Gastric Sleeve Surgery: It is the procedure of removing most of the stomach’s shaft through a laparoscopic operation by preserving the tube-shaped part of the stomach to ensure continuity of the esophagus and intestines.
In the operation, the part of the stomach that stretches and expands the most and manages the appetite is removed. This surgery is mainly aimed at reducing the amount of food intake by reducing the volume of the stomach. It is also a very effective operation on appetite control and satiety due to the hormone called Ghrelin, which is secreted from the stomach. Since the normal intestinal tract is protected, it is a more physiological method. No complications related to food absorption disorder are created. In recent years, this method has been considered and started to be used as an effective obesity surgery on its own.
Gastric sleeve surgery is usually performed laparoscopically, that is, closed. Five small incisions are made to enter the abdominal cavity. Gastric sleeve surgery is only a restrictive operation. It has no absorption reducing effect.
The foods and drinks are deposited inside the stomach, and the calories from these foods are absorbed by the body after passing into the small intestine.
In gastric sleeve surgery, the part that constitutes approximately 80 percent of the stomach is cut through the stapler method and removed from the body. Since the remaining part takes the shape of a tube, this operation is called tube stomach surgery or sleeve gastrectomy.
Gastric sleeve surgery usually takes 60 – 75 minutes, excluding preparation. It takes 20-25 minutes to prepare the patient for surgery and 20-25 minutes to wake the patient up after surgery.
Gastric sleeve surgery is now performed laparoscopically, meaning, by piercing the abdomen and opening very small incisions. These incisions are millimetric.
This method called closed surgery can also be performed with robotic surgery (the da Vinci robot). In robotic surgery, the doctor who operates the robot’s arms and the accompanying specialists perform the surgery.
Following sleeve gastrectomy, a five-stage diet is performed to help the body adapt to recovery and healthy eating habits. In this process, the patient learns that he or she should eat in smaller portions and more often.
The first two weeks after the procedure, a clear liquid diet is followed. This diet prevents complications such as diarrhea, constipation and excessive dehydration, as well as providing the time the body needs to recover.