Gastric Sleeve Surgery – Benefits and Potential Problems

Finance does matter a lot when it comes to weight loss (bariatric) surgeries. Undergoing weight reduction surgery may make you dig deep into your pockets, especially if you are living in any high-income country. Fortunately, weight loss surgeries such as lap band, gastric bypass, gastric sleeve and gastric placation are available in Mexico at relatively cheaper costs.

Any injury, such as a surgical operation, causes the body to increase the coagulation of the blood. Simultaneously, activity may be reduced. There is an increased probability of formation of clots in the veins of the legs, or sometimes the pelvis, particularly in the morbidly obese patient. A clot which breaks free and floats to the lungs is called a pul

Body mass index (BMI) values (Photo credit: Wikipedia)

monary embolus, a very dangerous occurrence. Blood thinners are commonly administered before surgery to reduce the probability of this type of complication.

It represents roughly 2% (25,500 cases) of all new cancer cases yearly in the United States, but it is more common in other countries. It is the leading cancer type in Korea, with 20.8% of malignant neoplasms.

Today sleeve gastrectomy is the fastest growing weight loss surgery option in North America and Asia. In many cases, but not all, sleeve gastrectomy is as effective as gastric bypass surgery, including weight independent benefits on glucose homeostasis. The precise mechanism(s) that produce these benefits is not known.

Many major medical centers are now using radiofrequency ablation of the liver tumor as a bridge while awaiting for liver transplantation. This technique has not been used universally and further investigation is warranted.

Further advance in liver transplant involves only resection of the lobe of the liver involved in tumors and the tumor-free lobe remains within the recipient. This speeds up the recovery and the patient stay in the hospital quickly shortens to within 5–7 days.

Separately, but in parallel with Kuzmak, Hallberg and Forsell in Stockholm, Sweden also developed an adjustable gastric band. After further work and modifications this eventually became known as the Swedish Adjustable Gastric Band (SAGB).

The gastric sleeve diet is significantly less restrictive than the diets of other fat loss surgeries. With this diet regime you are able to just about eat anything you choose – that said, for the diet to be a success you will want to watch the volume of fat, carbs and sweets that you eat.

Secondly, you need to focus on foods that are rich in protein. This is another recommendation of the gastric sleeve diet that you should follow. You need to be very careful about eating and drinking. Keep in mind that you should not eat and drink together. Instead, what you should do is drink water or juice an hour before or after eating meals.

There are certain patients who cannot tolerate the malabsorption and dumping syndrome associated with Gastric bypass. In such patients, although earlier considered to be a irreversible procedure, there are instances where Gastric bypass procedure can be partially reversed.

Any major surgery involves the potential for complications—adverse events which increase risk, hospital stay, and mortality. Some complications are common to all abdominal operations, while some are specific to bariatric surgery.

The profound weight loss which occurs after bariatric surgery is due to taking in much less energy (calories) than the body needs to use every day. Fat tissue must be burned to offset the deficit, and weight loss results. Eventually, as the body becomes smaller, its energy requirements are decreased, while the patient simultaneously finds it possible to eat somewhat more food. When the energy consumed is equal to the calories eaten, weight loss will stop. Proximal GBP typically results in loss of 60–80% of excess body weight, and very rarely leads to excessive weight loss. The risk of excessive weight loss is slightly greater with distal GBP.

There are four phases to the gastric sleeve diet. During the first week after surgery, a clear liquid diet must be maintained. This is followed by a week on a full liquid diet. By week three most patients are able to move on to a pureed diet. After a month of recovery, a soft diet can be eaten and should be followed as directed by the surgeon.

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Qualifying for Gastric Sleeve Surgery “Candidates for the vertical sleeve gastrectomy are generally at least 100 pounds overweight if they are male, or 80 pounds overweight if they are female,” said Dr. David Provost, a bariatric surgeon in Denton, TX. In addition, patients must have a body mass index (BMI) greater than 40, Dr. Provost noted. (A BMI of 18.5 – 24.9 is considered normal, whereas 25.0 – 29.9 is overweight and 30.0 or above is clinically obese.) In addition, patients usually have to be diagnosed with one or more comorbidities to qualify for any type of weight loss surgery.