Tube Stomach

MR. YAVUZ CLINIC

What is Tube Stomach?
Also known as Sleeve Gastrectomy (SG), the Tube Stomach procedure is a bariatric operation that takes an average of 75% of the stomach and leaves a narrow gastric tube that will restrict food intake. After the sleeve gastrectomy procedure, both gastric emptying and intestinal transit increase significantly. Because with the intake of food, the intra-gastric pressure increases, which increases the tension of the stomach wall.

The Gastric Sleeve procedure typically results in a 25-35% body weight loss (approximately 60-80% excess body weight loss) from baseline. Most weight loss occurs in the first 6 months after administration. This significant weight loss can lead to rapid improvement of many obesity-related comorbidities, including type 2 diabetes. This practice is fast becoming one of the most frequently performed bariatric surgeries and is well positioned for surgical risk, weight loss and resolution of obesity among other frequently performed procedures.

This practice has many advantages over other procedures. The application is simpler and safer. It results in fewer vitamin and micronutrient deficiencies than other procedures. Other important advantages of the procedure are the absence of dumping syndrome and the very low risk of stomach cancer from the remaining part of the stomach.

Advantages of Tube Stomach Application
> It reduces stomach capacity. However, it tends to allow the stomach to function normally. Thus, most foodstuffs can be consumed in small quantities.
> It eliminates the part of the stomach that produces hormones that stimulate hunger (ghrelin).
> The risk of dumping syndrome is minimized because the pyloric environment is protected.
> It minimizes the possibility of ulcer formation.
> It virtually eliminates the possibility of intestinal obstruction, marginal ulcers, anemia, osteoporosis, protein deficiency and vitamin deficiency.
> It is very effective as a first-line procedure for obese patients.
> It may be the first choice for patients who are concerned about complications from other procedures.

Disadvantages of Tube Stomach Application
> Soft foods such as ice cream and milkshakes can be absorbed and slow weight loss.

How is Tube Stomach Made?
> Tube stomach application is performed by laparoscopically entering the abdomen and removing 75-80% of the stomach.Laparoscopy is an application made with small incisions and the patient is treated with special instruments through these small holes. Considering the ease of application and low complication rates, this is considered one of the biggest advantages of the operation.
> Before starting the procedure, various tests and examinations are performed. These are consultations with medical monitoring, analysis and evaluation tools.
> Immediately after all the preparations to be made, the application is performed under anesthesia. Although rarely open techniques are preferred, nowadays this procedure is generally performed laparoscopically.
> In the procedure, the stomach is shaped into a tube with the help of a device called a surgical stapler. The procedure generally takes 1-1.5 hours. After the incision procedures are completed during the application, a blue dye test or leak test is performed according to the doctor’s preference, and a safety check is provided.

How to Lose Weight with Tube Stomach Application?
Sleeve gastrectomy is a procedure that greatly reduces the volume of the stomach. In metabolic or obesity surgery applications, the principle of reducing the enlarged stomach at certain rates and taking less food as a result is essential. However, patients must pay attention to their diet after the application and use their willpower not to consume too much food. Otherwise, side effects may occur after the application and patients may not be able to lose weight because they consume excessive amounts of food.

After the application, exercise and nutritional conditions will be the most important criteria. Since operations are performed on the stomach, it is very important for patients to pay attention to the rate of food consumed. In addition, the consumption of certain foods should be limited. Exercise and sports program is another important factor. Exercise is essential both for the result of weight loss after application and for maintaining the effective functioning of the body.

What are the Side Effects of Tube Stomach Application?
Since sleeve gastrectomy is a large-scale procedure, it may carry some risks both in the long term and in the short term. This application is also preferred to prevent some problems that may occur with overweight in obese patients. After this application, there may be a possibility of not losing enough weight or not gaining weight again. Failure to comply with post-operative exercise and diet habits is the biggest cause of these side effects. In general, the side effects of Tube Stomach application are as follows:

*Leakage (leakage from the stomach line)
*bleeding problem
*Infections
*Problems that may arise from anesthesia
*breathing problems
*coagulation problems

Things to Do Before Tube Stomach Application
It is necessary to quit smoking before tube stomach application. Smoking should be stopped at least 2 months before the application date and it is recommended not to use it after the surgery. Smoking also greatly increases the risk of respiratory tract infection, as it causes patients to experience a longer recovery phase after the application. Similarly, substances containing alcohol should also be strictly avoided. Before and after the procedure, weight monitoring is carried out under the guidance of a dietitian. All prescription and non-prescription drugs and supplements used should be reported to the doctor.

What to Do After Tube Stomach Application?
Drinking water is started 6 hours after tube stomach application. After 24 hours, feeding is started in the form of sugar-free liquids. According to the patients’ ability to tolerate nutrition well, a puree diet is started and then solid foods are started. Most patients are discharged within 2 to 3 days.

Although there is no need for vitamin supplements after sleeve gastrectomy, temporary mineral and vitamin supplements may be recommended by the doctor for some patients. Exercise activities in the form of walking are started slowly 10 days after the application.

Nutrition After Gastric Sleeve Surgery
Nutrition after sleeve gastrectomy can be classified as short-term and long-term. During the first three months of the recovery period, patients should consume foods that will not tire their stomach too much. It is extremely important to comply with the measures to be given in this process. In addition to following a natural diet after the surgery, it is necessary to stay away from foods that are difficult to digest and to pay great attention to the protein, fat and carbohydrate balance specified in the diet list.

In the short term, the consumption of liquid foods will turn into normal diets within a few weeks, and after the 6-month period, the foods consumed before the application will be consumed. However, in this process, a diet-appropriate feeding period should be preferred. Also, the doctor may not allow certain foods to be consumed. Mineral and vitamin supplements during the recovery period are standard for almost every obesity operation. Taking medications and nutritional supplements as described is very important for the results of the application.

Exercise After The Surgery
Tube Stomach application is an important surgery that is frequently preferred for weight loss. Losing weight will not only be possible by minimizing nutrients, but also by following an exercise program. Therefore, patients need to do certain exercises even during the recovery period. After all surgical applications, it is necessary to be able to act in the routine balance of the digestive system. Inactivity is a big problem for all people in any case, and physical activities must be done after the application.

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