Gastric sleeve surgery (banana stomach, stomach reduction, sleeve gastrectomy) is an operation to create a new stomach in the form of a banana by cutting and removing 80% of the stomach. This surgery is performed with the closed (laparoscopic) method and special devices called staplers are used in the surgery.
With stapler, 80% of the stomach is cut and removed after being stapled in 3 rows with titanium staples. These staples in the newly formed stomach are then fused with the body. (Don't be afraid, there will be no problem when passing detectors in shopping malls and airports.)
Intended with gastric sleeve surgery ; It is to reduce the stomach volume and eat less to ensure satiety and thus to lose weight effectively. There is no change in the location of the organs, only the capacity of the stomach is reduced. This surgery was first performed on very overweight people in 2001. The aim here was to reduce the risk of an operation such as a duodenal switch to be performed later by weakening the overweight people a little with this surgery. It turned out that in most people, this surgery already provides very effective weight loss and there is no need for a second surgery.
At this point, stomach reduction surgeries have become the most frequently performed obesity surgery with a rate of 60% (over 80% in our country) in the world over 20 years. Although stomach reduction surgery may seem like an easy operation, it includes very important details. Performing this surgery in accordance with certain standards is one of the most important factors affecting postoperative success. In stomach reduction surgery:
- 80% of the stomach should be removed in every patient. If you remove less, the patient cannot lose enough weight.
- The upper dome of the stomach, called the fundus, should be removed well. If this area is not removed well, patients cannot lose weight well and have reflux. Also, hunger cannot be adequately suppressed. (Ghrelin Hormone)
- Particular attention should be paid to the middle region (incisura) of the stomach. Stenosis may occur in this area. In cases where stenosis occurs, solid food cannot be passed for a long time, patients experience frequent vomiting attacks.
- Particular attention should be paid to the stomach line cut with staples. Bleeding and leaks occur in this line.
What Should Be Done After Tube Stomach Surgery?
You should definitely pay attention to your diet before and after stomach surgery . Since there is food absorption after the surgery, the patient should take his minerals and vitamins completely. While the first rows are fed only with liquid foods, after the second week, they should consume mashed foods. The patient should not engage in heavy physical movements after the surgery. He should take care not to drive until his stitches heal. Do not start using alcohol without doctor's approval.
Nutrition After Gastric Sleeve Surgery
In the first 6 months after stomach surgery, the person's diet is very important. It is important that you follow the diet list after sleeve gastrectomy. This post-surgery process consists of 5 stages.
- Hospital Period (1-4) : It is a process that covers the first 4 days. The first 4 days is the period spent in the hospital. During this period, liquid food is provided through the vein.
- Clear Liquid Period (1st Month) : The patient should be fed with liquid food supplements for 1 month in this period. The body mass index of the patient is measured regularly and the amount of fluid is adjusted accordingly. This amount varies as 2.5-3.5 liters. A total of 5 meals a day should be eaten. But its amount should not exceed 150 ml.
- Puree Period (1-3 Months) : In this period, in addition to liquid foods, mashed foods are started. Carrot, broccoli, cabbage, spinach, artichoke purees can be preferred. But mashed potatoes should be avoided as they contain high carbohydrates. Chicken or ground beef can be added to purees to increase the amount of protein. Purees should be consumed as the main course. It should not be taken at the same time as liquid foods. As in the liquid period, purees are consumed as 5 meals.
- Transition Period to Normal Food (3-6 Months) : In the transition period to normal food, all kinds of soups, boiled red and white meat, grilled fish are consumed, except for foods containing flour. Food should be chewed thoroughly. There should be half an hour between liquid food and normal food consumption.
- Normal Food Period (6th Month and After) : The total number of meals consumed in a day should not exceed 4. Care should be taken to consume low-calorie foods. If vomiting occurs during the solid food period, fluid should be consumed for 12-24 hours.
