One of the most common surgical interventions today is gastric sleeve surgery and is commonly known as “ stomach reduction surgery “. In tube stomach surgery, the stomach is turned into a long thin tube like a banana. Laparoscopically, that is, 80 percent of the stomach is cut out by closed surgery method. Thus, the food intake of the stomach is restricted. In addition, sleeve gastrectomy has a very low effect on food absorption. The appetite of those who have tube stomach surgery is decreasing. In addition, insulin resistance is broken even without weight loss yet. Tube stomach surgery is performed in an average of 1.5 hours. Since the exit and entrance part of the stomach is protected and the continuity in the digestive system is maintained exactly, the risks after sleeve gastrectomy are low and some unwanted side effects are reported as very few.

What is obesity surgery, how many types is it?

Acıbadem Fulya Hospital and Istanbul Bariatrics doctors General Surgery Specialist Prof. Dr. Mehmet Ali Yerdel answers questions on “obesity surgery”.

Which Stomach Reduction Surgery Is Most Frequently Performed?

Nowadays, the most common gastric reduction surgery with proven efficacy and low risk rates is “sleeve gastrectomy”. The medical name of sleeve gastrectomy, which has a 15-year history, is “sleeve gastrectomy”. Another type of stomach reduction surgery applied today is ‘gastric bypass’ surgery. However, gastric bypass is preferred only in special cases; Gastric bypass method can be the first surgery choice in cases where type 2 diabetes is at the forefront and the use of insulin is old, and especially in people with very high BMI. In addition, gastric bypass method can be applied as the second operation method in patients who have tube stomach surgery and regain weight.

Who Can Have Gastric Sleeve Surgery?

Those who have gastric sleeve surgery must meet the following conditions:

  • Those with a body mass index over 40 kg / m² (morbidly obese, ie severely obese).
  • Those who have a BMI between 35-40 and have problems such as type 2 diabetes, hypertension and sleep apnea due to excessive obesity are also considered as morbidly obese and may need to have a stomach reduction surgery.

In addition, surgery can be performed in patients with “new” type 2 diabetes and metabolic disorders due to obesity and BMI between 30 and 35, with the decision of the obesity doctor. Obesity surgeries are not performed for aesthetic purposes, that is, to make the person look weaker.

How Old Is Gastric Sleeve Surgery?

Tube stomach, that is, stomach reduction surgery is performed on people between the ages of 18-65. In order for the person to be a suitable candidate for gastric surgery, the Body Mass Index (BMI) values ​​determined by the World Health Organization must be 35 and above. For persons under the age of 18 , the degree of obesity and the presence of the diseases listed above are important and parental consent is also required along with the physician’s decision. For persons over the age of 65 , the health condition and the necessity of the surgery (the difficulties and problems experienced by the person) are evaluated.

What Are Revision Surgeries After Obesity Surgery? Recommended for?

Revision surgeries are operations performed due to different complications such as weight gain, stenosis or leakage after obesity surgery. The most important reason for revision surgeries is usually weight gain. The main reasons for patients to gain weight back are not being followed up adequately, informing patients insufficiently or not following the process even if they are conscious. For these reasons, 20-30% weight gain can be seen in patients. It is very important to choose the revision surgeries applied to the patients well. These operations are technically more difficult and must be performed by experienced surgeons. Nowadays, revision surgeries have increased with the increasing number of obesity surgeries. There are surgery types recommended for patients who have recurrence of comorbid diseases such as diabetes, high blood pressure or who gain weight. The most appropriate type of surgery should be decided by talking to the patient and making an assessment.

What Are Revision Surgeries After Obesity Surgeries? Recommended for?

General Surgery Specialist Prof.Dr. Ahmet Türkçapar answers questions on “Obesity Surgery”.

Pain After Gastric Sleeve Surgery?

Sleeve gastrectomy surgery is currently performed laparoscopically, that is, with very small incisions by piercing the abdomen. These incisions are millimetric. This method, called closed surgery, can also be performed with the “da Vinci robot”, that is, robotic surgery. In robotic surgery, the doctor who controls the robot’s arms and the specialists accompanying it perform the surgery. Since abdominal muscles and membranes are not cut in laparoscopic surgeries, postoperative İnci robot “, that is, robotic surgery. In robotic surgery, the doctor who controls the robot’s arms and the specialists accompanying it perform the surgery. Since abdominal muscles and membranes are not cut in laparoscopic surgeries, postoperative.

After sleeve gastrectomy, multivitamin use is taken as dissolving in the mouth for the first 1 month, 2 times a day for the next year, and 1 daily after the first year. The blood values ​​of the patients who have gastric sleeve surgery and gastric bypass surgery are monitored at regular intervals by doctors in hospitals performing obesity surgery. All patients are followed by nutrition and diet experts in nutrition after sleeve gastrectomy. Those who have gastric sleeve surgery can switch to solid foods after 1 month. A protein-based diet is preferred because the patients are saturated with small portions. This process is also followed by dietitians. Foods such as carbohydrates, bread, pasta, and rice should be avoided. Those who have tube stomach surgery should do sports regularly, eat small meals frequently and with a little less, and avoid calorie-rich liquid foods. If the nutritional rules are violated after sleeve gastrectomy, the desired success cannot be achieved from the operation.

Sport After Gastric Sleeve Surgery

After sleeve gastrectomy, sports are recommended by experts after the first 3 months. Since the patients lose weight after surgery, they move more easily, their lungs relax and the lungs enable the person to make better effort, the condition increases, the risk of injury decreases with the loss of weight. Sports, especially fitness and swimming are recommended for the development of striated muscles in the first three months after tube stomach surgery.

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Op. Dr. Akın Kocaoluk

Op. Dr. Akin Kocaoluk | Resume

He graduated from 19 Mayıs University Faculty of Medicine in 1998. He is currently continuing his active career in Turkish Red Crescent Altıntepe Medical Center.


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