Sleeve Gastrectomy (tube stomach surgery) is a widely used restrictive surgery in obesity surgery.

With Sleeve Gastrectomy, patients who had Tube Stomach Surgery do not experience the problem of absorption of nutrients and therefore routine vitamin and mineral supplementation is not necessary.

In Tube Stomach Surgery, the large side of stomach is cut vertically by a laparoscopic method to form a new stomach in the shape of a tube with a volume of 150-200 cc.

Reduction of the stomach volume may lead to restriction of food intake, and the satiety caused by the removal of the part of the fundus that secretes Ghrelin Hormone, also known as the fasting hormone, leads to a decrease in appetite, which in turn contributes to weight loss.

After tube stomach surgery, 60-70% of excess weight is lost

Since it is a fook intake-limiting method, the effect may be reduced in those who eats liquid and high calorie foods.

The long-term weight gain rate is 10-20% and the rate of MORBID OBESITY is around 2%. In such cases, procedures such as Gastric Bypass or Duodenal Switch can be used.

Questions and answers

It has been determined that after the first post-operative period, the stomach is somewhat widened. But it should be noted that it will never reach the volume of surgery.

The complication that may occur is leakage from suture line. This can occur at the upper part of the stomach and it will Show indications a few days after the operation. The probability of occurrence is 1%.

In laparoscopic operations, 5 X 1 cm holes are opened and no scars are left.

The duration of intensive care varies according to the patient’s age and accompanying illnesses. In such a case, you are likely to get 1 night of intensive care.

The risk of tube stomach surgery is the same as other surgeries. As an extra risk, gastric escape can occur. This is done with great safety with developing technology. Side effects may include vitamin deficiencies, dizziness, joint pain (fast weight loss) if there is no patient follow-up.

The most important advantage of tube stomach surgery is that they are done by laparoscopic surgery, so wound healing is faster, pain is less, lung problems are less frequent, and hospitalization time is shorter.
The capacity of the stomach is minimized and the patients feels full faster and lose weight faster by taking 30% less of the calories of the foods they get. In addition, the fundus where the ghrelin (starvation hormone) is produced is blocked in the fundus area, so the appetite is reduced.

It is advisable to have an attendant with the patient for the first few days after the tube stomach operation.

The patient is hospitalized for 2 nights after the stomach operation and discharged if there is no problem (bleeding, leakage, etc.) detected during the examination performed by the doctor on the day 3.

Patients with a body mass index of over 35 are required to submit a physician approval. In this report, patients who do not have a condition that uneligible for the surgery are invited to the hospital. The patient must be in the city where surgery will be performed 2 days before the operation for the tests to be performed before the operation. It is important that patient stays in the city for 10 days for tests, surgery and follow-up.

The patient will not gain weight gain as long as they control their eating habits after the stomach operation. However, they may gain weight if they keep having high calorie foods. The lifestyle of the patient and the rate of growth are reduced as a large proportion of the stomach is taken and there is a decrease in the starvation hormone.

There is no need to follow a special diet unless the patients have any metabolic diseases before the obesity operations. One day before surgery, light meals should be consumed, drinking plenty of water. The patient should stop eating solid foods 12 hours before operation, and liquid foods 8 hours before operation.

People who are going to undergo tube stomach surgery can start smoking again in the first month after the operation in order to avoid nicotine-related stomach disorders while it is advised to quit smoking 15 days before the operation. Pre-operative alcohol use should be stopped 15 days before operation and may be started at 3 months after operation. Alcohol should rarely be used after stomach surgery because of the problems associated with high calorie content and lipoidosis around belly.

All tube stomach operations takes about 1 hour.

As the stomach gets smaller and the appetite center is taken out with stomach reduction surgery, the people lose a lot of weight in the first month especially after the operation and sheds 10-15% of their excess weight. At the end of the first year after the operation they shed 80% of their excess weight and come to their ideal weight.