Sleeve Gastrectomy is a relatively new procedure, which involves cutting through laparoscopy approx. 60% of the stomach significantly reducing the capacity. By cutting two-thirds of the stomach, the patient will have the same feeling of fullness with little food. Weight reduction is seen around 12 to 18 months. Another advantage of this procedure is that if the patient during this period of time did not get the desired weight loss, you can complete the classic bypass surgery with better health conditions of the patient, without much weight and less trans and postoperative risk.
How it works and how it is done?
It is usually done by means of laparoscopic surgery, using titanium linear stapler, and then the staple line reinforcing sutures and checking the impermeability through endoscopy. In these cases the patient remains in the hospital for two or three days before being discharged once confirmed impermeability to liquids and tolerance of the patient’s physiological functions of this procedure as well as being a restrictive procedure (gastric volume decreases) decreases the appetite-regulating hormone (ghrelin) significantly, reducing the need for patients to eat. The advantages over other procedures can enumerate the laparoscopic procedure.
- Physiology of the stomach is not altered.
- procedure which can be performed in patients with moderate to high BMI.
- It is the most physiologically possible without intestinal junctions (anastomosis)
- It is technically simpler than the gastric bypass or the duodenal swicht operation.
- stomach volume is reduced, but it can be normally all food consumed in small amounts.
- Eliminates the portion of the stomach that produces the hormone that stimulates hunger (Ghrelin).
- Dumping syndrome occurs in the first few weeks, but subsequently resolved because the pylorus is preserved.
- Minimizes the presentation of an ulcer.
- Avoiding intestinal bridge prevents intestinal obstruction, anemia, osteoporosis, protein deficiency and vitamin deficiency are almost eliminated.
- Can be used as a first stage in Super Morbid Obesity patients requiring Gastrojejunal By Pass.
- The recovery is very rapid, requires only two or three days of hospitalization and re-start the job can be performed from 7-8 days.
Unlike the Lap Band surgery gastric sleeve surgery does not include the implantation of a foreign object in your body, which means no further adjustment or filling after surgery. This means less doctor visits tracking therefore greater personal comfort and return to life much faster than normal. This technique can be used in patients with extreme obesity and in those which show lower levels of obesity. Possible candidates for this operation are those that have a greater than 40 body mass index (BMI) is, is recommended for people over 40 kg overweight.
Also in who have a BMI over 30 and have a partner like high blood pressure, diabetes, sleep apnea and metabolic syndrome. As required, the patient must be between 18 and 60, although it is also an ideal technique for some adolescents in special cases; shall not possess or present psychiatric illness addiction to alcohol or drugs.
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