanisms:

• Reduction of the food that can be taken as a result of the decrease in stomach volume with the reduction of stomach volume
• Since the stomach part, where the hormone known as ghrelin and causing the feeling of hunger is secreted, is removed, the feeling of hunger will decrease in patients and weight loss will occur.

Ghrelin is a hormone produced by some cells in the upper part of the stomach called the fundus and causes an increase in appetite. Each gram of the fundus of the stomach contains 10-20 times more ghrelin than the duodenum. Since the fundus area of the stomach where ghrelin is produced in Gastric Sleeve Surgery is removed, appetite decreases and weight loss occurs.

Advantages of Gastric Sleeve Surgery

• Limits the amount of food the stomach can hold
• Comparative studies have shown that gastric sleeve surgery causes rapid and significant weight loss at a similar level as Roux-en-Y gastric bypass.
• Does not require the use of foreign bodies (Gastric Banding) and does not require bypass or redirection of food flow
• Requires a relatively short hospital stay of about 2 days
• It causes positive changes in intestinal hormones that suppress hunger, reduce appetite and increase satiety.

Nutrition After Gastric Sleeve Surgery

Gastric sleeve surgeries are the removal of 3/2 of the stomach to narrow the stomach volume. Your remaining stomach volume is 90-100 ml (1 tea glass) and your reconstructed stomach is roughly tube-shaped. Therefore, this surgery is called sleeve gastrectomy. This surgery mainly reduces your stomach volume and thus provides a feeling of satiety with small portions. In addition, it is an effective surgery on appetite control, as it stops the activation of the ghrelin hormone secreted from the removed part of the stomach.

Success after gastric sleeve surgery has a direct relationship with how well you follow the nutrition plan recommended to you. Changing your eating habits will not only allow you to lose weight successfully and healthily, but will also allow your body to repair itself and recover smoothly.

The special nutrition plan, which will be applied for about six weeks after the surgery, covers the period until the person’s digestive activation, tolerance, and the functions of the stomach and intestinal system return to normal. In this process, being under the control of a dietitian and being in constant communication will allow you to complete the process more effortlessly. In sleeve gastrectomy surgeries, the nutrition plan is completed with liquid, puree, soft solid and optimal nutrition, respectively.

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