What is Laparoscopic Gastric sleeve?
Gastric sleeve surgery in Egypt is now one of the most widespread surgical procedures.
It has become a haven for many obese people, especially those who have failed to lose weight with diet regimens and exercises.
Laparoscopic gastric sleeve is a surgical procedure performed through very small openings in the abdomen through which laparoscopic surgical instruments are inserted for the operation. The laparoscope is connected to a front camera that photographs the internal organs for the surgeon to follow accurately through a monitor screen connected to the laparoscope.
The operation is performed through 5 surgical openings, not more than 2 cm in length. There are some modern techniques for gastric sleeve surgery that have appeared these days and are based on the procedure through only one surgical opening. To learn more about this technology, click here
The technique of Bikini Gastric sleeve, which is performed through surgical openings in the bikini line that is completely invisible, has also appeared nowadays with magnificent results.
Gastric Sleeve... The secret behind this name:
Gastric sleeve is also known as cutting the stomach, where about 80% of the stomach size is cut to a sleeve or banana shape. This is the secret of its name as sleeve, where it becomes sleeve-shaped.
In this process, the part of the stomach, which is responsible for the secretion of the hormone ghrelin, which is called the hunger hormone, is also eliminated. Consequently, the feeling of hunger after the operation is reduced by a very large percentage.
The stomach fundus that is responsible for stretching the stomach is also cut to prevent the patient from returning to his old stomach size. But of course you have to stick to post-operative instructions to ensure this result.
What are the steps of Laparoscopic Gastric Sleeve surgery?
1- The patient is generally anesthesized.
2- The surgeon performs surgical openings to insert the laparoscope.
3- Through a thin needle, gas is inserted to fill the abdominal cavity and raise it to facilitate the operation.
4- The surgeon cuts the stomach and staples it through modern surgical staples through laparoscopic tools and follow-up the operation on the monitor screen.
5- The surgeon performs a leak test to make sure there is no leakage from the stomach.
6- Then the last step is the step of stitching the surgical openings cosmetically.
7- The patient goes out to the recovery room and from there to the regular room after being fully conscious.
8- The procedure takes about 45 minutes and hospital stay is only one day.
Which is better... Gastric sleeve or Gastric band?
In fact, gastric sleeve is much better than gastric banding, as it has decreased so much that it is almost cancelled.
This is because it does not achieve the expected results in weight loss. Also, in many cases, the stomach is dilated and its size increases again.
5 Advantages of laparoscopic gastric sleeve:
The use of laparoscopes is a breakthrough in surgical procedures to achieve many advantages for the benefit of the patient and his comfort. It gave the obese patient many of the advantages he missed in traditional open surgery, which was performed through a large opening in the abdomen.
Here are 5 advantages of using the laparoscopes in gastric sleeves:
1- The operation is performed through very small surgical openings in size, which means less pain.
2- Stay in the hospital for one day only.
3- Better cosmetic shape.
4- Excellent results as a result of laparoscopic magnification.
5- A quick recovery period and a return to normal life within 5 days at most.
Am I good candidate for gastric sleeve surgery?
You are suitable for gastric sleeve surgery if you are an obese patient who is overweight more than 35 kg or has an increase in BMI over 35 kg. Or 30 kg in the presence of other organic diseases and problems such as high blood pressure, diabetes.
The hunger hormone.. The first accused of overweight:
Do you know how hunger happens?!
You feel hungry when your stomach is empty, as the hormone ghrelin (or as it is called hunger) is released from the stomach, triggering nerve signals to the brain to alert you to the need for food. So you start eating to meet this need.
Some patients have disorders in the secretion of this hormone, as it is secreted frequently, which makes them always hungry and therefore eat too much.
This hormone is therefore responsible for obesity and weight gain in many obese patients.
Fortunately, in Bariatric surgeries, this part of the stomach responsible for the secretion of the hunger hormone, is removed. The patient will thus get rid of a very large percentage of hunger after bariatric surgeries.
Get ready to sleeve your stomach with these tips:
1- It is necessary to fast of eating and drinking 12 hours before the operation.
2- Stop smoking completely two weeks before the operation to avoid the effect of harmful smoking on wound healing.
3- Stop any medications that affect blood fluidity.
4- Avoid fatty food days before the operation.
5- You can contact those who have done the operation before you to encourage you if you are feeling some stress before the operation through all social media platforms.
3 Gains from gastric sleeve:
1- You will achieve your dream of reaching the perfect weight, it is a process that ensures excellent results in losing weight without returning to the previous weight again.
2- You will get rid of the problems and complications of tiring obesity such as high blood pressure, high cholesterol, heart and bone diseases.
3- You will enjoy your social life and practice all social activities after suffering from the difficulty of movement and shyness from appearing at social events for many years.
When to expect to reach the perfect weight:
Ideal weight is, of course, a dream sought by many obese people. Bariatric surgery is one of the most important and common ways to achieve it.
You can reach the perfect weight with a gastric sleeve in a year at most. In the first 3 months: You will lose 30% of your excess weight.
First 6 months: You will lose 50% of your excess weight.
After a year: You will lose about 70% of your excess weight, which is sufficient to reach the ideal weight.
Gastric sleeves and Esophageal reflux:
Dr. Osama Khalil does not recommend that obese people who suffer from esophageal reflux, should perform gastric sleeve surgery as it is not suitable for their case. But what's best for them is the Gastric bypass process.
