Tube Stomach Surgery

What is Tube Stomach Surgery?

Every individual needs different amounts of energy in daily life. The amount of daily energy varies according to the age, gender, daily activities, genetic structure, diseases and many other parameters of the person. In order for a person to lead a healthy life, there must be a balance between the energy he receives and the energy he spends. Disruption of this balance for various reasons brings with it serious health problems.

Obesity is one of the biggest health problems in today’s world. Obesity can be defined as an excessive increase in body fat mass compared to lean mass. Technological developments, limited daily activities with the facilitation of life, unhealthy diet and genetic factors are just a few of the reasons that affect the occurrence of obesity.
Thanks to the developments and innovations in modern medicine, these treatment areas, also known as metabolic surgery or bariatric surgery, are widely preferred by people with obesity problems.

These operations are preferred to improve patients’ weight and the effect of their metabolism on their health. In addition to treating obesity, these operations are also very effective in the treatment of many other diseases such as diabetes, high blood pressure, sleep apnea and high cholesterol.
One of the methods used by Bariatric Surgery is Tube Stomach treatment. Also known as stomach reduction surgery, the aim of this surgery is to modify the stomach and intestines to treat patients facing obesity and related diseases.

Gastric sleeve surgery is a surgical procedure. It gets its name from the fact that a large part of its stomach has been removed and the rest looks like a tube (pipe). In other words, a tube or any other foreign body is not placed in the stomach.

With tube stomach treatment, the stomach, which looks like a pouch, takes the shape of a tube, which reduces the volume of the stomach, causing the person to be satiated more quickly and eat less. In addition, serious effects of this operation on the hunger hormone were observed. The feeling of hunger and interest in food decreased after the operation. In other words, sleeve gastrectomy treatment has a great effect not only on mechanical effects but also on hormones.

How is Tube Stomach Surgery Performed?

Gastric sleeve surgery is a surgical procedure and is performed under general anesthesia by laparoscopic methods. Depending on the patient, a single entrance or 4-5 entrances are used. These openings are very small and do not cause post-operative aesthetic problems. A calibration tube with a diameter of the esophagus is placed at the entrance of the stomach in order not to shrink the stomach excessively and for a successful operation. The task of the calibration tube is to protect the stomach from the danger of excessive stenosis and obstruction.

Necessary precautions are taken during the operation and the stomach is cut with the help of special surgical instruments. Then, the stomach piece separated by stapling is taken out of the abdomen through the trocar entrance. After laparoscopic sleeve gastrectomy surgery, 75-80% reduction in gastric volume is achieved.

Tube Stomach Surgery Duration?

Gastric sleeve surgery takes an average of 1-3 hours, although it varies according to the patient and the surgeon. Surgical procedures require precision, so it is important to perform the surgery under the most suitable conditions without haste.

Tüp Mide Ameliyatı Nasıl Yapılır?

Tüp mide operasyonu, cerrahi bir işlemdir ve genel anestezi altında laparoskopik yöntemlerle yapılır. Hastaya göre tek giriş veya 4-5 giriş kullanılır, açılan bu girişler çok küçüktür ve ameliyat sonrası estetik sorun oluşturmaz. Mideyi aşırı küçültmemek ve başarılı bir ameliyat olabilmesi için yemek borusu çapında kalibrasyon tüpü midenin girişine yerleştirilir. Kalibrasyon tüpünün görevi mideyi aşırı darlık ve tıkanma tehlikesinden korumaktır.

Ameliyat sırasında gerekli önlemler alınır ve mide özel cerrahi aletler yardımıyla kesilir. Daha sonra zımbalama ile ayrılan mide parçası trokar girişden karnın dışına çıkartılır. Laparoskopik tüp mide ameliyatı sonrası mide hacminde % 75-80 oranında küçülme gerçekleşmiş olur.

Tüp Mide Ameliyatı Süresi?

Tüp mide ameliyatı süresi, hastaya ve cerraha göre değişmekle birlikte ortalama 1-3 saat arasında gerçekleşmektedir. Cerrahi işlemler hassasiyet gerektirir bu sebeple acele edilmeden en uygun şartlarda ameliyatı gerçekleştirmek önemli bir husustur.

For Which Diseases Is Tube Stomach Surgery Suitable?

Surgical procedures are performed after the patient’s suitability for surgery is measured, rather than at the request of the people. For this reason, sleeve gastrectomy surgery is not suitable for everyone and the necessary criteria must be met.

Gastric sleeve surgery is performed on people between the ages of 18-65 who can handle anesthesia. Parental consent is required for patients under the age of 18. In cases aged 65 and over, the patient’s health is evaluated comprehensively.

