Gastric Sleeve

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Gastric Sleeve

Gastric Sleeve

Gastric sleeve surgery is a procedure that is used to help individuals with obesity lose weight. It involves removing a large portion of the stomach, leaving a narrow, sleeve-shaped stomach behind. The procedure is usually performed laparoscopically, which means it is done through small incisions using specialized instruments, including a laparoscope (a thin tube with a camera).

During the surgery, the stomach is reduced in size by removing about 80% of it. This results in the patient being able to eat less food and feel full more quickly, leading to weight loss. Gastric sleeve surgery is a proven and safe way for individuals with obesity to lose weight, and many people experience significant weight loss within the first year after the procedure.

Gastric Sleeve surgery, also known as Sleeve Gastrectomy, is a significant weight-loss procedure that has gained popularity in the field of bariatric surgery.

This procedure involves the removal of approximately 80% of the stomach, leaving a tube-like portion of the stomach in place, which is often compared to the size and shape of a banana.

This drastic reduction in stomach size limits the amount of food that can be consumed and helps to decrease hunger sensations by reducing the production of the hunger hormone, ghrelin.

Gastric Sleeve surgery not only aids in substantial weight loss but also contributes to improvements in various obesity-related health conditions like Type 2 diabetes, high blood pressure, and sleep apnea. It is a permanent, irreversible procedure that requires a lifelong commitment to maintaining a healthy lifestyle and diet.

Who is Eligible for Gastric Sleeve Surgery?

Eligibility for Gastric Sleeve Surgery, or Sleeve Gastrectomy, typically includes the following criteria:

  1. Body Mass Index (BMI): Individuals with a BMI of 40 or higher are often considered prime candidates for this surgery. Those with a BMI between 35 and 40 may also be eligible if they have obesity-related health conditions such as Type 2 diabetes, high blood pressure, severe sleep apnea, or other weight-related health issues.
  2. Previous Weight Loss Efforts: Candidates are usually those who have tried and failed to lose weight through diet, exercise, and other conventional methods.
  3. Age: Most candidates are between the ages of 18 and 65. However, exceptions can be made based on individual health circumstances and the potential benefits of the surgery.
  4. Overall Health: Candidates should be healthy enough to undergo a major operation. This includes having no uncontrolled psychological conditions or other medical issues that could complicate surgery or anesthesia.
  5. Understanding and Commitment: A candidate must understand the risks and benefits of the surgery and be committed to lifelong dietary, lifestyle, and medical changes post-surgery. This includes adherence to nutritional guidelines, exercise regimens, and regular medical follow-ups.
  6. Psychological Evaluation: Many bariatric surgery programs require a psychological evaluation to ensure that the individual is mentally prepared for the surgery and the subsequent lifestyle changes.
  7. Insurance and Financial Considerations: Some insurance companies have specific criteria that need to be met for coverage of the surgery. Patients should also consider the financial implications if not covered by insurance.

Each case is evaluated individually, and the final decision is made by a team of healthcare professionals, including surgeons, dietitians, and psychologists, to ensure the best outcome for the patient.

How Much Weight Can You Expect to Lose?

The amount of weight you can expect to lose following Gastric Sleeve Surgery (Sleeve Gastrectomy) varies from person to person, but there are general trends observed in most patients:

  1. Percentage of Excess Weight Loss: Patients typically lose between 50% to 70% of their excess body weight. The term "excess body weight" refers to the amount of weight above what is considered the normal weight for an individual's height.
  2. Time Frame: The majority of this weight loss usually occurs within the first year after surgery. It's common for the rate of weight loss to be higher in the initial months post-surgery and then gradually slow down.
  3. Factors Influencing Weight Loss: The exact amount of weight loss can be influenced by several factors, including:
    • Pre-surgery weight: Individuals with higher initial body weight might lose more pounds.
    • Adherence to Dietary Guidelines: Success in weight loss is significantly impacted by following the post-surgery diet and nutrition plan.
    • Physical Activity: Incorporating regular exercise enhances weight loss and overall health.
    • Age and Metabolic Rate: Younger individuals and those with a higher metabolic rate might experience more significant weight loss.
    • Individual Health Conditions: Certain health conditions can affect weight loss.
  4. Long-term Weight Maintenance: After the initial period of rapid weight loss, the focus shifts to maintaining that weight loss. This requires a lifelong commitment to healthy eating habits, regular physical activity, and ongoing medical follow-ups.

