Sleeve Gastrectomy (Sleeve Gastrectomy)
Gastric sleeve gastrectomy, also known as stomach reduction surgery, is one of the most commonly performed obesity surgery methods today. This surgery aims to reach a healthy weight range by removing a certain part of the stomach.
How is Gastric Sleeve Gastrectomy Surgery Performed?

• General Anesthesia The surgery is performed under general anesthesia in approximately 1.5 hours.

• Removal of the stomach 80% of the stomach is removed, including the fundus where the appetite hormone is secreted.

• Laparoscopic Method: Usually performed closed (laparoscopically), this method shortens the procedure time and facilitates the healing process.

• Small Incisions: It is performed through small incisions in the abdominal region and the determined part of the stomach is removed using robotic technology.

Who Can Have Gastric Sleeve Gastrectomy?

• Those with a Body Mass Index (BMI) of 40 and above: Those with a BMI of 40 and above or those with a BMI between 35-40 who have health problems related to excess weight (e.g. type 2 diabetes, sleep apnea, hypertension).

• Individuals Over 18 Years of Age: It is generally suitable for individuals aged 18 and over. However, in some special cases, it can also be applied to younger individuals with a doctor's decision.

What to Do Before Gastric Sleeve Gastrectomy

• Medication Use: All medications used should be submitted to the doctor's control and discontinued if necessary.

• Smoking and Alcohol: Smoking and alcohol use should be stopped for a period of time before and after surgery.

• Eating Pattern: Getting used to the new way of eating before surgery makes the postoperative process easier.

Postoperative Recovery Process

• Fast Recovery: Thanks to the closed surgery method, the healing process is fast. On the first day, intra-abdominal pressure and restlessness are normal.

• Pain Control: Painkillers can be used if necessary.

• Meal Pattern: First, the principles of nutrition consisting of liquid foods are applied, followed by the nutrition list recommended by the doctor.

• Vitamin and Mineral Support: Vitamin and mineral support must be taken in the postoperative period.

• Exercise Heavy exercises should be avoided for the first 1.5 months and light exercises such as walking should be done.

Dietary Guidelines After Gastric Sleeve Gastrectomy

• Small Portions Meals should be eaten slowly and in small portions.

• Protein-heavy diet: Daily protein intake should be approximately 60 grams.

• Meal Pattern: At least 3 main meals and 2 snacks should be consumed daily.

• Adequate Fluid Consumption: At least 6-8 glasses of caffeine-free, calorie-free and non-carbonated beverages should be consumed daily.

• Vitamin and Mineral Supplements: It is important to take the vitamins and minerals recommended by your doctor regularly.

Risks of Gastric Sleeve Gastrectomy

• Risk of Leakage: There may be a risk of leakage after surgery. For this reason, if symptoms such as fever or abdominal pain are observed after surgery, consult a doctor immediately.

• Pain and Complications: Postoperative pain can be controlled with painkillers. Complications such as bleeding and infection can also be seen, although rarely.

• Nutrition Problems: Protein, vitamin and mineral deficiencies may occur. Therefore, regular medical check-ups are necessary.

Sports and Exercise After Gastric Sleeve Gastrectomy

• Early Period Heavy exercises should be avoided for the first 3 months and light exercises such as walking should be started with the approval of the doctor.

• Long Term: Getting into the habit of exercising and doing regular sports is important for weight control.

Gastric Sleeve Gastrectomy and Weight Regain

• Weight Loss and Maintenance: The postoperative weight loss process is determined by personal preferences. The surgery should be supported by healthy eating habits.

• Rate of Weight Gain: The rate of weight regain after surgery is approximately 15%. Therefore, healthy nutrition and regular exercise play an important role in weight maintenance.

Sleeve gastrectomy is an effective method in the fight against obesity. However, adopting a healthy lifestyle and following the doctor's recommendations are critical to the success of the surgery.