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“Sleeve gastrectomy, also known as tube stomach operation, is a surgical weight loss procedure. It is currently one of the most commonly performed bariatric surgeries worldwide.

What is a Sleeve Gastrectomy (Tube Stomach Operation)?
Sleeve gastrectomy is a surgical procedure in which a large part of the stomach is removed to help limit calorie intake and reduce hunger signals. This operation, also called Sleeve Gastrectomy, is performed to treat morbid obesity. After a sleeve gastrectomy, the stomach significantly reduces in size, allowing the person to feel fuller faster and for a longer period. Sleeve gastrectomy also causes hormonal changes that help with weight loss. Changes such as reduced secretion of hunger hormones decrease the desire for food. In other words, a tube stomach operation can have not only mechanical but also hormonal effects.

How is a Sleeve Gastrectomy Operation Performed?
Sleeve gastrectomy is usually performed laparoscopically under general anesthesia. The advantage is that small incisions are made instead of one large incision into the abdominal cavity. In the Sleeve Gastrectomy operation, approximately 80% of the stomach is removed. Only a portion of the stomach in the shape and size of a banana is left. The remaining 20% of the stomach is stapled or stitched at the edges. This limits the size of the stomach to reduce the amount of food consumed.

Who is Suitable for a Sleeve Gastrectomy Operation?
A Sleeve Gastrectomy operation may be considered for patients who suffer from morbid obesity and have tried all other methods of weight loss but have not been successful. Morbidly obese patients with a body mass index over 40 can benefit from a tube stomach operation. Also, obese patients with a body mass index between 35 and 40 who have health problems such as sleep apnea, high blood pressure can benefit from a sleeve gastrectomy operation. A tube stomach operation may be suitable for patients between the ages of 18 and 65.

What is the Healing Process After Stomach Surgery?
After a stomach reduction, patients typically stay in the hospital for 1-2 days. Patients are usually able to walk 3-4 hours after the operation. However, it is important to know that returning to normal life can take up to an average of 6 weeks. Incisions in the abdomen usually heal quickly. Patients should only consume liquid foods for the first 2 weeks. This can naturally lead to fatigue and lethargy initially. However, with the transition to a soft food diet, the feeling of fatigue gradually decreases and disappears after some time. Gradual transition from soft food to solid food is recommended. Proper nutrition is also important for patients after surgery. Since less food can be eaten after surgery, it must be ensured that the food is nutritious enough to meet the energy needs.

Follow-up after a tube stomach operation is important. The patient’s weight control and general health should be closely monitored by the doctor. Within 18 to 24 months after the operation, patients are expected to lose at least 50% of their excess weight. In some patients, this rate may vary between 60% and 70%. After a sleeve gastrectomy operation, patients may need to change their lifestyles to continue losing weight and, of course, to maintain their weight.”

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