It's important to set realistic expectations and understand that Gastric Sleeve Surgery is a tool to help with weight loss. It works effectively when combined with lifestyle changes. Additionally, individual results can vary, and discussing your specific situation with a healthcare provider is essential for a more accurate prediction.

How Long is The Recovery Period?

The recovery period after Gastric Sleeve Surgery, or Sleeve Gastrectomy, can vary depending on several factors such as the individual's overall health, the specific technique used for the surgery, and how well the patient follows post-operative care instructions. However, a general timeline for recovery is as follows:

  1. Immediate Post-Operative Period (Hospital Stay): Most patients stay in the hospital for about 2 to 3 days following the surgery. During this time, medical staff monitor recovery, manage pain, and ensure that the patient can tolerate liquids.
  2. First Few Weeks:
    • First 1-2 Weeks: Recovery at home. During this period, patients are usually on a liquid diet and gradually transition to pureed foods.
    • Activity: Patients are encouraged to start light activities like walking as soon as possible post-surgery to reduce the risk of blood clots and other complications.
    • Work: Returning to work depends on the nature of the job. For desk jobs, patients might return within 2-4 weeks, while more physically demanding jobs might require a longer absence.
  3. One to Three Months:
    • Diet: Transition from pureed to soft foods, and eventually to regular, but smaller and healthier meals.
    • Physical Activity: Gradual increase in exercise intensity, as tolerated.
  4. Long-term Recovery:
    • Complete Healing: It typically takes around 6 months for the body to fully heal from the surgery.
    • Lifestyle Changes: Ongoing commitment to dietary guidelines, exercise, and regular follow-ups with healthcare providers is essential.
  5. Psychological Adjustment: Some patients may also need time to psychologically adjust to their rapid weight loss and changing body image.

It's important for patients to closely follow their surgeon's instructions and attend all follow-up appointments to ensure a smooth recovery. The recovery experience can differ from person to person, and it's crucial to communicate with healthcare providers about any concerns or complications that arise during this period.

Will I Need a Special Diet After Surgery?

Yes, after Gastric Sleeve Surgery (Sleeve Gastrectomy), you will need to follow a special diet. This diet is crucial for proper healing, maximizing weight loss, and avoiding complications. The post-surgery diet typically progresses through several stages:

  1. Liquid Diet (1-2 weeks post-surgery):
    • Immediately after surgery, you will start with a clear liquid diet. This includes broth, unsweetened juice, and sugar-free gelatin.
    • Gradually, you'll move to other liquids like milk, unsweetened puddings, and thin soups.
  2. Pureed Foods (2-4 weeks post-surgery):
    • After tolerating liquids, you can eat pureed foods. This includes pureed fruits, vegetables, lean meats, and beans.
    • Foods should be blended with a liquid (like water, fat-free milk, or broth) to a smooth, baby-food consistency.
  3. Soft Foods (4-8 weeks post-surgery):
    • Soft, easy-to-chew foods are introduced next. Examples include soft fruits and vegetables, eggs, and tender meats.
    • Continue to avoid foods that are hard to digest, such as bread, rice, and tough meats.
  4. Regular Diet (After 8 weeks):
    • Gradually, you'll transition to a more regular diet, focusing on small, nutrient-rich, and low-calorie meals.
    • It's important to chew food thoroughly and eat slowly.

Throughout all these stages, you should:

  • Stay Hydrated: Drink plenty of water throughout the day, but avoid drinking 30 minutes before and after meals to prevent overfilling your smaller stomach.
  • Avoid Certain Foods: Steer clear of sugary, fatty, or very fibrous foods.
  • Monitor Portion Sizes: Eat small portions to avoid stretching your stomach.
  • Take Supplements: You may need to take vitamin and mineral supplements, as recommended by your healthcare provider, since nutrient absorption can be affected post-surgery.

