Many of overweight people and the surgeons know gastric sleeve or sleeve gastrectomy surgery. The patient feels full quickly and own weight loss is obtained at long term. The two steps duodenal switch (DS) has many parts and gastric sleeve is part of it. Striking health conditions is determinant factor for utilize gastric sleeve as separated method and the surgeon should these conditions at patient for use this methods. Appropriate patient’s health conditions, between from 60 to 80 percent of patient’s stomach was cut and took away so the patient’s stomach changed to tube shape of a banana shape from up view look or even sleeve is the best word for its explanation and we could say that at finally step, the patient could less food for its smaller stomach patient. At this surgery, the sleeve relates between esophagus and small intestine. When the surgery was finished, 50 percent of extra weight of patient will be lost 6 months after the surgery and after 2 years after that patient feels reaches to normal weight and besides that the patient eats less food than before.
Reasons for choosing gastric sleeve
Being overweight could create many problems and illnesses that gastric sleeve could be hinder or restore these problems. Being overweight has two kinds of problems and we could divide them to physical and psychological categories. Cancers and severe diseases are physical consequences from being overweight. Stress, sadness and body displeasure, reducing self-esteem, and reducing quality of life and moo self-confidence are all of psychological consequences. Therefore we could say gastric sleeve is the best method for reduce or enhancing these problems and brings long lasting results for the patients who are strive all of negative results of being overweight.
Suitable persons for gastric sleeve
If you have these conditions, surely you choose gastric sleeve:
- When your mass index (BMI) is to be 40 kg (you have overweight) (Calculate your BMI)
- You experience sleep apnea
- You have 2 type diabetes
- You have high blood pressure
- When you have not success for reducing your overweight
- You have desire to exercise usual sport workout
- Your BMI is tolerates between 30 to 40 kg and this weight is teases you
- You strive to alter food habits
- You think to reduce your overweight and have commitment to it and therefore you do food diet for reduce your weight
- You attended at advising/ treatment sessions before
If your weight is less than 40 kg and these mentioned problems not tease you, therefore you should not experience gastric sleeve. We recommend you undergo non aggressive methods for reduce your weight. If you consider following same lifestyle and living with these food habits and you not consider undergo non aggressive methods, but go to your doctor office and accept your doctor advices.
Benefits of gastric sleeve
- Ability to eat different foods
- Diabetes two type decreases
- All of ages could undergo gastric surgery
- There is no need to implant additional device at your stomach dissimilar gastric balloon
- No need to digestive procedure
- After spending two years, your weight will be normal
- Surely, you no need to experience cancer endangers
- All of overweight diseases will be enhanced or disappeared
- The hormone hungry (ghrelin) will be reduced
- The patient feels less hungry at comparing other weight loss surgeries
- This is accomplish by laparoscope and therefore the patient not feel tease and pain at own stomach
- Patient’s stomach and intestine could be endoscopy without difficulty when the surgery was finished
- No need to throw down disorders
- It is very low cost at comparing gastric bypass
Drawbacks of gastric sleeve
- Not overturned
- At comparing gastric bypass, weight loss is little
- When you return to previous food habit, you could be overweight again
Therefore, you should observe doctor’s advices, sport workout and food diet.
Accomplish gastric sleeve
You may not believe this point, gastric sleeve has not have tease and pain you when you comparing it with other surgeries particularly open surgeries. The surgeon for making 2 to 5 cuts on your abdomen has to use general anesthesia. Your surgeon uses laparoscope accompany light source and equipped tube with camera could see your stomach by these devices. The surgeon took away 80 percent of your stomach and then your stomach could be sew by stiches, therefore your stomach is like a banana or another name sleeve. This surgery takes from one to two hours. After spending two days, you could go back your home.
