{"id":1392,"date":"2016-09-06T08:52:35","date_gmt":"2016-09-06T08:52:35","guid":{"rendered":"http:\/\/www.ekachaihospital.com\/ch\/?p=1392"},"modified":"2016-09-12T03:16:46","modified_gmt":"2016-09-12T03:16:46","slug":"gastric-sleeve-surgery-all-you-need-to-know","status":"publish","type":"post","link":"https:\/\/www.ekachaihospital.com\/ch\/gastric-sleeve-surgery-all-you-need-to-know\/","title":{"rendered":"GASTRIC SLEEVE SURGERY &#8211; ALL YOU NEED TO KNOW"},"content":{"rendered":"<p>Gastric sleeve surgery (vertical sleeve gastrectomy) removes about 80% of the stomach. As a result, patients:<br \/>\n\u2022 Feel less hungry<br \/>\n\u2022 Feel full sooner after eating<br \/>\n\u2022 Lose up to 3\/4 of their excess weight<br \/>\n\u2022 Improve or cure their obesity-related health problems<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1393 size-full\" src=\"http:\/\/www.ekachaihospital.com\/ch\/wp-content\/uploads\/2016\/09\/image0011.jpg\" alt=\"image001\" width=\"600\" height=\"447\" srcset=\"https:\/\/www.ekachaihospital.com\/ch\/wp-content\/uploads\/2016\/09\/image0011.jpg 600w, https:\/\/www.ekachaihospital.com\/ch\/wp-content\/uploads\/2016\/09\/image0011-300x223.jpg 300w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><br \/>\n<strong> Weight Loss: Half to Most of Your Excess Weight<\/strong><\/p>\n<p>Weight loss happens fast after gastric sleeve surgery:<br \/>\n\u2022 Month 3: About 1\/3 of excess weight is gone<br \/>\n\u2022 Month 6: About half of excess weight is gone<br \/>\n\u2022 Month 12: Up to 70% of excess weight is gone<br \/>\nMost patients reach a plateau around the one to two year mark. Patients who eat and exercise right are usually able to keep the weight off or lose even more.<br \/>\nBut many patients let their dedication slip and regain some weight. This is due to the stomach stretching over time, which is usually caused by overeating.<br \/>\nBy 5 years after surgery, the average patient has kept off over half of their excess weight. Successful patients avoid weight regain by:<br \/>\n\u2022 Working closely with their surgeon\u2019s dietitian or nutritionist<br \/>\n\u2022 Using a personal trainer<br \/>\n\u2022 Attending in-person or online support groups at least twice per month<br \/>\n\u2022 Keeping a food journal<br \/>\n\u2022 Having the support of family and friends<br \/>\n\u2022 Maintaining motivation and dedication<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1394 size-full\" src=\"http:\/\/www.ekachaihospital.com\/ch\/wp-content\/uploads\/2016\/09\/image002.jpg\" alt=\"image002\" width=\"800\" height=\"298\" srcset=\"https:\/\/www.ekachaihospital.com\/ch\/wp-content\/uploads\/2016\/09\/image002.jpg 800w, https:\/\/www.ekachaihospital.com\/ch\/wp-content\/uploads\/2016\/09\/image002-300x111.jpg 300w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/p>\n<p><strong>Qualify: 35+ BMI with Health Issues, 40+ Without<\/strong><br \/>\nYou could be a good candidate for gastric sleeve surgery if:<br \/>\n\u2022 You have a body mass index (BMI) of 40 or more, OR<br \/>\n\u2022 Your BMI is between 35 and 39.9 and you have a serious obesity-related health problem<br \/>\nSerious obesity-related health problems most commonly include:<br \/>\n\u2022 High blood pressure<br \/>\n\u2022 High cholesterol<br \/>\n\u2022 Type 2 diabetes<br \/>\n\u2022 Sleep apnea<br \/>\n\u2022 Many others<br \/>\nProcedure: Laparoscopic, Makes Stomach 80+% Smaller<br \/>\nWhy Gastric Sleeve Works<br \/>\n\u2022 Reduced stomach size makes the patient feel full sooner after eating<br \/>\n\u2022 Removed portion of the stomach means fewer hunger-causing hormones are secreted, causing patient to feel less hungry generally<br \/>\nPreparing for Surgery<br \/>\nYour surgeon will work closely with you during the weeks leading up to surgery, including:<br \/>\n\u2022 Health assessment, including questions about your medical history, medications, and surgical history<br \/>\n\u2022 Order certain tests like an ECG, x-ray, and blood tests<br \/>\n\u2022 Establish a pre-surgery diet regimen, including:<br \/>\n\u2022 2 Weeks Before<br \/>\n\u2022 No sugar<br \/>\n\u2022 Lower carbs<br \/>\n\u2022 Increased protein<br \/>\n\u2022 Increased veggies<br \/>\n\u2022 Plenty of fluids<br \/>\n\u2022 2 Days Before<br \/>\n\u2022 Clear liquids, broth, one protein shake per day only<br \/>\n\u2022 Talk with your surgeon about whether you should stop taking any medications<br \/>\n\u2022 12 Hours Before<br \/>\n\u2022 No food or drink, no tobacco<\/p>\n<p><code><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/hywQreYQ3xY\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/code><\/p>\n<div>Credit: Realize<\/div>\n<p>Your other big goal before surgery: lose as much weight as possible.<br \/>\nHere\u2019s why:<br \/>\n\u2022 The more weight you lose pre-op, the more weight you will lose after surgery<br \/>\n\u2022 The lower your pre-op weight, the lower your risk of complications<br \/>\n\u2022 You will regain weight if you slip into old habits. The sooner you can establish good diet and exercise habits, the more likely you will be to maintain them after surgery<br \/>\nHow Gastric Sleeve Is Performed<br \/>\n<strong>Before surgery, you\u2019ll perform the typical pre-surgery routine:<\/strong><br \/>\n1. Remove all clothes and jewelry<br \/>\n2. Put on your hospital gown<br \/>\n3. Meet with your nurse and anesthesiologist<br \/>\n4. Start your IV<br \/>\n5. Receive medication for relaxation and sleep<br \/>\nDuring surgery, your surgeon will remove about 80% of your stomach. This leaves a banana-shaped \u201csleeve\u201d that connects the esophagus to the small intestines. [Some surgeons will then reinforce the staple line.]<br \/>\nYour much smaller stomach will cause you feel full sooner and result in long-term weight loss. It is done laparoscopically in one to two hours.<br \/>\nThe gastric sleeve procedure is done for patients of all ages, from children to the elderly.<br \/>\nRecovery: 2 \u2013 3 Days in Hospital, Back to Work in 2 Weeks, 4 \u2013 6 Weeks to Full Recovery<br \/>\nGastric sleeve patients usually stay in the hospital for two or three days. Full recovery happens within 6 weeks.<br \/>\n<strong> Here\u2019s what to expect:<\/strong><br \/>\n1. Wake Up: When you first wake up, you\u2019ll be sore and a little \u201cout of it.\u201d You\u2019ll be on medication to control the pain.<br \/>\n2. Move Around: Your surgeon will have you up and walking around as soon as possible after you wake up. This will reduce the risk of blood clots and jump-start your body\u2019s healing process. Continue to walk as much as possible, increasing it a little each day.<br \/>\n3. Get Released: Before releasing you, your surgical team will run some tests to ensure :<br \/>\na. You are able to drink enough to stay hydrated<br \/>\nb. You can urinate normally after removing your catheter<br \/>\nc. You have adequate pain relief from your pain medications<br \/>\n4. Look for Warning Signs: Contact your surgeon if you experience any of the following:<br \/>\na. Difficulty swallowing<br \/>\nb. Fever<br \/>\nc. Signs of incision infection (pus, swelling, heat, or redness)<br \/>\nd. Ongoing nausea or vomiting<br \/>\ne. No improvement or worsening of pain<br \/>\n5. Transition Your Diet: Your smaller stomach will be sensitive, especially at first. You\u2019ll start on a liquid diet and slowly transition back to solid foods (read more about this in the Diet section of this page). You may feel tired while your body gets used to less food.<br \/>\n6. Ease Off Medications: Your surgeon will prescribe pain and digestion medication as needed. He may also adjust your pre-surgery medications until you\u2019re fully healed. Follow their instructions to the letter.<br \/>\n7. Return to Your \u201cNew Normal\u201d Life: Avoid swimming or bathing until your incisions have fully healed. Many patients return to normal life and work within a couple of weeks, but plan for up to 4 to 6 weeks off to be on the safe side. Full exercise and heavy lifting should resume within one to two months.