This dietary progression helps your stomach heal without being overstretched by the food you eat. It's essential to follow the diet plan provided by your healthcare team and attend all follow-up appointments to monitor your progress and nutritional status. Each individual's post-surgery diet plan might differ slightly, so it's important to get personalized advice from your dietitian or surgeon.

OUR DOCTORS

Prof. Dr. Hayrullah Derici He graduated from Ege University Faculty of Medicine in 1991. In 1996, he became a General Surgery Specialist. In 2007, he received the Turkish Surgery Association Qualification (Board) Certificate. In 2007, he received the title of “Associate Professor of General Surgery”. In 2013, he became a Professor. He is an active member of International Society for Regional Cancer Treatment, Turkish Surgical Association, Turkish Colon and Rectal Surgery Association, Turkish Hepatopancreatobiliary Surgery Association, National Endoscopic Laparoscopic Surgery Association, Trauma and Emergency Surgery Association, Aegean Region Surgery Association, Izmir Breast Diseases Association, Turkish Surgical Association Competency Board, and Society of Dialogue in Endocrinology. He has more than 40 articles published in international indexed journals, more than 50 articles published in national journals. he has given more than 90 verbal and poster presentations in international and national congresses and symposiums and written two book chapters. He has won 6 awards in national and international congresses. Areas of interest: Obesity surgery and metabolic surgery, Laparoscopic reflux surgery, Laparoscopic gallbladder surgery, Stomach balloon application, Laparoscopic gastric and intestinal cancer surgeries, Haemorrhoid surgeries, Abdominal and inguinal hernia surgeries, Breast Cancer Surgery, Thyroid cancer and goitre surgery.   Prof. Dr. Hayrullah Derici is married and has two children. He speaks German and English well.
Assoc. Prof. Dr. Ömer Yoldaş He completed his medical education at Dokuz Eylul University Faculty of Medicine between 1995 and 2001. He specialized in General Surgery at Ankara Training and Research Hospital between 2001 and 2006. He worked as a General Surgery Specialist at Ankara Training and Research Hospital between 2006 and 2008 and later at Ordu State Hospital between 2008 and 2013. In 2016, he received the title of Associate Professor in the Department of General Surgery, Faculty of Medicine, Izmir University. In 2015, he received the Turkish Surgical Association Proficiency Exam (Board) Certificate of Achievement. He is a member of Turkish Surgical Association, Turkish Colon and Rectum Surgery Association, National Endoscopic Laparoscopic Surgery Association, Bariatric and Metabolic Surgery Association, and Hepatobiliary Surgery Association. Between 2014 and 2016, he taught many undergraduate and graduate courses at Izmir University Faculty of Medicine. He has conducted many national and international studies and these studies have received many citations. Assoc. Prof. Dr.  Ömer Yoldaş speaks English fluently. He has two children.   Knowledge Domain: Obesity Surgery and Metabolic Surgery, Laparoscopic Reflux Surgery, Laparoscopic Gallbladder Surgeries, Gastric Balloon Application, Gastric filler Application, Laparoscopic Gastric and Intestinal Cancer Surgeries, Haemorrhoid Surgeries, Perianal Fistula Surgeries, Laparoscopic Abdominal and Groin Hernia Surgeries, Breast Cancer Surgeries, Thyroid Cancer and Goitre Surgeries.
Assoc. Prof. Dr. Ogün Erşen Date of birth 10.11.1987 Education and Expertise Karadeniz Technical University Faculty of Medicine Kocatepe University Ankara University Faculty of Medicine Konya Health Sciences University Professional Interests: Obesity (fatness) surgery and metabolic surgery Laparoscopic reflux surgery Laparoscopic gallbladder surgeries Gastric balloon application ERCP, EMR, ESD (Advanced Endoscopic procedures) Laparoscopic pancreatic cancer surgery Laparoscopic gastric and intestinal cancer surgeries Hemorrhoid surgeries Perianal fistula surgeries Laparoscopic abdominal and inguinal hernia surgeries Oncoplastic Breast cancer surgeries Natural cancer surgery (NOSE) Thyroid cancer and goiter surgeries. Memberships to Scientific Organizations Turkish Surgery Association Turkish Obesity Surgery Association Surgical Oncology Association National Society of Endoscopic Laparoscopic Surgery He is a member of the Bariatric and Metabolic Surgery Association. Courses and Certificates: Turkish surgical association proficiency exam (Board) certificate of achievement in 2018 He has more than 100 papers presented in national and international congresses and more than 50 articles published in international journals. Foreign language English