All of to do list before undergo gastric sleeve
You should do all of to do list before undergo gastric sleeve. Therefore you surely have less pain and the best results after the surgery. It is better for you:
- Asking question from your surgeon helps you for have the best surgery
- you should undergo blood test, ECG, x- ray tests
- sport work out and exercise recommended
- it is better not consume alcohol, any food and drink, 12 hours before the surgery
- not take some medicines (as your surgeon recommends you)
- it is better follow food diet before the surgery, such as, lower carbs, lower sugar, pure liquids and broth, more protein, eat vegetables and fluids including fruit juice
Rehab and health care after the surgery
As you know gastric sleeve is aggressive surgery, and surely, you should stay one night at hospital. Of course, your health conditions is determinant and so you can go back home after 2 days. Even you can start normal physical activities after a week. Your stomach rehabs after spending two weeks. Gastric sleeve is the best way for reducing weight loss, but you should observe some conditions, including sport workout, eat some food, food habit and health care works after the surgery. it is better you follow some instructions that your surgeon recommends you after the surgery, and these is should doing within 5 weeks after the surgery.
First week: you should drink pure liquids such as, fruit juices, water, and broth and not caffeine tea.
Second week: drink pure liquids in addition protein shakes
Third week: eating pure liquids food including soup
Fourth week: eating food such as fish, chicken, cereal, grinded potato
You should this works for rehab your stomach after the surgery:
- More chew foods
- Eating slowly foods
- It is better eat vegetables, proteins and fruits
- Eat small pieces of food
- Eat 3 whole food daily
- Saturated food better for you
- Take supplement food accompany food including, Vitamin B, multivitamin, Iron, calcium, acid folic. Your doctor should instruct you.
- It is better sport work out daily at least 30 minutes, you should exercise four days at one week. Observe flexibility, endurance and strength at your exercises.
- Pay attention to this point, some people are around you, who can help you for have fast rehab time.
Negative accompany effects from gastric sleeve
We know 90 percent patients say own satisfying from gastric sleeve, however, there are some negative accompany effects from gastric sleeve that we mention them here:
- uneasiness of the stomach
- unimportant bleeding
- eject stomach contents through the mouth
- gastro-esophageal reflux disease (GERD)
- abnormal stone like mass which forms in the gallbladder
- losing skin, consequence from stretch skin at longtime
- gaining weight, if the patient not observe sport workout or east excess
- narrowing of a vessel
- leak blood from stitched where stomach stapled
- lack of vitamins
Caution: when the patient not observes sport workout and exercise, weight gain occurs again.
Expense of gastric sleeve
Insurance companies pay its expenses. Of course having insurance or not is determinant on surgery condition and it is different. The price of gastric sleeve in USA tolerates between $ 500 to 5000 dollars, according insurance survey. When the insurance company is not covers the surgery, its expenses reaches to $ 12000 to 22000 dollars.
Accomplish gastric sleeve in Iran
Gastric sleeve in Iran like other bariatric surgeries had been done by high skilled surgeons in Iran and this word verified. When the surgeon want to remove some parts of your gastric, it divides to two types: tight sleeve, at this kind of surgery, 80 percent of your stomach is removed and when the people have BMI about 35 to 45, they suitable for that, at another kind of surgery, by name, wide sleeve, about 60 percent of stomach was removed and people by BMI about 30 to 35, surely suitable for that. As you know at previous articles, high skilled surgeons work at well-equipped clinics where are at some cities such as Mashhad, Tabriz, Tehran, Shiraz, Kish Island, Isfahan and other cities where we could not mention them. All of clinics at mentioned there have the best facilities that patients enjoy them. At these clinics various weight loss surgeries accomplish and gastric sleeve is accomplished there.
Expense gastric sleeve in Iran
When you compare expense related to gastric sleeve in Iran you could attention, it is better for you, doing that at this country because you can pay all of expenses at each one of clinics where we mentioned at above paragraph. Your health conditions are determinant at this surgery, but its expense tolerates $ 4500. Meanwhile this surgery cost reaches to $ 16800 in USA, $ 11000 in Thailand, $ 16000 in Australia, $ 21500 in Canada, £۹۰۰۰ in UK.
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