Obesity is one of the problems that many people around the world are facing and their number is increasing day by day. Obesity not only does not give a person a pleasant appearance but also causes diseases such as type 2 diabetes, high blood pressure, heart disease, etc. So, people are looking for ways to lose weight fast and at low risk.
Gastric sleeve surgery is one of the fast and low-risk bariatric surgeries that we intend to discuss in this article. If you are planning to do gastric sleeve in Iran, be sure to read this article before it.
what is the gastric sleeve procedure?
In gastric sleeve surgery, the surgeon reduces the volume of the stomach to about 15% of normal size. Therefore, the person feels full faster and the problem of overeating disappears.
After surgery, a person should follow a very limited diet to allow the body to recover and get used to the new size of the stomach. A person undergoing gastric sleeve surgery should eat smaller, more regular meals forever. After removing part of the stomach volume, what remains is like a banana or a shirt sleeve.
This is why this procedure is called gastric sleeve surgery. According to experts, by doing this operation, you can lose up to 80% of your excess weight and be at the most ideal weight possible. If you are planning to do gastric sleeve in Iran, read the rest of the article.
Who are the candidates for gastric sleeve surgery?
The first question that arises about gastric sleeve surgery is whether I am really a candidate for it or not. Exactly who can go under the blade of this surgery? And who should not do that?
If you have the following conditions, you can be a good candidate for gastric sleeve surgery:
- You have not been able to lose a lot of weight for at least 6 months by following a healthy diet, exercising, and getting help from a nutritionist.
- You have a body mass index (BMI) of more than 40, in other words, be obese.
- You have a BMI between 35 and 39.9 and you also have diseases such as high blood pressure, diabetes, and obesity.
- You are over 45 kg overweight.
- You are mentally ready to change your eating habits and lifestyle.
- You are not addicted to drugs or alcohol.
- You can afford sleeve surgery.
- If you are mentally and psychologically in a normal and desirable condition. In other words, you do not have a mental illness.
- If your obesity is related to a mental illness. In other words, your obesity is nervous and psychological.
- If you are in good general health.
In some people, even with a BMI above 32, gastric sleeve surgery can be performed. If you also want to know if you are a candidate for gastric sleeve surgery in Iran, in addition to paying attention to the above points, you can have an online consultation with an experienced surgeon through us.
If you would like to know more about weight loss surgeries, we suggest you refer to the following button:
What are the benefits of gastric sleeve surgery?
There are many benefits to doing gastric sleeve for obese people, but let us briefly introduce a few of the benefits of gastric sleeve surgery:
- Weight loss is huge like bypass surgery.
- Although the volume of the stomach decreases, because the end of the stomach remains intact, the person does not suffer from food malabsorption.
- It has a shorter operation time and less painful recovery compared to other bariatric surgeries.
- Compared to gastric bypass, the risk of food leakage is relatively lower.
- The risk of intra-abdominal hernia is greatly reduced in this bariatric surgery.
- There is less need for a surgeon visit and subsequent evaluations.
- It is a smart and cost-effective method (the cost of gastric sleeve surgery is less compared to other bariatric surgeries).
- The risk of anemia after gastric sleeve surgery is very low.
- In most cases, the risk of hair loss and the duration of hair growth and re-strengthening is less.
- The stomach is less likely to enlarge and stretch.
- If necessary, it can be used as a secondary operation and the safest bariatric surgery for people who have had unsuccessful surgeries.
- Compared to other surgical methods, the skin does not sag and loosen much in this operation.
- This can greatly control and even treat high blood pressure and type 2 diabetes. After surgery, if a patient has diabetes, their need for diabetes medications, and insulin is greatly reduced.
- Sleeve surgery has a longer lifespan than other weight-loss surgeries, such as gastric bypass.
- Due to the short duration of gastric sleeve surgery, the risk of venous and pulmonary thrombosis is very low.
- The mortality rate in this operation is very, very low, and less than 1%.
How gastric sleeve surgery is done?
Surgery is likely to be scheduled for early morning. However, this depends on the surgeon and the hospital’s schedule. From two weeks before gastric sleeve surgery, you should pay attention to your pre-surgery diet. It is important to follow a preoperative diet, as it helps reduce the potential risks during surgery by reducing the size of the liver and making it easier to access the stomach. You should fast and avoid eating and drinking from the night before the operation. If you eat anything, the surgery will be canceled due to the possibility of vomiting and the return of stomach contents into the lungs and resulting in airway obstruction; It can be fatal or lead to pneumonia. Even chewing gum, drinking water, chewing tobacco, or taking medication that has not been approved by a surgeon may cancel the surgery.
The medical record is completed according to the preoperative control tests. The patient wears operating room clothes and removes jewelry and other unnecessary items. A vein is taken for emergency drug or serum injections and then you are transferred to the operating room.