<br \/>\n8. Have Follow-Up Visits During First Year:Follow-ups with your surgeon\u2019s team will happen about one week post-op, then 4 weeks post-op, then every 3 or 4 months to ensure that everything is on track, including:<br \/>\na. Discuss weight loss<br \/>\nb. Encourage regular exercise<br \/>\nc. Obtain lab work and make necessary adjustments to medications and dietary supplements<br \/>\nd. Understand diet and identify any potential eating disorders<br \/>\ne. Determine whether any potential complications may be arising<br \/>\nf. Track status of obesity-related health issues<br \/>\ng. Involve your family physician to help evaluate progress and ensure a successful transition<br \/>\n9. Transition to Semi-Annual or Yearly Follow-Up Visits \u2013 After you\u2019ve reached your \u201clow point\u201d weight, your surgeon will probably still want to see you at least once per year (28). During those visits you may meet with several team members, including your surgeon, dietitian, and mental health care provider. They will probably request lab work to ensure that vitamin levels and other indicators are where they should be. If you experience any issues in between visits, don\u2019t wait for your next visit\u2026 call your doctor right away.<br \/>\nDownsides: Risk of Complications, Side Effects, &amp; Weight Regain<br \/>\nThe relatively simple gastric sleeve procedure results in a very high survival rate (99.7%, or 319 out of 320 patients).<br \/>\nBut it does carry a risk of complications, side effects, and other challenges, some of which can be prevented.<br \/>\nPreventing Gastric Sleeve Complications<br \/>\nThe patient is often to blame for complications as a result of not following their doctor\u2019s instructions.<br \/>\n<strong>Behaviors that will dramatically reduce your risk of gastric sleeve complications:<\/strong><br \/>\n\u2022 Pick a good surgeon<br \/>\n\u2022 Follow your surgical team\u2019s advice to the letter<br \/>\n\u2022 Educate yourself<br \/>\n\u2022 Educate your family<br \/>\n\u2022 Lose as much weight as possible prior to surgery<br \/>\n\u2022 Eat a healthy diet in the months leading up to surgery<br \/>\n\u2022 Get tested for sleep apnea syndrome several weeks before surgery (and address the issue if it exists before moving forward)<br \/>\n\u2022 Plan for at least 2 weeks of recovery time<br \/>\n\u2022 Exercise right away after surgery, but take it easy at first.<br \/>\n\u2022 Compression stockings<br \/>\n\u2022 Pneumatic compression devices<br \/>\n\u2022 Blood thinners after surgery<br \/>\nHave an effective support system of friends, family, and weight loss surgery support groups<br \/>\nSerious Gastric Sleeve Complications<br \/>\nThe three most common serious complications associated with gastric sleeve surgery are:<br \/>\n\u2022 Staple line leaks \u2013 2.1% of patients on average (between 1.09% and 4.66%, depending on the study) experience staple line leaks<br \/>\n\u2022 Bleeding \u2013 1.2% of patients<br \/>\n\u2022 Stenosis\/Strictures \u2013 0.6% of patients<br \/>\nThe staple line leak rate studies were done with less effective surgical techniques. Newer techniques may result in lower risks.<br \/>\nBlood clots are a concern with any surgery. Your surgeon will take steps to reduce the risk, including blood thinners and the use of compression stockings after surgery. They will also have you up and moving as soon as possible after surgery.<br \/>\nGastric Sleeve Side Effects: Digestion &amp; Sagging Skin<br \/>\nDigestion Issues<br \/>\nAbout 1 in every 5 patients experience Gastroesophageal reflux disease (GERD) in the first 12 months. The good news is that this tends to be a shorter-term issue. After 3 years, the GERD rate drops to around 3%.<br \/>\nOther potential gastric sleeve side effects include:<br \/>\n\u2022 Indigestion (Dyspepsia)<br \/>\n\u2022 Gallstones<br \/>\n\u2022 Intolerance to certain foods<br \/>\n\u2022 Nausea and vomiting<br \/>\n\u2022 Vitamin and mineral deficiency<br \/>\nSagging Skin<br \/>\nFor most obese patients, the skin has been stretched out for so long to accommodate the extra weight that it has lost its elasticity. Gastric sleeve surgery causes most patients to lose a lot of weight very quickly, and your skin simply can\u2019t keep up.