Small Incisions… Big Decisions

Gastric Sleeve or Sleeve Gastrectomy

This involves the surgeon removing about 70 to 85 % of the stomach so that it takes the shape of a tube or sleeve.

Gastric Sleeve or Sleeve Gastrectomy in Glasgow

This operation is performed laparoscopically, meaning that the surgeon makes small incisions as opposed to one large incision. They then insert a viewing tube with a small camera (laparoscope) and other instruments into these small incisions to remove part of the stomach. The tube-shaped stomach that is left is sealed closed with staples. The patient needs to clearly understand that unlike some other procedures this is not reversible.

A sleeve gastrectomy differs from other procedures as food enters the new stomach pouch/tube and then follows the same route, as it would normally do, hence there are no absorption issues with a sleeve gastrectomy.

The aim is to use the sleeve gastrectomy to increase satiety and therefore reduce food consumption, which will result in weight loss working similarly to a gastric band but without the need for adjustments or the concern for its position and status.

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Frequently asked questions

How Will My Life Change after Surgery?

Lifetime follow-up is recommended, with at least three follow-up visits during the first year. Adjustable gastric banding requires more frequent visits for band adjustments. You will need to adopt a healthy lifestyle, including a new nutrition plan and regular exercise, although exercise restrictions may be in place until you are healed. Because of the decrease in food intake, constipation may occur. A laxative may be recommended. You may want to consider or may require reconstructive operations after your weight stabilizes.

Medications can be prescribed as needed. However, your doctor may tell you to avoid aspirin and nonsteroidal anti-inflammatory drugs, which can irritate the stomach.

How Will My Diet Change?

Immediately following adjustable gastric banding, only sips of water are allowed. Over the next two weeks, the consumption amount is increased gradually with fluids in the form of water and liquids, such as clear broth, skimmed milk, low-calorie juice and sugar-free ice lollies. You will need to watch how many calories you eat and limit your liquid intake to avoid nausea and vomiting. Low-fat pureed foods, protein-rich chicken and fish, mashed potatoes and peas are started three to four weeks after the operation.

Patients who undergo more invasive procedures follow a similar dietary progression for 12 weeks and then they are allowed regular, healthy foods.

Once healed, care must be taken to let your stomach adapt to its new environment. Vitamin supplements may be necessary

How Long Will It Take for Me to Recover?

That depends on the procedure. Patients, who undergo laparoscopic adjustable gastric banding or sleeve gastrectomy surgery tend to stay in the hospital for typically one night.

Recovery times differ too. In one study, patients returned to normal activity in about one week after laparoscopic adjustable gastric banding and between two to three weeks after a sleeve gastrectomy.

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