After entering the operating room and connecting the pulse and heart rate monitors by putting on an oxygen mask and injecting an anesthetic, the person is ready for surgery in a few minutes. This surgery can be performed by making a large incision in the abdomen (open method) or by making several small incisions using small tools and a camera to guide the surgery (laparoscopic method). In this method, more than half of the stomach is removed and only one vertical tube stomach the size of a banana remains. The stomach and abdomen are then sutured and closed from where they were cut.
Many people who request gastric sleeve surgery are a better candidate for lipomatics! We suggest you read this general description of this operation as well.
Does gastric sleeve surgery have any side effects?
Like any other surgery, gastric sleeve surgery has potential complications and risks. Of course, according to the best weight loss surgeons, if everything goes well (i.e. the patient is a good candidate for surgery, the surgeon is professional and the patient follows all the recommendations), all the complications of gastric sleeve surgery can be prevented.
The possible side effects of this operation are related to the changes and manipulations that are performed in the patient’s body and digestive system, in order to treat obesity. But most of these side effects can be prevented by following the recommendations.
In general, possible complications of gastric sleeve surgery include:
- Gastroesophageal reflux (acid reflux or heartburn)
- Change the taste of the mouth
- Decreased cold tolerance
- Reduce alcohol tolerance
- Sitting of the stomach
long-term side effects
- hair loss
- nausea and vomiting
- Changing in the pattern of bowel movement
- Lack of energy
In general, complications of gastric sleeve surgery are rare and most patients have no complications after surgery if they properly follow the surgeon’s recommendations, diet, and exercise instructions. And finally, as mentioned above, the benefits of this operation far outweigh its disadvantages and side effects. Iranian surgeons have a lot of experience in performing gastric sleeve surgery. Therefore, gastric sleeve in Iran is associated with fewer complications.
Gastric sleeve post-operative instructions
Typically, in the first 5 hours after gastric sleeve in Iran or anywhere else, the person is asked to take a few steps next to the bed to help reduce the risk of blood clots in the legs. Gastric sleeve surgery can be very painful for some and bearable for others. Each person experiences a different degree of pain intensity and different analgesics are used for different people.
Some patients may be discharged the same day and many require a hospital stay of 1 or 2 days to recover. Some surgeons prefer to spend 3 days in the hospital, while others will easily allow discharge. It is important to follow the surgeon’s instructions. Finally, the patient is discharged from the hospital with a post-operative instruction manual and a prescription.
The most common instructions include:
- Do not forget to drink sips of fluids regularly throughout the day to prevent dehydration and constipation;
- Difficult or painful bowel movements and constipation in the first week after surgery are normal and are aggravated by taking painkillers. However, do not hesitate to seek the help of your surgeon to solve this problem;
- Use painkillers only when necessary;
- Some medications are prescribed to reduce stomach acid and relieve heartburn;
- Walking and daily light exercise help the healing process;
- Avoid lifting heavy objects, as they can put pressure on the surgical sutures and cause severe pain;
- Excessive fatigue is normal due to reduced calorie intake up to one month after surgery;
- Bathing or sitting in a hot tub should be avoided for the first 3 weeks after surgery;
- It is possible to return to work within 2 to 4 weeks after the operation, depending on the person’s job. Most people regain full strength and ability after 4 to 6 weeks;
Be sure to see your doctor if you notice these symptoms. Warning signs after gastric sleeve surgery include:
- Severe fever and chills;
- Increasing pain;
- Redness, warmth, or discharge of pus from the sutures;
- Persistent nausea;
- Inability to swallow fluids.
Diet after gastric sleeve in Iran
As your stomach shrinks, it is important to follow a nutritious diet. In other words, vegetables, sources of lean protein and whole grains should be included in a person’s daily diet.
Most doctors recommend that these people get a large portion of the calories their body needs from lean meat. However, it should be noted that some vegetarians have also had successful gastric sleeve surgery. The recommended diet after gastric sleeve surgery is:
- You should consume refined fluids in the first week after surgery, which includes water, non-fat broth, etc.
- A complete fluid and protein diet begins in the second week after surgery;
- Soft foods in the form of puree start from the third week, which includes soup, scrambled eggs and cheese;
- Soft foods are recommended from the fourth week with boiled chicken, fish, cereals and mashed potatoes;
- The fifth week is time to start introducing real foods, but in small portions, with an interval of one day.
Other important points about eating and drinking after surgery include:
- It is necessary to chew well and eat slowly;
- It is necessary to eat 3 small meals a day;
- You can also eat small meals high in nutrients as a snack if needed;
- Adequate protein intake with vegetables and fruits should not be forgotten;
You should take prescribed multivitamins and supplements daily after gastric sleeve surgery as there is a possibility of vitamin and mineral deficiency after gastric sleeve surgery. Sometimes it is necessary to take these supplements twice a day. The list of these vitamins and minerals includes:
- Iron that the start time to taking it is determined by your surgeon;
- Calcium citrate 3 times a day and start taking it 1 month after surgery, which should be taken chewable or liquid two hours after iron supplementation;
- Vitamin B12, prescribed by your doctor as a daily or weekly sublingual injection;
- Protein supplements are sometimes prescribed by your surgeon to provide at least 60 grams of protein daily.