FREQUENTLY ASKED QUESTIONS ABOUT GASTRIC SLEEVE

In sleeve gastrectomy, 80% of your stomach is removed and you are left with a tubular stomach shaped like a banana. You become full with less food. Since the part of the stomach that secretes appetite hormones is also removed, your appetite decreases. this surgery is performed through small holes in your abdominal wall. These holes are closed with hidden stitches and the scars disappear over the years.

For sleeve gastrectomy surgery, you must be at least 25 kilograms above your normal weight. Body mass index should be above 35. Diabetics between 30-35 can also undergo surgery.

In sleeve gastrectomy surgery, only the stomach is intervened. In gastric bypass surgery, both the stomach and small intestine are modified. In gastric bypass, food does not pass through the first part of the stomach and small intestine. So absorption is reduced. Therefore, vitamin support is more necessary in bypass patients.

The most common cause of weight regain is a regrowth of the stomach volume or a larger than standard gastric sleeve. Especially when the upper part of the stomach is not completely removed, it is easy to expand because it has thin walls. When this area expands, the amount of food taken at one time increases and weight gain occurs.

You may experience varying levels of pain and nausea for the first 2 hours after sleeve gastrectomy. Strong pain relieving and nausea reducing medications will be used. You will not take anything by mouth in this early period. At about the 2nd hour, you will be able to stand up and go to the toilet with the help of the staff. Walking will further reduce pain and nausea. The pain may decrease during the first night, this varies a lot from person to person. Nausea may be due to the effect of anesthesia in the first hours. In some people, it may continue intermittently during the night. But in most patients, nausea is almost non-existent the next day.

A period of 3-4 days is sufficient for returning to work after sleeve gastrectomy surgery. However, if you are doing a job where you work physically, it will be more appropriate to return to work after your 10th day. For your return to work after sleeve gastrectomy surgery, a total of 1 week is sufficient with your surgery. In this process, you will have switched from clear liquids to thick liquids and you will have spent the adaptation process to your new stomach at home. You will also be able to carry packaged foods that you can consume in your snacks more easily.

After sleeve gastrectomy, the cells that secrete the hormone ghrelin, called the appetite hormone, are removed along with the removed part of the stomach. However, since the stomach is a muscular and growing organ, this hormone comes back especially after the 6th month. However, some people may have a feeling of appetite during the first liquid period. This appetite decreases as the transition to more dense and solid foods such as purees is made. If the appetite returns at the 6th month after sleeve gastrectomy surgery, contact our dietitian and get information about how to control this process. One of the most common mistakes is the wrong diet with the return of appetite. In this process, you need to determine your preferences mainly protein, eat sitting at the table instead of standing snacks and pay attention to your water consumption.

Sports after sleeve gastrectomy actually starts in the hospital. We minimize the gas problem caused by laparoscopic surgery with walks and medications. It is not appropriate to do indoor sports (such as fitness, cardio, plates, weight training) for the first 45 days. During this 45-day period, regular walking is recommended both to prevent sagging and to increase the speed of weight loss. Swimming can be started after the 15th day, especially to improve the back posture disorder caused by weight. Swimming on your back is more effective in improving your posture.

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