Do not make fun of an obese patient or accuse him of dereliction:
Advice from Dr. Osama Khalil to the whole community: Don't make fun of an obese patient or blame him for dereliction. Obesity is a disease and has become an epidemic nowadays. Many obese patients cannot control it because it is not the result of too much eating, but rather some hormonal disorders or organic changes in the body.
Which are involuntary issues. Therefore, we must stand by them, give them the encouragement they need, and even provide them with a helping hand and guidance to find the right solution for their illness.
Which is better: slimming medications or gastric sleeves?
Dr. Osama Khalil advises his patients to stay away from slimming medications because most of them are not authorised by the Ministry of Health and are not subject to any medical supervision. This causes many problems and complications in the body.
It also does not bring you the desired result as it only achieves a reduction of only about 10% of the weight to be reduced.
Dr. Osama Khalil advises obese patients to try diets and exercise to lose weight. If these methods fail, the safe solution is bariatric surgeries such as gastric sleeves and gastric bypass.
Gastric sleeve surgery... The world's most famous surgery:
Since 2015, gastric sleeve has become the most popular surgery not only in America but around the world. This is due to its high level of safety and impressive results in weight loss.
5 Tips After Gastric Sleeve:
1- Patient must be encouraged to move about 5 hours after the operation to avoid clots.
2- The prescribed diet by the doctor must be adhered to, especially the first month and a half.
3- Avoid eating while drinking at the same time as the new stomach cannot tolerate both of them.
4- Avoid soft drinks because of their harmful effect on the result of the operation as they cause effervesence, which presses on the wall of the stomach and causes its expansion.
5- Avoid eating after the stage of satiety to avoid vomiting.
Gastric Sleeve... Does it cause or prevent cancer?
There have been many rumours about gastric sleeve surgery and its relationship to cancer, with some commenting on the possibility of cancer after performing them.
In fact, studies and scientific papers have proven the exact opposite. Recent research from the University of Virginia, which specializes in the study bariatric surgeries, has published that they reduce the likelihood of developing tumours and cancer and that obesity increases these possibilities.
Therefore, Dr. Osama Khalil always advises his patients to obtain facts and information from specialists and trustworthy people.
Is there a specific age for gastric sleeve surgery?
There are no specific age or conditions for the process of gastric sleeve, but it is preferable to perform it from the age of 16-70 years. Of course, after some tests and medical investigations.
There may be some exceptions depending on the patient's health condition. And the extent to which he needs the procedure to get rid of the complications of obesity.
Gastric Sleeve... It's not magic:
Dr. Osama Khalil emphasizes that bariatric surgeries, such as gastric sleeve in Egypt, are not magic.
It won't bring you to the perfect weight without any commitment from you.
Post-operative instructions must be adhered to and lifestyle changes to enjoy a healthy new style. A system full of healthy eating and exercise.
However, if you do not comply with these instructions, diet regimen, and don't follow your doctor's advice, your stomach will expand again and you may lose the outstanding result you have achieved in the process.
To learn more about diet after bariatric surgeries, click here
Contact your doctor after the operation in these cases:
1- Fever or extreme temperature rise.
2- Continuous vomiting and inability to swallow fluids.
3- Redness in the areas of the surgical openings and the descent of pus from them.
Gastric sleeve and pregnancy:
Can I get pregnant after the gastric sleeve?
A common question that comes to mind many obese patients who are going through the gastric sleeve surgery. Dr. Osama Khalil answers that gastric sleeve increases the likelihood of pregnancy for patients who suffer from delayed pregnancy due to obesity.
This is determined by scientific research and patient experiences as well. Many of those who suffered from delayed pregnancy due to obesity were surprised by the pregnancy after the bariatric surgeries (God Will).
Dr. Osama Khalil advises to wait one year after the operation for those planning to become pregnant, in order to ensure that the fetus obtains the nutrients necessary for its growth and development in a proper manner.
How do you choose a bariatric surgeon?
One of the most important steps of the procedure is the selection of the bariatric surgeon who will perform the procedure. Therefore, we advise you not to rush and choose a doctor carefully to avoid any complications or problems after the operation.
Here are some criteria by which we can help you make the right choice for your doctor:
1. Browse his CV well.
2- Browse his success stories as proof of his experience and skill.
3- Check the quality of the hospital where the operation will be performed.
4. Talk to your doctor and make sure he answers all your questions accurately.
5- Be sure of the follow up after the operation and continuous communication when needed.
Complications of gastric sleeve surgery:
Like any surgery, possibility of complications represents about 1% only of the total cases, which is the global rate of bariatric surgeries complications.
These complications include:
1- The possibility of a leak that requires rapid intervention.
2- The possibility of bleeding, which Dr. Osama Khalil avoids in his surgeries with many techniques.
3- The possibility of infection in the wound as a result of not caring about its cleanliness.
4- The possibility of undernutrition and extreme fatigue as a result of not following post-operative instructions. And non compliance to vitamins and supplements on time.
Dr. Osama Khalil... From each country success stories:
The best bariatric surgeon in Egypt can be reached through his success stories that prove his experience and outstanding skill.
Dr. Osama Khalil was known not only in Egypt and the Arab world, but throughout the world. He has success stories from every country for transformed obese patients.
The cost of Gastric sleeve in Egypt:
The cost of Gastric sleeve in Egypt varies from case to case, depending on the history of the patient, the tools to be used in the operation as well as, the hospital where the operation will be performed.