GASTRIC SLEEVE QUESTIONS AND ANSWERS

The following Gastric Sleeve questions are asked by real people like you. The answers are provided by board-certified doctors or qualified medical providers who meet our exacting standards.

The gastric sleeve also called vertical sleeve gastrectomy is a popular surgical method in weight loss procedures. The surgeon removes most of your stomach and a long tube-like pouch will remain in which it can’t hold much food and as a result, it produces a less appetite-regulating hormone which decreases your desire to eat. So, you will lose significant weight.  In this method, you stay at the hospital shorter compared to other methods. It is very important to remember that this is not a reversible method. This surgery is performed under general anesthesia.

The gastric sleeve also called vertical sleeve gastrectomy is a popular surgical method in weight loss procedures. The surgeon removes most of your stomach and a long tube-like pouch will remain in which it can’t hold much food and as a result, it produces a less appetite-regulating hormone which decreases your desire to eat. So, you will lose significant weight.  In this method, you stay at the hospital shorter compared to other methods. It is very important to remember that this is not a reversible method. This surgery is performed under general anesthesia.

The gastric sleeve also called vertical sleeve gastrectomy is a popular surgical method in weight loss procedures.

No, this is not. It is very important to remember that this is not a reversible method.

Yes, this surgery is performed under general anesthesia.

Most sleeve gastrostomies are performed through the laparoscopic method. The surgeon makes five or six small incisions in the abdomen and uses a video camera (laparoscope) and long instruments that are placed through these small incisions.

In sleeve gastrectomy, 2/3rd of the left side of the stomach is removed via the laparoscopic method by using endoscopic staplers. The left stomach has the shape of a hockey stick or sleeve with a capacity ranging between 60 -100 cc.

Since the outlet is small, food stays in the pouch longer and one also feels satiated for a longer time. In this method, the outlet valve and the nerves of the stomach remain intact.

Upon discharge from the hospital, you will be given follow-up visits between 2-4 weeks. The next follow-up visits will be monthly for the first six months.

Most sleeve gastrostomies are performed through the laparoscopic method. The surgeon makes five or six small incisions in the abdomen and uses a video camera (laparoscope) and long instruments that are placed through these small incisions.

In sleeve gastrectomy, 2/3rd of the left side of the stomach is removed via the laparoscopic method by using endoscopic staplers. The left stomach has the shape of a hockey stick or sleeve with a capacity ranging between 60 -100 cc.

Since the outlet is small, food stays in the pouch longer and one also feels satiated for a longer time. In this method, the outlet valve and the nerves of the stomach remain intact.

Upon discharge from the hospital, you will be given follow-up visits between 2-4 weeks. The next follow-up visits will be monthly for the first six months.

    • A significant weight loss (average of 66% of excess body weight) consequently leading to significant improvement of obesity-related health conditions
    • Doesn’t use a foreign object (like the gastric band) and doesn’t reroute the digestive tract (like the gastric bypass)
    • Short hospital-stay approximately 2 days and recovery time due to minimally invasive procedure
    • Limiting the amount of food that can be eaten
    • Causing significant changes to digestive organs and hormones that result in reduced hunger and increased metabolism
    • Permanent (need no more surgeries or readjustments, like the gastric band)
    • A significant weight loss (average of 66% of excess body weight) consequently leading to significant improvement of obesity-related health conditions
    • Doesn’t use a foreign object (like the gastric band) and doesn’t reroute the digestive tract (like the gastric bypass)
    • Short hospital-stay approximately 2 days and recovery time due to minimally invasive procedure
    • Limiting the amount of food that can be eaten
    • Causing significant changes to digestive organs and hormones that result in reduced hunger and increased metabolism
    • Permanent (need no more surgeries or readjustments, like the gastric band)
    • Requires lifelong dedication to specific diet and exercise routines
    • Permanent (irreversible)
    • Causing vitamin deficiencies
    • Requires lifelong dedication to specific diet and exercise routines
    • Permanent (irreversible)
    • Causing vitamin deficiencies

advantages

    • A significant weight loss (average of 66% of excess body weight) consequently leading to significant improvement of obesity-related health conditions
    • Doesn’t use a foreign object (like the gastric band) and doesn’t reroute the digestive tract (like the gastric bypass)
    • Short hospital-stay approximately 2 days and recovery time due to minimally invasive procedure
    • Limiting the amount of food that can be eaten
    • Causing significant changes to digestive organs and hormones that result in reduced hunger and increased metabolism
    • Permanent (need no more surgeries or readjustments, like the gastric band)

Disadvantages

    • Requires lifelong dedication to specific diet and exercise routines
    • Permanent (irreversible)
    • Causing vitamin deficiencies

depending on your case, it may differ for each person but generally you might stay in the hospital for 2-3 days after gastric sleeve surgery.

