Patient Information Regarding Sleeve Gastrectomy Surgery (FAQs)

Frequently Asked Questions of Laparoscopic Sleeve
Yes! Please see below the surgery of laparoscopic sleeve gastrectomy?

Laparoscopic Surgeon not need to enlarge the incision, because the stomach is totally decompressed during the procedure. The small incisions significantly reduce the pain after surgery and the chance of getting a hernia later in life. 
Patients who have the sleeve procedure and follow the other program requirements typically lose up to 65% of their excess body weight. They also improve or eliminate many obesity-related issues such as:
  1. Diabetes
  2. High blood pressure
  3. Sleep apnea
In the long term, the majority are able to successfully keep off at least 50% of their excess body weight.
Most patients go home the day after surgery. Those who are recovering from this operation are encouraged to should be able to drink plenty of water to stay hydrated.
Normally to perform Sleeve Gastrectomy 1 hour to 90 minutes is required.
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Long term complications are less likely to occur with the gastric sleeve procedure than they are with gastric bypass surgery. The main advantage of gastric sleeve surgery is that it does not need to create a new connection between the stomach and small bowel anastomosis.  
Early postoperative complications following LSG that need to be identified urgently include bleeding, staple line leak and development of an abscess. Delayed complications include strictures, nutritional deficiencies, and gastroesophageal reflux disease.
The data from over 60,000 patients nationwide shows that the risk of death is 0.1%, which is less than a gallbladder operation or a hip replacement surgery. Furthermore, there is good data that there is up to an 89% reduction in mortality in those individuals who have surgery than in a cohort who does not due to the many obesity-associated medical problems that are addressed with weight loss surgery.
Laparoscopic Sleeve gastrectomy is a surgical weight-loss procedure in which the stomach is reduced to about 15% of its original size, by surgical removal of a large portion of the stomach along the greater curvature. The result is a sleeve or tube-like structure.
Sleeve gastrectomy is found to be the most common procedure, accounting for 51.7 percent of weight-loss operations, followed by gastric bypass (26.8%), gastric band (9.5%), and biliopancreatic diversion with duodenal switch (0.4%).
The good news is that after 2-3 month of surgery, there is much less risk of experiencing problems during pregnancy (gestational diabetes, eclampsia, macrosomia) and during childbirth. There are also fewer miscarriages and stillbirths than in heavy women who have not had surgery and weight loss.
The key is to start slow. Listen to your body and your surgeon. If you lift weights or do sports, stay “low impact” for the first month. Build slowly over several weeks. 
A: Some hair loss is common between 3 and 6 months following surgery. The reasons for this are not totally understood. Even if you take all the recommended supplements, hair loss will be noticed until the follicles come back.
Some patients will choose to have plastic surgery to remove excess skin. Most surgeons recommend waiting at least 18 months, but you can be evaluated before that. 
The heartburn after gastric sleeve can usually be managed with antacid medications and lifestyle changes. Very rarely will surgeons have to convert the gastric sleeve to the Roux-en-Y gastric bypass surgery to treat the reflux (less than 1% in most reported series).
The gastric sleeve surgery is a relatively new procedure and it is gaining rapid popularity worldwide. In the late 1980s and 1990s, surgeons started to do the sleeve gastrectomy as part of the duodenal switch operation. Over the years, surgeons noticed that gastric sleeve caused significant weight loss. Large datasets, with more than 5 years of follow-up after the surgery, showed sustained weight loss.


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