Gastric sleeve surgery takes approximately 60 minutes and gastric bypass surgery takes approximately 90 minutes.
There is no specific age for bariatric surgery, provided that the requirements for the surgery are met, including body mass (weight) and medical problems that do not pose a developmental threat to the patient’s ability to fully understand the procedure and the regimen followed before and after surgery, and that they have proper consent. This includes children and the elderly.
A comprehensive medical assessment is made from the first visit to the clinic before surgery. Based on that, the appropriate surgery for the woman can be chosen from the inside out. The factors that determine the appropriate surgical approach are: Is the woman suffering from diabetes or reflux? Is the woman suffering from diabetes or has she had it for a long time? How well has she responded to medication? What is her blood sugar level?
Several factors have led to bariatric surgery being considered relatively safe, such as its increasing prevalence and the development of surgical instruments. Therefore, the risks associated with the surgery are significantly lower compared to the risks of obesity and its associated diseases. Furthermore, we make sure that all the necessary precautions during and after surgery are undertaken.
It is best to wait at least 12 months after surgery.
Bariatric operations leads to weight loss, meaning that patient has a vital role in maintaining a healthy weight after the operation. The best way to avoid any weight gain is to adhere to the appropriate instructions and follow-up. One of the most common causes of weight gain is consuming too much sugar and high-calorie foods.
It is important to take vitamins regularly after bariatric and gastric bypass surgeries.
The average weight loss is 60 to 80% after bariatric surgery (at 12 months)
One of the reasons for delayed conception is the presence of cysts on the ovary (PCO), which are due to excess fat in the body. Therefore, losing weight after the operation may be lead to increased fertility, in addition to improving the hormone levels in the body.
A strict diet is followed during the first and second stages of surgery, during which food is gradually introduced to ensure proper wound healing and recovery from surgery, without depriving the body of its daily need for essential nutrients.
A month and a half after the operation.
There are many types of gastric bypass surgery, each with its own function. The most common types approved by the International Federation of Gastroenterologists (IFSO) are the cystic gastric bypass and the gastric bypass, which have effective and positive results for short- and long-term surgical outcomes. There are other types that are still in the commercial stage, and their results are not yet completely clear: gastric bypass and gastric sleeve surgery.
Laparoscopy is not contraindicated and the operation is performed laparoscopically through very small incisions in the skin of between 0.5-1.5 centimeters.
Smoking does not cause weight gain after surgery, but it does have negative effects such as causing stomach inflammation, increasing the incidence of acid reflux, or delaying wound healing after surgery.
First, a clinic interview should be conducted to determine the medical condition and the reasons for performing obesity surgery, except in very rare cases of persistent addiction or a critical heart or lung condition. The required procedures should be carried out from the patient and the patient should be reassured to ensure that there is no reason for performing the surgery.
In the Banded sleeve gastrectomy, between 75-80% of the stomach is removed by placing a silicone ring around the stomach. The modified sleeve gastrectomy reduces the expansion of the stomach after the operation, while significantly maintaining the amount of food eaten after the operation, which leads to maintaining more weight after losing it.
Thyroid hormones are very important for the human body, as they play a fundamental role in the metabolic process. Therefore, they should be taken in the case of inactivity after the operation to ensure appropriate weight loss in a healthy way.
• Exercise should be started gradually, two weeks after the surgery, so that we can lose weight in a healthy and safe way.
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• Avoid smoking and junk food for the first two weeks after the operation.
• Avoid sugars and sweets (except in very small quantities) after the operation.
• Take some cortisone medication after the operation to ensure that the stomach heals properly.
• Painkillers such as Cataflam and Voltaren are not allowed unless absolutely necessary and not continuously.
• Everything is explained in detail as follows:
Stay for one night after the operation unless there is a need to continue the operation, such as the presence of an uncontrolled medical condition or the need to receive more care.
The patient is examined to review their medical history and chronic conditions, and these are managed according to each patient's individual case. This is a sample of the tests required for surgery:
Required Tests:
CBC
INR
ALT, AST, Urea, Creatinine
HBsAg, HCV AB
TSH, HbA1c
Required Imaging
Abdominal Ultrasound
Echocardiography
ECG
Pre-Operative Diet
Protein-rich foods such as meat, fish, and soy products (tofu)
Vegetables, fruits
Small amounts of high-fiber carbohydrates (such as whole-wheat rolls or bread)
Important Notes:
You should not eat anything that does not fall under the four categories mentioned above. For example, cakes, sugar-sprinkled bread, donuts, sweets, rice, pasta, and potatoes do not qualify as permitted food groups.
Additionally, any beverage should not contain sugar or high calories.
Refrain from smoking for a sufficient period before surgery.
If there are medical conditions such as high blood pressure or diabetes, it is recommended to adhere to and properly manage your medication regimen.
• You can leave the house or drive a car 3 days after surgery.
• You can return to light activities such as office work after 5 days.
• You can return to moderate activities such as light exercise after two weeks.
• Full recovery from surgery is expected within one to one and a half months, depending on the patient's response, after which all activities, such as going to the gym, can be resumed.
• Revisional surgery is a procedure performed after a previous surgery aimed at weight loss, but which resulted in failure to lose weight, weight regain, or complications resulting from the first surgery, such as acid reflux, or failure to improve or treat a chronic disease such as high blood pressure, diabetes, and bone problems.