Opr. Dr. Özgür Kavak He completed his medical education at Osmangazi University Faculty of Medicine between 1990 and 1996, and his residency in General Surgery at Izmir Training and Research Hospital between 2004 and 2008. In 2008, he received the Turkish Surgical Association's Qualification Exam (Board) certificate of success. He is a member of Turkish Surgical Association, Turkish Colon and Rectum Surgery Association, National Endoscopic Laparoscopic Surgery Association, Bariatric and Metabolic Surgery Association. He worked as a lecturer at Istanbul Rumeli University between 2017 and 2020. He currently performs Laparoscopic Oncosurgery and Obesity Surgeries. He has many national and international studies and these studies have received many citations.   Having a good command of English, Opr. Dr. Özgür Kavak is married and has two children.   Areas of interest: Laparoscopic Sleeve Gastrectomy, Laparoscopic Full Gastric Bypass, Laparoscopic Mini Bypass, Laparoscopic Type 2 Diabetes Surgery, Gastric Balloon Application with Endoscopic Method. In Non-Surgical Obesity Treatments:  Stomach filler (Endoscopic), Laparoscopic Oncology Surgery (Colorectal, Stomach, Pancreas, Adrenal), Reflux - Gastric Hernia Surgery (Laparoscopic), Minimally Invasive Surgery, Laparoscopic Hernia Surgery, Endocrine Surgery (Thyroid - Breast Surgery), Haemorrhoid Surgery with Laser, Haemorrhoidopexy (LHP), Perianal Fistula Surgery with FILAC (Fistula Laser Closure) Method.
Opr. Dr. Attila El He graduated from Dokuz Eylül University, Faculty of Medicine. Between 1987 and 1991, he completed his specialization in general surgery at Buca SSK Hospital in Izmir. Between 1991 and 2016, he worked at Karşıyaka State Hospital, then until 2019 he worked as the General Surgery Specialist at Çiğli Training and Research Hospital. He is an active member of Turkish Surgical Association, Turkish Society of Colon and Rectal Surgery. He has experienced around 30,000 successful operations in the field of general surgery. Areas of interest: Laparoscopic gallbladder operations, gastrointestinal surgery, haemorrhoids and fissure surgeries, abdominal and inguinal hernia operations, breast cancer operations, thyroid cancer and goiter operations. Op. Dr. Attila El is married and has one child. He speaks fluent English.
Opr. Dr. Abdülkadir Korkmaz He completed his medical education at Istanbul University Cerrahpaşa Faculty of Medicine between 1986-1992. He completed his general surgery residency at İzmir Tepecik Training and Research Hospital between 1995-2000. In 2011, he received his education in the field of ERCP and Endoscopy at Afyon Kocatepe University. He worked as a specialist at Tepecik Training and Research Hospital, Karşıyaka State Hospital, Bakırçay University / Çiğli Training and Research Hospital between 2000-2021. He is a member of the Turkish Society of Surgery, Society of Endoscopic Laparoscopic Surgery, the bariatric and metabolic surgery society, and the Turkish Obesity Foundation. His special interest is Obesity Surgery. The father of 2 children, Opr. Dr. Abdulkadir Korkmaz has a good command of English. Areas of interest: Laparoscopic (closed) obesity (obesity) surgeries (sleeve – medicine stomach, gastric bypass) Gastric balloon application with endoscopic method in non-surgical obesity treatment Laparoscopic (closed) inguinal hernia surgeries Laparoscopic (closed) appendicitis surgeries Laparoscopic (closed) gallbladder surgeries Laparoscopic (closed) reflux - gastric hernia surgeries Goiter and Breast (breast cancer) surgeries Hemorrhoids treatment with laser Anescal surgery with laser
Opr. Dr. Rıza Özdemir He completed his medical education at Dokuz Eylul University Faculty of Medicine between 1995-2001. He completed his general surgery residency at Eskişehir Osmangazi University Faculty of Medicine between 2002-2007. He is a member of Turkish Surgery Association, Turkish Colon and Rectum Surgery Association, National Endoscopic Laparoscopic Surgery Association, Bariatric and Metabolic Surgery Association, Hepatobiliary Surgery Association and Endocrine Surgery Association. He has many national and international studies and these studies have been cited many times.   Fluent in English, Opr. Dr. Rıza Özdemir is married and has one child.   Areas of interest: • Obesity (fatness) surgery and metabolic surgery • Laparoscopic reflux surgery • Laparoscopic gallbladder surgeries • Gastric balloon application • Stomach injection application • Laparoscopic gastric and intestinal cancer surgeries • Haemorrhoid surgeries • Perianal fistula surgeries • Laparoscopic abdominal and inguinal hernia surgeries • Breast cancer surgeries • Thyroid cancer and goitre surgeries

