Laparoscopic Sleeve Gastrectomy Treatment

Overview

Losing weight is not an easy task, particularly for patients who are diagnosed with morbid obesity. After unsuccessful attempts at losing weight through diet, exercise, pre-packed-meals or pharmacotherapy, which are the most common medically supervised weight loss methods, surgery may be the only option. Laparoscopic sleeve gastrectomy is one such surgical methods to lose weight that is included in the category of bariatric surgery.

The surgery is particularly indicated for people with very high BMI, or who have a complex surgical history. Since it is an invasive procedure, physicians only consider this option when there is the high medical risk for bypass or for patients who prefer to have a more permanent surgery, but it does not involve a device being placed inside their body, as is the case with gastric band procedures.

What is Laparoscopic sleeve gastrectomy surgery?

In a sleeve gastrectomy, also called vertical sleeve gastrectomy or gastric sleeve procedure, in this procedure the outer margin of the stomach is removed to restrict food intake, leaving a sleeve of stomach, approximately the size and shape of a banana, and the pylorus, the muscle that controls emptying of food from the stomach into the intestine. A sleeve gastrectomy is a purely restrictive procedure; it reduces the size of the stomach, which allows the patient to feel full even after eating less and taking in fewer calories. This surgery involves the removal of a portion of the stomach that produces a hormone that can make a patient feel hungry.

Sleeve gastrectomy is a much simpler operation than the gastric bypass procedure because it does not involve rerouting of or reconnection of the intestines. The sleeve gastrectomy, on contrary to the Lap-band, does not require the use of a banding device to be implanted around a portion of the stomach.

Laparoscopic Sleeve Gastrectomy Surgery May be Performed for the Following Reasons:

• When the person’s Body Mass Index is greater than 60
• When a person has severe comorbidities (cardiac, pulmonary, liver disease)
• When the person is suffering from Inflammatory bowel disease (Crohn's disease)
• When one needs to continue specific medications (anti-inflammatory medicines, transplant medications)
• Severely enlarged liver found during the operation
• Severe adhesions to the bowel found during the operation

Merits of Sleeve Gastrectomy are:

One of the most important in sleeve gastrectomy is the preservation of stomach function. Sleeve gastrectomy includes no disconnection of normal anatomy. This procedure requires the stay for 3 days only. Most food can be consumed, but only in small amount. It assures weight loss up to 60 - 70%. It is a good option for people not fit for malabsorptive or combined procedures. It requires the follow up after 6 weeks and 6 months, further once a year. It does not require any implantable band device. Surgical risk is lower than with the gastric bypass while weight loss is similar in both.

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Symptoms leading to Sleeve Gastrectomy Treatment

Sleeve gastrectomy is a bariatric surgery that is performed for sufferers of morbid obesity and the conditions originated from this disease.

Here are the common symptoms and conditions that may lead to considering sleeve gastrectomy:

• Difficulty in Losing Weight
• Chronic Fatigue and Low Energy
• Breathlessness or Respiratory Issues
• Reduced Mobility and Joint Pain

What are the Risks of Sleeve Gastrectomy Treatment?

• Complications that can occur after Laparoscopic sleeve gastrectomy include a leak from the sleeve which results in infection or abscess, deep venous thrombosis or pulmonary embolism, narrowing of the sleeve requiring endoscopic dilation and bleeding. 
• Sleeve gastrectomy is irreversible.
• Major complications requiring reoperation are very rare after sleeve gastrectomy. 
• Sleeve gastrectomy is new as compared to gastric banding or gastric bypass and has not been evaluated much. 
• Complication risks are slightly higher than with Lap-band

How is Laparoscopic Sleeve Gastrectomy Performed?

• The majority of sleeve gastrectomies that are performed nowadays are completed laparoscopically. 
• This procedure involves making five or six small incisions in the abdomen and performing with the help of a video camera and long instruments that are placed through these small incisions. 
• During the Laparoscopic sleeve gastrectomy, about 75% of the stomach is removed leaving only a narrow gastric tube. 
• No intestines are removed, reconnected or bypassed during the sleeve gastrectomy. 
• This procedure requires one to two hours for completion.

Recovery

• The surgery is done with the patient asleep under general anaesthesia and as the patient wakes up, he /she is not likely to feel any pain right away due to pain medication. 
• Patients are generally discharged from the hospital during the first or second day after the procedure and may start to experiences some pain. 
• Right after the surgery, patients won’t be allowed to eat anything and as the time progresses, the food will be more solid. 
• Regarding activity, patients will be asked to move shortly after waking up, but needs to reduce their activities and are advised not to lift any heavy object.
• This entire process aims to let the stomach heal and patients usually return to their work and to their normal routine within four to six weeks after the surgery. 
• It is not unusual to notice alterations in the digestive process and bowel movements. 
• Patients may also experience mental and emotional instability, which can be addressed with the help of individual counselling and bariatric support group sessions, which might help the patient to recover quickly.

