Gastric Sleeve

What is Gastric Sleeve?

The gastric sleeve is a surgical procedure involving the removal of a substantial portion of the stomach to create a smaller, sleeve-like gastric structure. This new configuration limits the amount of ingested food at once, leading to weight reduction. Typically performed on individuals suffering from morbid obesity who haven't succeeded in losing weight through conventional means, such as dieting and exercise.

The gastric sleeve can significantly impact a person's health, reducing the risks of obesity-related ailments like hypertension, type 2 diabetes, and sleep apnea. Moreover, it can enhance overall quality of life by improving mobility and alleviating joint discomfort. However, like any surgical procedure, there are risks and potential complications, including infection, bleeding, and thrombosis. Patients need thorough evaluations by healthcare professionals to determine if the gastric sleeve is their optimal choice and should carefully weigh the risks and benefits before undergoing the procedure.

How is Gastric Sleeve Performed?

Gastric sleeve is primarily conducted laparoscopically, involving small incisions in the abdominal region to insert surgical instruments and a camera for the operation. The surgeon removes a significant portion of the stomach, leaving a slender tubular gastric structure. The remaining stomach is sealed with staples to prevent leakage, and the incisions are closed with sutures or staples.

The surgery typically lasts one to two hours, and most patients can leave the hospital within two to three days. In the days following the operation, patients must follow a strict liquid diet to facilitate proper stomach recovery. Gradually, they transition to solid foods but must maintain a healthy eating plan and engage in regular physical activities to achieve and sustain their weight loss goals. Patients are also required to attend periodic follow-up consultations with their healthcare team to monitor their progress and ensure they maintain a healthy weight.

How Much Weight Can Be Expected To Be Lost After a Gastric Sleeve Surgery?

Post-gastric sleeve surgery, weight loss can vary from person to person. On average, patients can anticipate losing about 50% to 70% of their excess body weight within the first year following the procedure. However, individual results may differ based on factors such as adherence to post-operative guidelines, dietary habits, physical activity, and overall health.

Frequently Asked Questions About Gastric Sleeve

Let's take a look at frequently asked questions about Gastric Sleeve.

What Is the Recovery Process After Obesity (Bariatric) Surgery?

Advancements in surgical techniques have considerably shortened the recovery period after sleeve gastrectomy surgery. After laparoscopic bariatric surgery, patients can return home after a 2-3 day hospital stay. They can resume driving a week after surgery and return to work approximately two weeks after gastric sleeve surgery. Complete recovery and closure of wounds typically require 4-6 weeks.

For Which Patients Is Sleeve Gastrectomy Suitable?

Sleeve gastrectomy is an effective weight loss solution for individuals with a body mass index (BMI) above 40 or those with a BMI above 35 and obesity-related health issues. However, suitability is not solely based on BMI. Factors such as medical history, lifestyle, and commitment to post-surgery changes are crucial considerations.

What Should Be Considered Before and On the Day of Sleeve Gastrectomy Surgery?

Before undergoing sleeve gastrectomy, patients need to undergo a thorough pre-operative assessment. This includes consultations with healthcare professionals, dietary counseling, and psychological evaluations. On the day of surgery, patients should follow pre-operative instructions carefully, including fasting and necessary medication adjustments.

Is There an Age Limit for Sleeve Gastrectomy?

While there isn't a strict age limit for sleeve gastrectomy, candidacy is generally determined on a case-by-case basis. Younger patients may be considered if they have significant health issues related to obesity. Conversely, older individuals may need to demonstrate overall health and fitness for the procedure.

What Is the Suitable Weight Range for Sleeve Gastrectomy?

The ideal weight range for sleeve gastrectomy is typically determined by BMI. Patients with a BMI above 35 or 40, along with obesity-related health concerns, are often considered suitable candidates. However, individual health conditions and medical history play a crucial role in determining eligibility.

Which Patient Group Is Not Suitable for Sleeve Gastrectomy Surgery?

While sleeve gastrectomy is a viable option for many, certain groups may not be suitable candidates. Individuals with untreated psychological disorders, active substance abuse issues, or unrealistic expectations about the surgery may need alternative weight loss solutions.

Does the Stomach Enlarge After Sleeve Gastrectomy Surgery?

The sleeve gastrectomy procedure involves removing a portion of the stomach, leaving a narrow tube or sleeve. While the stomach may stretch slightly over time, significant enlargement is uncommon. However, maintaining a healthy lifestyle and adhering to dietary guidelines are essential for long-term success.

Is Lifting Weights After Sleeve Gastrectomy Surgery Problematic?

Engaging in weightlifting and strength training is generally permitted after sleeve gastrectomy surgery. However, patients should follow their surgeon's recommendations and start with light exercises, gradually increasing intensity. Proper form and caution are crucial to avoid strain on the abdominal area during the initial recovery period.

When Can Exercise Be Started After Sleeve Gastrectomy Surgery?

Patients are encouraged to engage in light activities, such as walking, soon after surgery to promote circulation and aid recovery. More strenuous exercises can typically be resumed after the first few weeks, with the exact timeline depending on individual recovery progress. Consultation with a healthcare professional is essential to determine the appropriate time to reintroduce specific exercises.

How Should Sexual Intercourse Be After Sleeve Gastrectomy Surgery?

Sexual activity after sleeve gastrectomy surgery is generally allowed once the initial recovery period has passed. However, patients should be mindful of their bodies and listen to any discomfort. It's crucial to communicate with healthcare providers about any concerns and ensure that intimacy does not impede the healing process.

What Is the Difference Between Sleeve Gastrectomy Surgery and Gastric Bypass?

Sleeve gastrectomy and gastric bypass are both bariatric surgeries, but they differ in their approaches. Sleeve gastrectomy involves removing a portion of the stomach to create a smaller sleeve, limiting food intake. Gastric bypass reroutes the digestive system, creating a smaller stomach pouch and bypassing part of the small intestine. The choice between the two depends on individual health needs and goals.

Are There Scars After Sleeve Gastrectomy Surgery?

Like any surgical procedure, sleeve gastrectomy leaves scars, but they are generally minimal and discreet. Incisions are typically made laparoscopically, resulting in small scars that fade over time. Proper post-operative care and adherence to medical advice can contribute to scar healing.

Is it Possible to Gain Weight Again After Sleeve Gastrectomy Surgery?

While sleeve gastrectomy is an effective weight loss method, success depends on long-term lifestyle changes. Without a commitment to a healthy diet and regular exercise, weight regain is possible. Patients should work closely with healthcare professionals, including dietitians and psychologists, to develop sustainable habits for lasting results.