Frequently Asked Questions

Ekol Hospitals Obesity Clinic,have performed more than 50.000 accomplished operation without single complication, has experienced Professor Doctors, Associate Professors, Specialists, nutritionists and dedicated nurses & care takers. Teamwork is really imported when it comes to bariatric surgeries and EKOL has the most experienced and Professional team working in harmony.
Basically, %80 percent of the stomach is removed. So the stomach is shrinked and the patient eats less and feel full with a few spoons of food. The hunger hormone is also removed so the patient feels less hungry. This procedure is totally safe and helps patient to reach ideal weight in 10 -12 monhts.
You will have a full check up before the operation, the results will be evaluated and your surgeon will decide to have the operation or not together with you. Full Urine Test, Blood Test, Chest Xray, Respiratory Function Test, Cardiology Consultation, Pulmonary Diseases Consultation, Internal Diseases Consultation, General Surgery consultation, anesthesia consultation, Ultrasonography. The operation ist mostly laparoscopic (closed) and takes around 45 – 50 minutes.
You will stay at the hospital for 3 nights. You will have your last checks and controls before leaving the hospital and will be allowed to leave when everything is totally good and you feel fine. Our diet assistant, nutrition specialist will tell you your new nutrition plan and give you your diet plans. You will be asked to have regular blood tests in 1st, 3rd, 6th and 12th month after the operation. We will always keep in touch with you regarding your follow ups.
No you won’t need any medication for the rest of your life but you will need ou need to watch your nutrition. Consuming carbonhydrates, fizzy drinks, alcohol may led to weight gaining.
Some patients might need esthetic operations such as tummy tuck, arm lift or thigh lift while same patients don’t need at all. It is all related to your metabolism, skin type and training. Our esthetic surgeons can help you with your requests after bariatric surgery and weight loss.
The amount of weight loss after gastric sleeve surgery can vary from person to person, but on average, people can expect to lose about 60% of their excess body weight within the first year after the surgery. This will depend on factors such as the individual's starting weight, diet, and exercise habits.
After gastric sleeve surgery, it is important to make sure that your body is getting all the nutrients it needs. Your surgeon or a registered dietitian may recommend that you take a daily multivitamin and mineral supplement, as well as other specific supplements, to ensure that you are getting enough of these essential nutrients.
After gastric sleeve surgery, you will need to follow a specific diet to ensure proper healing and maximize weight loss. This diet may start with a liquid phase and then progress to pureed and soft foods before transitioning to solid foods. It is important to follow your surgeon's instructions and listen to your body's hunger and fullness cues to make sure you are getting enough to eat and meeting your nutritional needs.
During gastric sleeve surgery, the surgeon removes about 80% of the stomach to create a small, tube-shaped stomach that holds about one cup of food. This smaller stomach size limits the amount of food that can be eaten at one time, which can help people lose weight by reducing their appetite and calorie intake. The procedure can also affect the production of hunger-regulating hormones, which can further contribute to weight loss.
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