Eating and drinking after laparoscopic sleeve gastrectomy

• The patient will not be allowed to eat or drink until after the X-ray swallow test and during this time he/she will receive fluids to hydrate with the help of a drip. 
• The patient may get a very dry mouth; he/she can gargle as long as they do not swallow anything.
• After the swallow test results the patient will be allowed to drink, but very slowly at first. 
• At meal times the patient will be able to start a soft diet. 
• The patient will not be discharged until he/she manages to eat and drink successfully. 
• The diet will gradually build up to more solid food.  
• Drinking fluids at the same time as food must be avoided as it can cause vomiting.
• The first 3 months can be difficult and it is not unusual to occasionally feel sick or regurgitate food but this will settle completely with time. 
• Before discharging the ward, the patient should talk to the dietitian discussing which diet or fluids he/she must take.

Best Hospitals for Gastric Sleeve Surgery 

• Artemis Hospital, Gurgaon
• Medanta The Medicity, Gurgaon
• Fortis Memorial Research Institute, Gurgaon
• Max Hospital, Saket
• BLK-Max Super Speciality Hospital, New Delhi

Best Doctors for Gastric Sleeve Surgery 

• Dr. M. A Mir
• Dr. Vikas Singhal
• Dr. Avnish Seth
• Dr. Pradeep Chowbey
• Dr. Yogesh Batra

Why Choose GetWellGo for Laparoscopic Sleeve Gastrectomy Treatment?

While selecting GetWellGo for Laparoscopic Sleeve Gastrectomy, it is possible to mention several benefits, which are highly important for international patients, who need to get the best quality of treatment with no hidden problems.

Here are some compelling reasons to choose GetWellGo for this procedure:

• Highly Skilled Surgeons
• Modern Surgical Technology
• Personalized Care and Support
• Affordable and Transparent Pricing
• Seamless Travel and Accommodation
• Language Support
• Visa Assistance

FAQ

1. What are the advantages of Laparoscopic Sleeve Gastrectomy?

• Effective Weight Loss: The first and foremost of obesity is the feature of low weight. Clinical success reflects weight reduction averages of 60-70% above initial weight within the first 12-18 months.
• Improved Health Conditions: A lot of weight loss associated diseases like type 2 diabetes, hypertension, sleep apnoea and high cholesterol are reduced after surgery.
• Minimally Invasive: The procedure is done via small incisions hence resulting in little pains, less chances of getting an infection and a short hospital stay.
• No Foreign Devices: It is different from placing bands or performing bypass where the use of adjuncts such as a band or a pouch is employed and this has its complications.
• Long-Term Results: It is important for greater weight loss, but LSG carries out changes to support the slimming process with a correct diet and physical exercise.

2. What is the rate of success?

Laparoscopic sleeve gastrectomy has many advantages and the rate of success in most individuals is high due to weight loss and reduction in obesity associated diseases.

• Weight Loss: About 60-70% of excess weight is weighed for the most part within a year and a half.
• Health Improvements: A lot of patients see their obesity associated diseases clear up or at least improve; this includes diabetes of type 2 where up to 60-80% of patients improve, sleep apnea and high blood pressure to name but a few.
• Long-Term Success: In published works that focus on weight/fat loss and X, we learn that patients who adhere to the rules of post-operative behaviours and lead healthy lives remain significantly weight off, that is, 50–60% of their excess weight, for several years.

3. How many days does it take to recover after Laparoscopic Sleeve Gastrectomy?

• Hospital Stay: Normally, patients are admitted to the hospital for 24 to 48 hours after a surgery depending on their post operation progress.
• Initial Recovery: Some discomfort is expected –aching at the sites of the incisions, nausea and fatigue over the first few days. Pain can to some extent be dealt with by medication.
• Resuming Normal Activities: Patients may get back to light activities or going back to their job depending on their type of work within 1-2 weeks of the surgery.
• Exercise: Aerobic activity is often possible after 4-6 weeks of a standstill. But it is wise to follow the surgeon’s advice for the best result in every operation done on you.
• Diet: After surgery, you’ll start with a clear liquid diet then progress to a low residue and then move to solid foods over several weeks. By gradually making adjustments to the stomach’s size, this puts the stomach in a position to heal.
• Full Recovery: Total healing and reorganization to the present stomach capacity may take between 3-6 months.
   

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