Sleeve Gastrectomy
- Obesity is a chronic disease with multiple causes, manifested by an increase in fat storage in the body, and leads to many accompanying diseases.
- The most important causes of obesity: heredity, lack of movement and activity, fast food
- with calories, hormones, the most important of which is ghrelin (the hunger hormone).
IMC (indice de masse corporelle):
IMC = weight ÷ height squared
Where the weight is calculated in kilograms, and the height in square meters, the results are completely classified as follows:
| BMI | Category |
| Less than 20 | underweight |
| 20-25 | normal |
| 26-30 | weight gain |
| 30-35 | Obesity |
| 36-40 | Over obesity |
| Over 40 | Morbid obesity |
Obesity causes many complications, the most important of which are: diabetes – hyperlipidemia – high pressure – heart diseases – sleep apnea – articular pain and an increased risk of degeneration of body weight-bearing joints such as the hip and knee – polycystic ovary – poor fertility.
Obesity also predisposes to many cancers, the most important of which are: breast cancer – colon cancer.
Sleeve gastrectomy is one of the most common operations in the treatment of obesity and weight loss, during which the stomach is cut (removing about 75-80% of the stomach) and stitched on both sides through a tool called a stapler, and this process is performed through endoscopy, and it takes about 40 minutes.
At the end of the surgical work, we get two parts of the stomach: a cut part that makes up 75-80%, which is removed, and the remaining part. As a result, the stomach turns into a small amount, where the person’s meal becomes a quarter of its normal size.
When is the gastric sleeve operation performed?
- If your IMC BMI is 40 or more.
- The BMI was 35-40 for a healthy person with a health problem related to obesity, such as diabetes, high arterial pressure, or sleep apnea.
Features and benefits of gastric sleeve surgery
- Reducing the size of the stomach, and thus reducing the size of the meal eaten, as the person feels full immediately after eating a small meal (about a quarter of the usual meal and thus loses weight).
- Reducing the feeling of hunger: because the part of the stomach that secretes the hormone that stimulates hunger (ghrelin) is removed.
- It does not lead to malabsorption or disruption of vitamins and electrolytes.
endoscope;
Post-operative advice
- This operation does not require a specific diet after surgery.
- The patient should eat 5-6 small meals that are not rich in calories.
- It is advised to avoid consuming drinks containing a large amount of sugar.
The patient is advised to do exercise.