<br \/>\nThe extra skin may be embarrassing. It can also cause several issues ranging from minor <strong>to severe, including:<\/strong><br \/>\n\u2022 Difficulty getting dressed<br \/>\n\u2022 Difficulty exercising, which may impact long-term weight maintenance and health<br \/>\n\u2022 Skin fold rashes or breakdown of skin<br \/>\n\u2022 Skin fold infections<br \/>\nIn some cases, patients manage sagging skin with body-contouring undergarments. In more serious cases, patients have plastic surgery to remove the excess skin. Surgery to remove excess skin is often covered by insurance.<br \/>\nWeight Regain<br \/>\nAfter two years, about 1 out of 20 gastric sleeve patients have gained back some weight from their low point. That number increases to 3 out of every 4 patients after 6 years.<br \/>\nLong-term, the average gastric sleeve patient regains about 25% of the weight they lost.<br \/>\nJust as bad, the more weight you gain back, the more likely your health problems are to return. For example, one gastric sleeve study found this difference in Type 2 diabetes remission:<br \/>\n\u2022 Year 1: 56% of patients<br \/>\n\u2022 Year 5: 20% of patients<br \/>\nThis return of Type 2 diabetes happened for patients who gained back weight.<br \/>\nThe reason for weight regain?<br \/>\nMost patients who regain weight do so for one or both of the following reasons:<br \/>\n\u2022 They consume calories in liquid form, such as protein shakes, pureed foods, smoothies, etc. As reviewed in the Diet section above, your new sleeve stomach works by making you feel full sooner. Since liquids don\u2019t make you feel as full as solid foods, you\u2019ll eat more and gain weight if you get your calories from liquids instead of solids.<br \/>\n\u2022 They \u201cslip\u201d in their dedication and start to overeat or eat the wrong things. This can stretch out their smaller stomachs.<br \/>\nRemember, gastric sleeve is one of the best tools for weight loss, but it is only a tool. To avoid weight regain, eat the right foods and make the right lifestyle choices.<br \/>\nCredit: http:\/\/www.bariatric-surgery-source.com\/gastric-sleeve-surgery.html<\/p>\n<p>Credit: https:\/\/cmibs.com\/gastric-sleeve-8-things-to-know\/<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Gastric sleeve surgery (vertical sleeve gastrectomy) removes about 80% of the stomach. As a result, patients: \u2022 Feel less hungry \u2022 Feel full sooner after eating \u2022 Lose up to 3\/4 of their excess weight \u2022 Improve or cure their obesity-related health problems Weight Loss: Half to Most of Your Excess Weight Weight loss happens &hellip; <a href=\"https:\/\/www.ekachaihospital.com\/ch\/gastric-sleeve-surgery-all-you-need-to-know\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">GASTRIC SLEEVE SURGERY &#8211; ALL YOU NEED TO KNOW<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":1393,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15],"tags":[],"class_list":["post-1392","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"_links":{"self":[{"href":"https:\/\/www.ekachaihospital.com\/ch\/wp-json\/wp\/v2\/posts\/1392","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ekachaihospital.com\/ch\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.ekachaihospital.com\/ch\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.ekachaihospital.com\/ch\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ekachaihospital.com\/ch\/wp-json\/wp\/v2\/comments?post=1392"}],"version-history":[{"count":0,"href":"https:\/\/www.ekachaihospital.com\/ch\/wp-json\/wp\/v2\/posts\/1392\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ekachaihospital.com\/ch\/wp-json\/wp\/v2\/media\/1393"}],"wp:attachment":[{"href":"https:\/\/www.ekachaihospital.com\/ch\/wp-json\/wp\/v2\/media?parent=1392"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ekachaihospital.com\/ch\/wp-json\/wp\/v2\/categories?post=1392"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ekachaihospital.com\/ch\/wp-json\/wp\/v2\/tags?post=1392"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}