Gastric sleeve surgery is primarily applied in cases of morbid obesity. Morbid obesity is the name given to fatal obesity. These patients are less likely to lose weight with diet and exercise, and their only option is surgery. Gastric sleeve surgery is not recommended if patients have uncontrolled diabetes problems and/or severe reflux problems. The primary target in these operations is obesity. In this operation, a high rate of benefit is provided in many diseases accompanying obesity. In addition, gastric reduction surgery is not recommended for people with unresolved psychiatric problems, alcohol or substance abuse, heart or lung disease that prevents anesthesia.

What Should Be Considered Before Tube Stomach Surgery?

As with all surgical procedures, there is a serious examination and preparation for surgery before sleeve gastrectomy surgery.

Before sleeve gastrectomy surgery, the patient goes through a serious and comprehensive examination process by specialist physicians. It is evaluated whether there are serious conditions such as ulcers, heart and lung diseases that may prevent surgery. In some patients, the preparation period for surgery may take a long time because all evaluations must be made until the operation and the patient must be made suitable for the operation.

After the surgery time is determined, some suggestions and information are given to the patient by the doctor. These;

How to Feed After Gastric Sleeve Surgery?

In sleeve gastrectomy surgery, as important as it is before the surgery, the things to be considered after the surgery are just as important. Post-operative nutrition and lifestyle changes are key points for the operation to be successful and for healthy results. Let’s examine together what should be done and how to feed after sleeve gastrectomy surgery.

First of all, major changes and rules are brought to the diet after sleeve gastrectomy surgery.
After sleeve gastrectomy, the patient should be fed with liquid for the first 10-15 days.
In the patient's diet, it is not desirable to consume liquid and solid foods at the same time.
People who have gastric sleeve surgery should remove carbonated drinks from their lives for the rest of their lives.
As the stomach shrinks and the patient's appetite decreases with sleeve gastrectomy, the amount of food consumed automatically decreases and the patient gets full early. Care should be taken to ensure that the patient consumes high-quality, protein-rich foods due to low nutritional intake.
Green vegetables, fruits and nuts should be added to the diet.
Supplementary foods can be taken if adequate levels of vitamins, minerals and protein cannot be taken with foods.
It is very important for the patient to have her nutrition routine checked by a specialist dietitian.

How Many Weights Are Expected to Lose a Month After Tube Stomach Surgery?

In the first month after sleeve gastrectomy, the patient loses 10% of his/her weight. Although it varies from person to person, this corresponds to approximately 12-15 kilograms. After three months, the calculated percentage of weight loss can reach up to 30%. As we approach the sixth month, weight loss increases to 50%. The person who has the surgery loses 70 to 80% of their excess weight within a year and regains their ideal weight. These calculations vary according to the diet and sports program applied by the person.

Being patient after the surgery, being active and eating well allows the patient to get through this process quickly and maintain the weight he lost.

Advantages of Tube Stomach Surgery

Since sleeve gastrectomy surgeries are performed with laparoscopic (closed) methods, there are no large incision scars. Thus, the recovery time is shortened and does not cause aesthetic problems.
The shrinkage of the stomach volume creates a feeling of fullness with less food.
After sleeve gastrectomy surgery, the hormone Ghrelin decreases and the level of hunger decreases considerably.
In sleeve gastrectomy surgeries, the intestine is not touched, the absorption processes continue as they are.
After this operation, the natural functioning of the patient's digestive system is preserved.
A patient who has gastric sleeve surgery loses 80% of their excess weight within 1 year and approaches their ideal weight very quickly.
After sleeve gastrectomy, the patient is discharged within 2-3 days. This period is quite short compared to other bariatric operations and makes sleeve gastrectomy surgery advantageous.

Disadvantages of Gastric Sleeve Surgery

The biggest disadvantage in sleeve gastrectomy surgery, in which a large part of the stomach is removed, is that the stomach cannot be returned to its former natural form.
After gastric sleeve surgery, solid and high-calorie foods should be restricted. If the patient is fond of high-calorie foods and beverages, the slimming effect will decrease in this process.
In gastric sleeve surgery, the stomach is cut from length to length. There is a risk of leakage and bleeding in the suture line. In order to eliminate this risk, postoperative leakage treatment is applied if necessary.
The stomach is an organ that can expand over time. Although a large part of it has been removed by sleeve gastrectomy surgery, it may expand in the following years and its effect on weight loss may decrease. In order to avoid this situation, it is very important for patients to eat regularly and do sports.