Gastric sleeve surgery is the best way to treat obesity in Iran

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Gastric sleeve surgery for slimming or gastrectomy with a vertical sleeve is an obesity surgical procedure in which 75 to 80% of the stomach is removed. This method is currently one of the most common methods of improving obesity worldwide. Gastric sleeve surgery is mostly recommended for obese people who have not achieved good results by following various diets or trying other treatments, and on the other hand, due to some underlying diseases such as diabetes, high blood pressure, asthma, etc.

 

Dear applicant, before performing gastric sleeve surgery, it is better to get information about the advantages, disadvantages, complications, suitable conditions before and after gastric sleeve surgery. In this article, we are going to review all the mentioned factors and how gastric sleeve is performed, so stay with us until the end of the article to understand the effect of gastric sleeve surgery in making profound changes in your life and improving your quality of life.

 

Stages of gastric sleeve

Gastric sleeve surgery to lose weight takes about an hour. The gastric sleeve is performed as follows:

Your surgeon makes several small incisions in your abdomen and inserts a laparoscope - an instrument with a small camera that sends images to the monitor - through these incisions into your abdomen. The surgeon then inserts other medical instruments into the surgical ward through additional incisions.

The stomach is examined and the blood vessels on the side of the stomach are divided.

The Bougie tube, which acts as a sizer for the new stomach, enters the stomach.

A special device is used to cut the stomach into two parts, and with this, about 4/3 of your stomach is removed. The new banana-shaped stomach has about 20-25% of the main volume of the stomach.

Finally, the rest of the stomach is sutured together again to form a "sleeve" or tube.

 

Advantages and disadvantages of gastric sleeve

Among the benefits of gastric sleeve for slimming can be mentioned the following:

Although the stomach is smaller than normal, it still functions normally, so you can eat most foods only in small amounts.

This surgery destroys the upper part of the stomach that produces hunger hormones such as ghrelin, so your appetite is often reduced.

The amount of gastric acid secretion is reduced and of course the possibility of stomach ulcers is reduced.

Because the gut remains intact, the chances of intestinal obstruction, anemia, osteoporosis, and protein and vitamin deficiencies are low.

 

Disadvantages of gastric sleeve surgery for weight loss

As for the disadvantages of gastric sleeve surgery for weight loss, the following can be mentioned:

If you regret the operation, it is not reversible, because part of the stomach is removed.

Weight loss will be followed by fatigue and constant tiredness.

The body still tolerates foods rich in carbohydrates and high in fat, which in turn can make it difficult for the body to lose weight.

Because the incised portions of the stomach are stapled together, there is a possibility of leakage and other complications.

 

Suitable applicant for gastric sleeve

People who are good candidates for gastric sleeve for weight loss can be mentioned with the following conditions:

People with a body mass index (BMI) of 40 or higher (severe obesity).

People with a BMI between 35 and 39.9 (obesity) and a serious weight-related health problem such as type 2 diabetes, high blood pressure or sleep apnea. In some cases, if your BMI is 30 to 34 and you have serious weight-related health problems, you may be eligible for certain types of weight loss surgery.

People who want to make permanent changes to a healthy lifestyle.

People who are not addicted to any drugs or alcohol and are in the age range of 18 to 65 years.

People who are overweight 45 kg on average or those who are over 5 years old suffer from obesity and have not lost weight under any circumstances.

 

Read more about Diagnosis of small bowel cancer in Iran.

Care tips before and after gastric sleeve

Before undergoing gastric sleeve surgery to lose weight, you should ask an experienced and experienced doctor to examine your body in every way to see if you are a good candidate for this operation or not.

Your doctor will first find out about your physical health by checking blood test results, X-rays and scans, then about your diet and eating patterns, such as asking your opinion about your expectations of surgery and whether Asks whether you have a mental health condition or not. These questions are asked to assess whether you can cope with the long-term lifestyle changes required after gastric sleeve surgery.

After a sleeve gastrectomy, you start a diet containing sugar-free, non-carbonated fluids for 7 days, then puree foods for three weeks, and finally to regular foods after four weeks. Try to reduce the amount of ingredients in your meals and eat slowly, try to chew and swallow food well. Due to the reduced absorption of vitamins and minerals through the stomach or iron deficiency, taking a multivitamin twice a day and a calcium supplement once a day is recommended for you, and you should also inject vitamin B12 once a month.

