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Gastric Sleeve Surgery (Sleeve Gastrectomy)

Surgical Procedure

Anesthesia: The surgery is performed under general anesthesia. Laparoscopic Technique: The surgeon makes small incisions in the abdomen to insert a camera and instruments. Approximately 70–80% of the stomach is removed, creating a tube-like structure (the sleeve). Duration: The procedure typically lasts 1–2 hours. Hospital Stay: Patients usually stay in the hospital for 1–3 days for monitoring.

Post-Operative Recovery

Immediate Post-Op Phase (First Week): Patients are started on a clear liquid diet for hydration and healing. Pain management with prescribed medications. Avoid heavy lifting and strenuous activities. First Month: Gradual introduction to soft, pureed foods. Small, frequent meals (about 2–4 ounces per meal). Focus on protein intake and hydration (sip water throughout the day). Long-Term: Transition to solid foods after 4–6 weeks. Multivitamins and supplements, such as calcium, vitamin D, and B12, are essential to prevent deficiencies. Lifestyle Adjustments: Eat slowly and chew food thoroughly. Avoid carbonated drinks, sugary foods, and alcohol. Maintain portion control to prevent over-eating.

Expected Outcomes

Weight Loss: Significant weight loss is achieved within 1–2 years. Most patients lose 50–70% of their excess body weight. Health Improvements: Resolution or improvement in conditions like Type 2 diabetes, hypertension, high cholesterol, and sleep apnea. Mental and Emotional Changes: Some patients experience mood swings or body image concerns; counseling and support groups can help.

Benefits of Gastric Sleeve Surgery

Effective Weight Loss: Patients typically lose 50–70% of their excess body weight within 1–2 years. Improved Health: Helps in managing obesity-related conditions like Type 2 diabetes, hypertension, sleep apnea, and joint pain. No Foreign Devices: Unlike gastric bands, there’s no need for implants. Reduced Hunger: Hormones related to appetite (like ghrelin) are significantly reduced.

Procedure Overview

Preparation: Performed under general anesthesia. Preoperative assessments and diet may be required. Surgery: Minimally invasive laparoscopic technique. Removal of a large portion of the stomach; the remaining part is stapled to form a sleeve. Duration: Typically takes 1–2 hours. Hospital Stay: Most patients stay in the hospital for 1–3 days.

Recovery

Initial Phase (1–2 weeks): Liquid diet transitioning to soft foods. Pain, swelling, and fatigue are normal. Long-Term: Regular follow-ups and adherence to a healthy diet and exercise routine. Vitamin and mineral supplements may be required.

Benefits of Gastric Sleeve Surgery

Significant Weight Loss – Lose 60-70% of excess weight within a year.
Hunger Control – Reduces the production of ghrelin, the hunger hormone.
Health Improvements – Helps manage diabetes, high blood pressure, and sleep apnea.
Minimally Invasive – Faster recovery with laparoscopic technique.

No Foreign Implants – Unlike gastric bands, no devices are inserted.

What is Gastric Sleeve Surgery?

Gastric sleeve surgery involves the removal of approximately 70-80% of the stomach, leaving behind a smaller, tube-shaped stomach (or “sleeve”). This reduces the stomach’s capacity and helps control food intake while also impacting hormones that regulate hunger.

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