Sleeve Gastrectomy

Length of Stay in Hospital
3 Days
Length of Stay in the City
7-10 Days
Recovery Duration
1-2 Weeks
Operation Duration
45  Minutes 1.5 Hours
Type of Anesthesia
General Anesthesia

Sleeve (tube) gastrectomy surgery is a surgical method in which weight loss is achieved by removing approximately 75-80% of the stomach in obesity patients. Since the remaining stomach is in the form of a tube, it is also known as a tube gastrectomy among people. After laparoscopic (close) method being applied in this operation; it has become highly preferred in recent years with the reduction of hospitalization time, shorter recovery time, less scarring and reduced possibility of surgical hernia.

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How Is Gastric Sleeve Performed with Tube Gastrectomy Technique?

Gastric sleeve surgery with tube stomach technique is performed under general anaesthesia with the Laparoscopic method (closed surgery technique). In order to avoid a mistake during the operation and make the stomach too small, a calibration tube is placed in the stomach entrance with the diameter of the oesophagus. Thanks to this calibration tube, the stomach is reduced as if it is a continuation of the oesophagus, and excessive stenosis and obstruction are prevented. After taking precautions regarding vascularity and bleeding, the stomach is cut from longitudinally with special cutting and closing tools (stapling). After the procedure is completed, the calibration tube will be removed, bleeding and leakage control is performed and the operation is completed.

What are the Advantages of Gastric Sleeve Surgery with Tube Gastrectomy Technique?

  • Anatomical structure and natural nutrient flow direction do not deteriorate.

  • Compared to other methods, the technique is simpler and the complication rates are lower.

  • Anatomy, intestinal structure, physiological flow direction of nutrients does not deteriorate.

  • Dumping syndrome and ulcer does not occur.

  • With the decrease in the secretion of the appetite hormone called ghrelin, the appetite decreases from the first day.

  • There is no need for lifelong vitamin-mineral supplementation.

  • In any situation, the entire stomach can be visualized with the help of endoscopy.

  • Since the pyloric muscle of stomach is protected, a feeling of occlusion and satiety occurs.

What are the Disadvantages of Gastric Sleeve Surgery with Tube Gastrectomy Technique?

  • Since the large part of the stomach is permanently removed during sleeve gastrectomy surgery, this operation will be irreversible.

  • If vitamin supplements are not taken after the operation and the doctor's instructions are not complied with, there is a possibility of deterioration of the metabolic balance, as in other bariatric surgery techniques.

  • If a healthy lifestyle is not adopted after the operation, patients may regain weight or may not lose enough weight as in other bariatric surgery techniques.

Who Can Have Gastric Sleeve Surgery with Tube Gastrectomy Technique?

  • Those between the ages of 18-65 (under the age of 18 or over the age of 65, tube stomach surgery can be performed by the decision of the board),

  • Those with a body mass index over 35,

  • Body mass index is between 30-35 and those with co-morbidities due to overweight (hypertension, cholesterol, diabetes, sleep apnea, heart failure, metabolic syndrome, etc.)

  • Those who have tried other treatment methods to lose weight and failed,

  • Those in physical conditions that can handle surgery and anesthesia.

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How much weight will I lose after sleeve gastrectomy?


After sleeve gastrectomy, the highest weight loss occurs in the first 6 months. An average of 40% of the initial weight can be lost at the end of the first year.




How many days is hospitalized for gastric sleeve?


The internationally recommended hospitalization period after sleeve gastrectomy is 3 days.




When will I return to work or normal life after gastric sleeve?


Gastric sleeve surgery is not a too serious operation. Most of the patients can return to work after the 10th day control if they work at an office job.




When can I take a shower after sleeve gastrectomy?


You can take a shower after discharge with warm water without putting pressure on the surgical areas.




When can I start a normal diet after gastric sleeve?


Normal feeding can be started gradually with the guidance of a dietitian at the end of the first month.




When can I start exercise after the surgery?


Light-paced walking and swimming may be started from the 10th day after sleeve gastrectomy. Exercises that require weight and resistance may start after the first month.




Should I take vitamins after the surgery?


Patients are required to use vitamins and minerals for the first 6 months after sleeve gastrectomy surgery. If gastric bypass surgery has been performed, the use of vitamins and minerals lasts a lifetime.




Can children have gastric sleeve surgery?


Children aged 13 and over can have surgery depending on doctor’s check and board decision as a result of special criteria and evaluations.




Is there an age limit for sleeve gastrectomy?


Under usual circumstances, surgery is performed between the ages of 18 and 65, and under the age of 18 and over the age of 65, surgery can be performed if the board approval and the patient's health requirements are deemed appropriate.




Will I regain weight after sleeve gastrectomy?


No matter which bariatric surgery is performed, there is a slight chance of regaining weight. The most important factor affecting weight regain is not making a change in lifestyle after the operation. Among patients who have undergone bariatric surgery, the rate of weight regain is between 5-15% and is considered quite low. Reasons for weight gain again are alcohol usage or tendency to consumption sugary and simple carbohydrate foods as a result of severe traumas (loss of mother or father, divorce, economic reasons, etc.).




Will I sag after sleeve gastrectomy? How do I reduce sagging?


Sagging after sleeve gastrectomy is a result that varies depending on the person's gender, skin structure, age, lifestyle, genetic structure, whether she gave a birth or not, and the frequency of weight gain and loss. In order to minimize sagging, exercising regularly will help after the operation. However, sagging can be easily and permanently resolved with plastic surgery operations.




When can I have surgery for sagging after sleeve gastrectomy surgery?


Plastic surgery for sagging after sleeve gastrectomy is recommended after reaching the ideal weight. Although this process varies from patient to patient, it usually takes between 12 to 18 months.




When can I get pregnant after sleeve gastrectomy?


Pregnancy is not recommended before 12 to 18 months in order to get used to the new life after stomach reduction surgery, to fully adopt the nutritional habits and healthy lifestyle, and to safely prepare the body for pregnancy.




Is gastric sleeve surgery the definitive solution?


There is a common misconception that gastric sleeve or other bariatric surgery is the definitive solution and weight gain will never happen again. This belief may cause weight regain after the sleeve gastrectomy surgery. Permanent success of all obesity surgeries can be obtained with a good surgical operation and adequate consultation before and after the operation, patient monitoring, and the patient's lifestyle after the operation.





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Walk-through: What's next?

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First Contact

From the very first contact, we will explore your situation in-depth and start planning the path to the beauty.

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Doctor Choice

We will connect you with the best doctors in their fields for your special needs.

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Travel
Plan

We will assist you to plan your trip and give you advises on city tours.

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Transport and Transfer

Based on your operation schedule, you will fly to Istanbul on the most convenient date for you. From then on, your transfers and appointments will be arranged by us.

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Operation Day

You will be in right hands to reveal your beauty on the date of the operation.

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Home
coming

When your procedures are done, you will return home to enjoy your new life.