Vertical sleeve gastrectomy is a surgery that is performed to help lose weight. In this procedure the surgeon removes a large portion of the stomach. The new, smaller stomach is about the size of a banana which limits the amount of food a patient eats by making him/her feel full after eating small amounts of food.
Suitable Candidates for Gastric Sleeve Surgery
- Gastric Sleeve Surgery is ideally considered for patients having a BMI higher than 35
- If the overweight patients are suffering from diabetes, hypertension, joint pain, sleep apnea, cholesterol etc. then they can be advised this procedure at lower BMI too.
- When patients are not able to control their urge to eat and gaining excessive weight rapidly then also they can be advised for this surgery.
- Patients with adversely affected metabolism and higher BMI can also be advised this surgery.
Medical Tests / Diagnosis for Gastric Sleeve Surgery
Tests required to ascertain the success of Gastric Sleeve Surgery are:
- A complete Blood Count
- Urinalysis and a Chemistry Panel
- Chest X-Ray and Electrocardiogram
Some surgeons may also ask for the following tests on the basis of patient's medical history:
- Gallbladder Ultrasound to look for gallstones
- Pulmonary Function Test
- GI Evaluation
- Cardiology Evaluation
- Psychiatric Evaluation
- Sleep Studies
Gastric Sleeve Surgery Procedure
Gastric Sleeve Surgery is a very safe laparoscopic surgery which can be completed pretty fast as compared to other bariatric surgeries. This surgery takes usually 60-90 minutes and the patient can be discharged from the hospital within 3 days of the operation. It is a restrictive surgery in which a large portion of the stomach is permanently removed. However, this has several positive effects on the patients as the urge to eat more subsides significantly.
The hunger producing hormone Ghrelin is present in the curved portion of the stomach which is removed by the operation and hence the patients do not feel hungry very often and weight management becomes easier. This is a very effective surgery for diabetic patients.
Steps Involved in Gastric Sleeve Surgery
- The patient is operated on general anesthesia, 2-5 small incisions are made for this laparoscopic surgery.
- Around 80% of the stomach is stapled out and surgically removed in this procedure.
- The stomach is trimmed to a banana shape which can hold smaller amounts of food restricting your capacity of food intake.
- This surgery works in two ways. Firstly it is a restrictive surgery as it reduces the amount of food consumed and hence less calories come in your body. Secondly, the major portion of the removed stomach contains a hunger inducing hormone called Ghrelin and hence the patients do not feel hungry very often helping in following a restrained diet.
- This is a very helpful procedure for diabetic patients and works wonders in weight loss.
- One of the biggest advantages of this surgery is that the patients witness rapid weight loss within the first year of the surgery and hence the results are clearly evident.
- This is not a malabsorptive surgery and hence your body’s ability to absorb nutrients directly from food are not affected greatly.
- The risks in the surgery are very low as apart from the stomach other portions are not affected significantly.
- The patients can tolerate almost all kinds of food after the surgery and issues like dumping syndrome, vomiting, etc. are generally not seen in patients.
- No post-operative adjustment is needed after this surgery.
- No foreign object is left in the body unlike other kinds of bariatric surgeries and hence the risk of infections is also low.
After the Procedure of Gastric Sleeve Surgery
- The patients do not need long hospitalization post-operation and the patients are discharged within 1-3 days of the surgery.
- Generally after a week of the surgery the patients can start brisk walk and light physical activities.
- The patients will have to take pain killers for some time till the surgical wounds heal completely.
- Initially clear liquids are given to the patients which can be slowly upgraded to purees and soft foods and later to solid food.
- After surgery the patients will feel fuller even after eating small portions of food and may not feel hungry at all at times.
- The patients may be required to take additional mineral and vitamin supplements.
Factors Affecting the Cost of Gastric Sleeve Surgery
Some of the following factors may affect your cost of treatment:
- The Kind of hospital you opt for
- Room –Standard single room, deluxe room, super deluxe room for the number of nights specified (including nursing fee, meals, room rate, and room service).
- Operating room, ICU
- Fee for the team of doctors (Surgeons ,Anesthetist ,Physiotherapist ,Dietician )
- Standard test and diagnostic procedures
Sleeve Gastrectomy: 2.05 Min
Difference between Gastric Bypass and Sleeve Gastrectomy.