Sleeve gastrectomy is one of the most commonly used surgical methods in the fight against obesity. This surgery involves removing approximately 75-80% of the stomach, leaving a narrow, tube-shaped stomach. So, who is a good candidate for gastric sleeve surgery, what are its advantages, and what risks does it carry? Here’s a detailed overview.
Who Is a Suitable Gastric Sleeve Surgery?
Gastric sleeve surgery is generally performed in the following cases:
People with a Body Mass Index (BMI) of 40 or above,
People with a BMI between 35 and 40 who have obesity-related health problems such as diabetes and hypertension,
People who cannot lose weight permanently with diet and exercise.
What are the Advantages?
Gastric sleeve surgery offers many advantages:
Rapid and Permanent Weight Loss: Up to 60-70% of excess weight can be lost within the first year.
Relief of Metabolic Diseases: Conditions such as diabetes, hypertension, and sleep apnea are significantly improved.
Less Hunger: Appetite decreases because the stomach area, which secretes the hunger hormone ghrelin, is removed.
The Digestive System Maintains Its Natural Structure: Since the small intestines are not altered, malabsorption is minimal.
Risks and Possible Complications
As with any surgical procedure, sleeve gastrectomy carries risks:
Risk of Leakage: Stomach contents may leak through the stitches after surgery, which can lead to serious infections.
Vitamin and Mineral Deficiencies: If dietary habits are not followed, iron, B12, and vitamin D deficiencies may occur.
Reflux Problems: Reflux symptoms may increase after surgery due to stomach acid backing up into the esophagus.
Problems Related to Rapid Weight Loss: Hair loss, fatigue, and gallstone formation may occur.
Post-Operative Period
Some points to consider during the post-operative period are as follows:
Diet: A liquid and pureed diet is followed for the first few weeks, followed by a gradual transition to solid foods. Regular Follow-Up: Doctor check-ups should be frequent, and blood values should be checked regularly.
Exercise and Lifestyle Changes: Surgery alone is not sufficient; a healthy lifestyle should be adopted.
