The Laparoscopic Gastric Sleeve Gastrectomy, 

Gastric Sleeve Gastrectomy, Gastric Sleeve Surgery, Bariatric Surgery, gastric reduction, pericardial surgery, abroad, Turkey, Antalya has gained tremendous importance in recent years & expanded the range of surgical treatment options for the severest obesity.  

 

Of the frequency of surgery is the Stomach reduction / tube stomach surgery now clearly before the gastric bypass.

 

An advantage over gastric bypass surgery is that it does not require bowel diversion, and therefore this method, e.g. For patients with a chronic inflammatory bowel disease Crohn's disease or intestinal adhesions is more appropriate. Furthermore, the absorption of drugs is undisturbed. 

 

The disadvantage, however, is the irreversible loss of a large proportion of the stomach. The gastric reduction / tubular gastric surgery is also suitable as revision surgery after previous gastric band implantation.

 

Bariatric surgery is understood to mean the surgical measures to combat the pathological obesity.

She is a specialist in visceral surgery & deals with the surgical modification of the gastrointestinal tract.
The aim is to help weight loss people with morbid obesity who have not had traditional weight-loss programs. It is medically the most invasive means of combating pathological overweight and its sequelae.

 

After an obesity surgery, the affected person must switch to a special, balanced diet.

By reducing weight, a significant improvement in the general state of health can occur, since many secondary diseases are also favorably influenced.
 

Sleeve gastrectomy (gastric tube formation) is a purely restrictive procedure in which a large part of the stomach is removed. This means that food can only be taken in small portions.

Sleeve gastrectomy is performed laparoscopically. A large part of the stomach is removed, leaving only a tube along the small gastric curve as a connection between the esophagus and the intestine. Thus, the stomach loses a large portion of its filling volume & only small portions can be taken.

In addition, there is an effect on the starvation hormone ghrelin, whereby the feeling of hunger is positively influenced.

 

Requirements for a surgical therapy

From BMI 30 

Age from 16, with consent of the parents 

No psychosis, depression (excluding reactive depression due to weight). 

No addictive symptoms;
(because of the possible danger of addiction shift;  No alcohol, tablet and drug addiction).

 

In recent years, in a large number of obesity surgeries,
weight loss has been associated with the disappearance

of type 2 diabetes.

 

 

 

There are several methods:

 

1.) stomach reduction, the success rate is 80%.

 

2.) The best results were obtained after a bipartition bypass.

Here, a switching off of the stomach is performed with bypassing the duodenum.

 

The operation is performed laparoscopically, ie by means of "keyhole surgery".

Immediately after surgery there should be a decrease in the required insulin therapy.

When gastric bypass the stomach is separated a few inches below the stomach entrance.
It leaves a small remaining stomach, "pouch", which holds about 15 ml and serves as a brake for the food supplied, the small intestine is also severed, one end of the intestine is connected to the small remaining stomach and the other redirected so that the Food and digestive juices are first mixed in the middle small intestine and the upper, directly to the stomach adjoining small intestine is bypassed. The digestive juices are introduced in the deeper intestinal sections and thus can only begin digestion by the decomposition of the food components. The result is that not all food components can be decomposed and thus only a part taken up "resorbed". There are thus fewer nutrient components available to the blood.
The undigested food is transported to the colon. 

 

 

The disadvantages of the gastric bypass

 

The physiology in the digestive process is changed. Not only the intake of calorie carriers is reduced, but also the vitamins, minerals and trace elements. In particular, vitamin B 12 can no longer be "absorbed" by the normal digestive power and the dose must be given by injection for life. In some cases this also applies to the absorption of iron. The permanent intake of a multivitamin preparation is required daily. Certain medications should no longer be taken orally because they may damage the intestinal mucosa. Others are degraded in their effectiveness, e.g. Hormones.

 

Depending on the food composition, side effects such as bloating, foul-smelling fatty stools, diarrhea and the so-called "dumping syndrome" with circulatory decline and lightning-like evacuation may occur after eating very sugary foods and drinks.

 

The restrictive effect of the little "pouch" can be lost over time and then normal-sized to large amounts of food can be eaten again.

 

It is no longer possible to perform an endoscopic gastroscopy or to remove bile duct stones.