Laparoscopic Sleeve Gastrectomy
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Understanding
What It Means?
Laparoscopic sleeve gastrectomy is a weight-loss surgery that divides the stomach longitudinally. This results in the construction of a long, narrow banana-shaped stomach with a significantly limited capacity for food intake. Laparoscopic sleeve gastrectomy surgery operates mostly based on food restriction. Gastric sleeve surgery also speeds up the stomach's emptying process and raises the levels of certain gastrointestinal hormones. These, together with a reduction in the hunger-inducing hormone "Ghrelin," result in weight loss and other metabolic benefits following sleeve gastrectomy surgery.
Understanding
Throughout 12 to 18 months, laparoscopic sleeve gastrectomy results in a 65 to 75% decrease in extra weight. This surgery also significantly improves associated co-morbidities such as type 2 diabetes, high blood pressure, high cholesterol, gout, obstructive sleep apnea, and joint problems. Laparoscopic sleeve gastrectomy is one of the most prevalent operations performed in India nowadays. Patients seeking the best laparoscopic sleeve gastrectomy surgery in Ahmedabad can trust experienced surgeons for excellent outcomes.
Are You a Candidate for Surgery?
Eligibility for Surgery
For Asian Candidates with a BMI ≥ 35 Kg/m²:
This surgery is recommended for those who are obese and do not have any other accompanying disorders.
For Asian Patients with a BMI ≥ 30 Kg/m²:
Bariatric or metabolic surgery should be considered for treating type 2 diabetes or metabolic syndrome when lifestyle changes and medications fail to yield results.
For Asian Patients with a BMI ≥ 27.5 Kg/m²:
Laparoscopic Sleeve Gastrectomy can be considered as a secondary option for those with poorly controlled type 2 diabetes or metabolic syndrome.
Eligibility
Eligibility will also depend on the patient’s overall health, medical history, and ability to follow post-operative guidelines for optimal results.
Surgical Preparation
Required preparations before surgery
High-Protein Diet
A high-protein liquid diet will be required for 5 to 7 days leading up to the surgery. This helps to reduce the size of an enlarged liver, making the surgery safer and more efficient.
Pre-operative Tests
A pre-operative upper GI endoscopy is required to assess your gastrointestinal health before proceeding with the surgery.
Consultation with Specialists
The first step is a consultation with the surgical team to assess eligibility, review medical history, and diet, and conduct physical and psychological evaluations. Depending on your health, specialists like a diabetologist, endocrinologist, nephrologist, or chest physician may also be involved.
Preoperative Medications
You will be instructed on any medications to take before surgery, which may include venous thromboembolism prevention and other necessary drugs.
Your Surgery: What to Expect
The Surgical Procedure
The day of surgery involves the following key steps:
Admission: You will be admitted to the hospital the evening before your scheduled surgery. During admission, preoperative medications, including venous thromboembolism prevention, will be administered.
Fasting: You must fast for 6 to 8 hours before the surgery to ensure the procedure goes smoothly and to minimize complications.
Anesthesia: The surgery will be performed under general anesthesia, ensuring you are comfortable and pain-free throughout the procedure.
Surgery Duration: Laparoscopic sleeve gastrectomy typically takes between 45 minutes to 1 hour to complete.
Post-Surgery Care: After the surgery, you will be encouraged to walk and move around on the same day to help with circulation and recovery.
Discharge: If the procedure goes as planned and there are no complications, you will be discharged the day after the surgery.
Typical Results and What They Mean for You
Expected Weight Loss after Surgery
After a sleeve gastrectomy, patients typically lose 65 to 75% of their excess weight. Success is influenced by various factors, including baseline weight, age, and adherence to the recommended lifestyle changes. Patients who commit to following the lifestyle modifications and recommendations of the team experience better outcomes following any weight loss procedure, including the laparoscopic sleeve gastrectomy.
Your Frequently Asked Questions
Insights from the Best Surgical Gastroenterologist in Gujarat
After your surgery, you will begin with a clear liquid diet and gradually transition to a soft and mashed diet over the next few weeks. Your medical team will guide you through this process. Nutritional supplements will be required to support your recovery and prevent deficiencies. Over time, you'll develop new dietary habits, and your team will assist you in adjusting to these changes.
Patients typically lose 65 to 75% of their excess weight after the surgery. Success varies depending on factors such as your baseline weight, age, and your commitment to making the necessary lifestyle changes. Those who consistently follow the recommended lifestyle modifications see the best results.
Yes, nutritional supplements are required to support your recovery and prevent deficiencies. Your healthcare team will provide guidance on what supplements are necessary and how to incorporate them into your daily routine.
Yes, follow-up appointments with your surgeon and medical team are essential to monitor your recovery and detect any potential complications. You will need to see your doctor regularly for the first year after the surgery, and then annually after that.
It will take time to adjust to new dietary habits. Your medical team will work with you to help you make these changes gradually. With support and commitment, you will develop the habits needed to maintain your weight loss and overall health.