Gastric Sleeve

Gastric sleeve, also known as sleeve gastrectomy, is a surgical weight loss procedure that involves removing a large portion of the stomach to create a smaller, sleeve-shaped stomach. During the procedure, the surgeon makes several small incisions in the abdomen and uses a laparoscope (a long, thin instrument with a camera attached) to remove about 75-80% of the stomach along the greater curvature. The remaining stomach is stapled closed, leaving a tube-like structure that can hold less food and thus helps the patient feel full with smaller amounts of food.

Gastric sleeve surgery helps in weight loss by restricting the amount of food that can be consumed at one time and reducing the production of ghrelin hormone, which is responsible for hunger. This procedure is considered a viable option for individuals with a body mass index (BMI) of 35 or higher who have not been able to lose weight through diet and exercise alone, or those with obesity-related health conditions such as type 2 diabetes, high blood pressure, or sleep apnea.

Gastric sleeve is a relatively safe and effective weight loss surgery, with most patients experiencing significant weight loss and improved quality of life. However, like any surgical procedure, it carries some risks, including bleeding, infection, blood clots, and bowel obstruction. Therefore, it is essential to consult with a bariatric surgeon to discuss the benefits and risks of the procedure and determine if it is a suitable option for you.

Getting ready for Gastric Sleeve Procedure:

Consultation with a Bariatric Surgeon:

• Discuss your medical history, current health status, and expectations for the surgery.
• Your surgeon will perform a physical exam, blood tests, and imaging tests to determine your eligibility for the procedure.

Psychological Evaluation:

• A mental health professional will evaluate you to determine if you are mentally prepared for the surgery and postoperative lifestyle changes.

Preoperative Preparation:

• Follow your surgeon’s instructions regarding preoperative diet and exercise regimen.
• Quit smoking and avoid alcohol or caffeine consumption at least two weeks before the surgery.
• Discuss with your doctor about any medications or supplements you are taking.

Preoperative Testing:

• You may need to undergo a few tests before the surgery, including blood tests, chest x-ray, electrocardiogram, and endoscopy.

Arrange for Support:

• Arrange for someone to take you to and from the hospital on the day of surgery.
• Plan for someone to help you at home during the initial recovery period.
• Attend support groups or counseling sessions to prepare for the surgery and postoperative lifestyle changes.

Taking Care After Gastric Sleeve Procedure:

Postoperative Diet:

• Follow your surgeon’s instructions regarding the postoperative diet.
• Start with clear liquids, and slowly progress to pureed and solid foods.
• Avoid high-fat and high-sugar foods and drinks.

Physical Activity:

• Start with light walking and gradually increase the intensity and duration of your physical activity.
• Avoid heavy lifting and strenuous activities for at least six weeks after the surgery.

Medications:

• Follow your surgeon’s instructions regarding medications.
• Take pain medications and other prescribed medications as directed.

Wound Care:

• Keep the surgical incisions clean and dry.
• Follow your surgeon’s instructions regarding wound care and changing dressings.

Follow-up Appointments:

• Attend all follow-up appointments with your surgeon and other healthcare professionals.
• Discuss any concerns or issues you have with your healthcare team.

Healing Process After Gastric Sleeve:

Hospital Stay:

• You will stay in the hospital for one to two days after the surgery.
• You will receive pain medications and intravenous fluids during your hospital stay.
• Initial Recovery:
• You may experience some pain, discomfort, and nausea during the initial recovery period.
• You may need to take a week or two off from work to rest and recover.

Weight Loss:

• You will start losing weight immediately after the surgery. The weight loss may be rapid during the first few months and then gradually slow down.

Health Benefits:

• Gastric sleeve surgery can help improve or resolve several health conditions, including type 2 diabetes, high blood pressure, and sleep apnea.

Long-term Follow-up:

• You will need to attend regular follow-up appointments with your surgeon and other healthcare professionals for the rest of your life.
• You may need to make long-term lifestyle changes, such as adopting a healthy diet and regular exercise routine.