Stomach reduction is an operation that allows you to permanently lose a lot of weight if you are very overweight (morbid obesity). The surgeon reduces the size of your stomach. This allows you to eat only small meals and you are less hungry. As a result, you will lose weight.
During gastric sleeve surgery, the stomach is reduced so that it only has the volume of a small banana. This means that the stomach is filled after small amounts of food and a quick feeling of satiety is achieved. In addition, hormonal processes are set in motion that reduce appetite.
sleeve gastrectomy surgery is a minimally invasive technique performed under general anesthesia – i.e. using the keyhole method – by your specialist. The duration of the hospital stay in Antalya or Turkey is about 5-7 days. Stomach surgery abroad belongs to the so-called “metabolic surgery”. This is mainly because during the actual stomach reduction, the surgeon also removes areas in the stomach where the gastrointestinal hormones, such as the hunger hormone ghrelin, are produced. As a result, fewer hormones are released that would have otherwise produced hunger. And that means that as stomach volume decreases, so does appetite.
It is not uncommon for the sleeve gastrectomy to be just one part of the treatment for obesity. This is mainly because the sleeve gastrectomy is very efficient, especially in severely overweight patients, but it is still not enough in the case of persistent poor eating habits. So you also have to become active yourself! Especially sugary foods and drinks are part of the problem and therefore you should avoid these foods as much as possible after surgery. Alternatively, in the next step, patients can also consider a so-called gastric bypass (maloperative procedure).
Stomach reduction helps you lose weight because you can eat less. But losing weight does not happen automatically. How many kilos you lose also depends on what you eat, how much you eat and how much you exercise. It is important that you continue to get enough exercise and eat a healthy diet.
Most people lose about 35-40% of their total weight in a year. Most people have lost enough weight one year after gastric bypass surgery to drop their BMI below 35. The average BMI after surgery is 30 to 32. In most cases, people find that their quality of life has also improved. This also reduces the risk of diseases that can be a late consequence of being overweight: A lower weight can save you from diseases that are often caused by obesity. For example, type 2 diabetes, joint problems and high blood pressure.
Even before the actual surgery, a series of preliminary examinations must be performed to ensure that there are no inflammations or tumors. The liver, pancreas and gallbladder must also be examined. For particularly obese patients with a BMI over 40, a high-protein liquid diet regimen is recommended beginning 10 to 14 days before gastric surgery. During this time, only liquid and high-protein foods should be consumed to achieve a reduction in fatty liver.
The surgery itself is performed under anesthesia and lasts about an hour. It is performed as a keyhole surgery. This means that several skin incisions of about two centimeters are made in the abdominal wall. Instruments are then inserted through these small incisions. The largest part of the stomach is now separated with a so-called stapler and the resulting sutures are closed at the same time. You should expect to stay in the hospital for three to four days for the follow-up procedure. For the first one to two weeks after surgery, you should eat only liquid foods. In the long term, any type of food is allowed, divided into five to seven small meals per day.
Sleeve gastrectomy surgery leaves only a tubular residue, so during the meal you feel full faster. This effectively reduces the size of the stomach and you lose weight quickly. Sleeve gastrectomy surgery (gastric sleeve surgery or sleeve gastralectomy) is therefore a restrictive stomach surgery in which part of the organ is completely removed. This means that the specialized surgeon reduces the stomach by about 80-90%, leaving a remaining tubular stomach of about 2-3 cm. This corresponds to a new stomach volume of 85-150 ml. For comparison, a naturally unaltered stomach usually has a volume of 2-3 liters.
Another advantage of the tubular stomach is that it is not necessary to insert a foreign body (e.g. a gastric band) or to change the entrance or exit of the stomach. In this way, the natural function of the stomach is preserved, allowing the patient to eat all foods without restriction just a few weeks after surgery. In addition, studies show that as a limiting gastric surgery, the gastric sleeve may lead to good improvements in metabolic diseases such as diabetes.
The surgery is appropriate for patients with a BMI over 40. If you also suffer from diabetes, hypertension or sleep apnea, it makes sense to perform surgery and thus reduce the size of the stomach from a BMI of 35. Obesity patients, mainly due to the consumption of too much high-calorie food such as sweets or alcoholic beverages, are not suitable for this procedure. After gastric surgery, the intestine cannot absorb enough vitamin B12, so it is necessary to supplement this vitamin artificially. The risk factors are very low compared to other similar surgeries. Temporary disturbances of the gastrointestinal tract or adhesions of the organs in the abdominal cavity may occur. The risks of the surgery depend largely on the patient’s health condition.
The sleeve gastrectomy surgery in Turkey belongs to the so-called “metabolic surgery”. This is mainly due to the fact that when the stomach is reduced, the surgeon removes a large piece of the stomach where gastrointestinal hormones such as ghrelin hunger hormone are produced. This means that as the volume of the stomach decreases, your appetite will also decrease and therefore you will also eat less.
Another advantage of the snake stomach is that it is not necessary to insert a foreign body (e.g. a gastric band) or to change the entrance or exit of the stomach. In this way, the natural function of the stomach is preserved, so after a few weeks of surgery, the patient can eat all foods without restrictions. In addition, studies show that as a limiting gastric surgery, the sleeve gastrectomy can lead to significant improvements in metabolic diseases such as diabetes.
It is not uncommon for the gastric sleeve to be just one part of obesity treatment. This is mainly due to the fact that the sleeve gastrectomy is very efficient, especially in patients with severe obesity, but is generally considered insufficient in cases of persistent overeating (eating too much). Especially foods with high sugar content and beverages are part of the problem! If this is the case with a patient, the next step is often to plan the so-called gastric bypass.
The surgery is suitable for patients with a BMI over 40. If you also suffer from diabetes, hypertension or sleep apnea, sleeve gastrectomy surgery is advisable from a BMI of 35, but only if all non-surgical measures, such as exercise or nutritional counseling, have not been successful enough over a period of six to twelve months.
Obese patients who are overweight mainly due to the consumption of high-calorie foods such as sweets or alcoholic beverages are unsuitable for this procedure.
Long-term results for the sleeve gastrectomy technique are not yet available. However, it is already apparent that the chances of success are very high. You can lose between 33 and 83 percent of excess weight.
Although gestric sleeve surgery is a very effective tool, you will need to make permanent changes to your lifestyle and diet. At Get Slim Turkey, we recommend that you also consult a nutritionist at the very least.