You will generally recover from the surgery in about 3 to 5 days after the procedure. However, It might take longer to get back to work or return to your normal activities.

You can get back to physical activities within 2 weeks after the surgery.

It takes several days after gastric sleeve surgery to get back to your desk job if you follow your doctor’s instructions exactly. It might take longer time about 2 weeks to get back to work if you have a physically demanding job.

You can start walking for longer periods 48 hours after the surgery. Within 2 weeks, you can do light exercises such as running short intervals, yoga, etc. For more strenuous exercises like weight-lifting and gym workouts, you should wait longer and increase your activity level gradually in 3 to 12 weeks. Also, you should ask your surgeon about swimming after surgery; and wait until your incisions are healed before getting into the water. You should also stick to a workout routine to maintain a good physical health and boost weight loss after surgery.

Yes, you can fly 72 hours after gastric sleeve surgery. Frequent walking sessions and drinking plenty of water are recommended while on the plane.

During surgery, you will be under anesthesia and won’t experience any pain or discomfort. After the surgery, you shouldn’t feel any intolerable pain that cannot be managed, as the surgery is done laparoscopically. That is, it is performed through a couple of 0.19-inch incisions.

you will start losing weight one week after gastric sleeve surgery. Most of your weight will be lost in 12 months after the procedure. The final results can be observed 18 months after the surgery.

You will averagely lose 30% to 70% of the excess weight and achieve your ideal weight for your height. The weight loss process is, of course, gradual. Generally, you will lose two-thirds of your weight within six months to a year after the surgery. You have to follow the doctor’s instructions strictly in order to lose the rest of your excess weight.

The weight loss timeline after gastric sleeve surgery looks like below:

    • You will lose 33% of the excess weight in 3 months
    • You will lose about 50% of the excess weight in 6 months
    • You will lose up to 70% of the excess weight in 12 months Most patients will stop losing weight in a year or two. By maintaining a healthy diet and exercise routine, you can continue losing more weight.

Yes. In fact, weight loss surgery can help control diabetes as well as leading to weight-loss specifically for most patients with type 2 diabetes. It is important to note that the patient’s diabetes should be controlled before the surgery. You should also provide a letter from a doctor of internal medicine approving that you are an eligible candidate for bariatric surgery.

After the surgery, you should consume clear liquids about 1 to 2 weeks. We recommend that you frequently drink water, beef broth, clear soup, and milk during this period.

You shouldn’t have carbonated beverages or drinks that contain sugar and caffeine. From the third week forward, you can start having soft foods. That is, you can have pureed vegetables that are low in fiber as well as low-fat foods that are high in protein and cooked with minimum spices. Soup, popsicles, bananas, boiled eggs, cheese, and plain low-fat yogurt are allowed in this period. Starting from week 4, you can gradually add hard foods to your diet. Foods like boiled potatoes, chicken, fish, and cooked vegetables can return to your daily diet. It is important to note that, based on your case, your doctor will provide you with appropriate instructions regarding your diet to ensure an effective recovery.

The patient starts walking a few steps 5 hours after gastric sleeve surgery in order to lower the risk of blood clots. The patient must have walking sessions

To lower the risk of blood clots, it is often required that the patient starts walking a few steps within 5 hours after gastric sleeve surgery. These walking sessions must be done frequently throughout the days following the surgery. Your activity level should increase overtime as you are recovering from the surgery.

In most cases, the recovery after sleeve gastrectomy surgery does not involve bed rest. However, any activity, resting or diet program should be performed as instructed by your surgeon. You can walk for longer periods about 48 hours after the surgery; and in 3 to 5 days, you can return to your daily activities or spend time outdoors. Because the surgery is one with minimal recovery time, it is an easy procedure to do in a foreign country.

The success rate of gastric sleeve surgery is more than 90% if you follow the surgeon’s instruction carefully and avoid snacking. By altering your life style in accordance with your surgeon’s instructions, you can ensure that the surgery will be absolutely successful, helping you reach your desirable weight.

After gastric sleeve surgery, you should stay in Iran for about 7 to 9 days.

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