In the first few months after gastric sleeve surgery to lose weight, you must have frequent medical examinations to monitor your health. You may also experience a rapid response to weight loss in the first three to six months after a gastrectomy and experience the following changes:

body pain

feeling exhausted

Feeling cold

skin dryness

Hair thinning and hair loss

Mood swings

 

Possible risks after gastric sleeve

Like any major major surgery, gastric sleeve for weight loss has potential short-term and long-term health risks. Short-term risks associated with sleeve gastrectomy can include:

Excessive bleeding

Infection

Adverse reactions to anesthesia

blood clotting

Pulmonary or respiratory problems

Leakage of material from the cut edges of the stomach

Risks and long-term side effects of gastric sleeve surgery for weight loss can include the following:

 

Gastrointestinal obstruction

Hernia

Gastroesophageal reflux into the esophagus

Low blood sugar (hypoglycemia)

Malnutrition

Vomit

Rarely, gastric sleeve complications can be fatal.

 

Which is better, comparing gastric and lipomatic sleeve methods?

Lipomatic is a type of body sculpting in which excess fat accumulated in areas such as the abdomen is removed by completely safe methods and injected into areas of the body that need fat injection. This method has the most beautiful and lasting effect on a person with the least tissue damage and side effects. But if you suffer from obesity for a long time, which even with the observance of various diets or regular exercise, there is no sign of weight loss, you can do gastric sleeve for weight loss by removing a large volume and nearly 80% of the stomach and of course adhering to the diet Standard and Exercise Achieve the slimming you want.
 

Regarding the suitability of each of these surgeries for you, you should first consult with an experienced doctor who prioritizes the person's health and has sufficient knowledge and skills to assess your health and condition. Choose from these methods.
 

Read more about Gastric balloon in iran.

Is gastric sleeve reversible?

No, unlike gastric bypass, gastric sleeve surgery is a permanent and irreversible method of slimming because this surgery removes a large part of the stomach, thus greatly reducing the level of ghrelin or hunger hormone and You will often feel full. But it is good to know that if you continue to overeat, your stomach walls may stretch and you may become obese again, because when you eat a significant amount of food, or drink plenty of fluids with food or carbonated beverages, your stomach should expand to Accommodate extra volume. If not, the result will be intermittent gastroesophageal reflux disease or rapid gastric emptying into the small intestine (dumping syndrome), all of which are uncomfortable. So you should include proper diet along with exercise and physical activity in your plans forever after gastric sleeve.

Read more about Slimming by gastric pump method.

How long does gastric sleeve surgery take?

One of the reasons that gastric sleeve surgery for weight loss has become the most popular type of weight loss surgery is the relatively short time that it takes compared to many other types of obesity surgery, including gastric bypass surgery. The gastric sleeve operation itself takes less than 30 minutes, and if the preparation time and postoperative stages are calculated, the whole process takes less than an hour. But after the operation, you need to be hospitalized for one to two days and be under supervision.

 

Gastric or peptic ulcer:

If you take precautions to protect the health of yourself and your baby, pregnancy after weight loss surgery such as gastric sleeve will be safe. To reduce the risk of complications from surgery on your pregnancy, wait at least a year after weight loss and even longer to get pregnant. During pregnancy, pay close attention to your nutritional needs and weight gain.

Read more about Mini Tummy Tuck Surgery (Abdominoplasty).

Nutrition in the gastric sleeve

It is important to follow the diet plan provided by your doctor before and after gastric sleeve surgery. Avoid sugar, sugary foods and drinks, sugary sweets and juices as much as possible after gastric sleeve. For the first two months after surgery, your calorie intake should be between 300 and 600 calories per day and should not exceed 1000 calories. As mentioned earlier, in the first weeks after surgery, it is recommended to consume only liquids without sugar, gas or caffeine, and over time, add soft and pureed foods to your diet, but you should also avoid sugars and fats.

From the fifth week onwards, you can safely start eating solid foods, but you have to make some permanent changes in your diet. Try to include three small, nutritious meals and two snacks a day. Increase your intake of sugar-free liquids to keep your body hydrated. Be sure to chew your food often and insist on consuming lean proteins, fresh vegetables and fibrous foods to prevent re-obesity and make the most of gastric sleeve to lose weight.

 

Comparison of the cost of gastric sleeve in Iran and other countries

Fee (dollar)	Country
2000-3500	Cost of gastric sleeve surgery in Iran
5500-6500	Cost of gastric sleeve surgery in India
5000-6500	Cost of gastric sleeve surgery in Turkey
7500-10000	Cost of gastric sleeve surgery in the UAE
9000-17000	Cost of gastric sleeve surgery in the UK
10,000-27,000	Cost of gastric sleeve surgery in the United States