Thursday, April 11, 2024

Sleeve Surgery For Weight Loss

An Overview Of Your Gastric Sleeve Recovery

Weight Loss with Bariatric Surgery | Sleeve Gastrectomy & Gastric Bypass | theSITREP

After your gastric sleeve surgery, you will wake up in the hospital. Though you will be slightly groggy, you will not experience much pain. The majority of our patients need to spend one to two nights in the hospital after the procedure, so Dr. David Davtyan can monitor your progress and ensure your safety. From there, you will be able to complete your healing process from the comfort of your home. Because several incisions were made in your abdomen, you can expect to be sore for a few days following your procedure. However, this discomfort will be completely manageable with the medication prescribed by Dr. David Davtyan.

Other than allowing your body to physically heal, youll also need to re-learn how to eat with your new, smaller stomach. For the first week, you will adopt a liquid-only diet, before progressing to a soft-food diet of pureed foods for the next two weeks. Following this food plan is critical to your success because it gives your stomach a chance to heal. Once youre about three weeks into the recovery period, youll be able to start consuming solid foods again but in much smaller portions than before. At this point, its really important to focus on portion control, eating slowly, and chewing your food completely to avoid discomfort and any complications. Because this new way of eating will be permanent, Dr. David Davtyan and his team will offer guidance on how you can adjust to these changes during your follow-up appointments.

Weight Loss Locations At Loyola

Loyola offers medical weight loss opportunities at the Center for Metabolic Surgery and Bariatric Care at Melrose Park, 719 W. North Avenue in Melrose Park, while surgeries are performed at Loyola University Medical Center in Maywood. Weight loss seminars and support groups are available at several locations across the Chicagoland area. Find all locations.

How Is Excess Body Weight Vs Total Body Weight Calculated

Excess body weight is calculated by first choosing your goal weight which is also sometimes called ideal weight. Ideal weight can be found using a BMI calculator which will provide a healthy weight range. Then using your current weight, subtract your ideal weight and this determines how much excess weight you need to lose to reach your goal weight.

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Can It Be Stretched

You can stretch your stomach after gastric sleeve surgery. The inside of your stomach is lined with rugae. These are folds of tissue that expand and contract in relation to the amount of food that enters your stomach.

When they expand, your stomach sends a signal to your brain that you are full. When they contract, they push the food into your intestines for further processing. Once the stomach is empty, a hormone called ghrelin is released that triggers hunger again.

These signals can get skewed when your stomach is constantly stretched from too much food. This article details how this happens and why its important to get back on track quickly after binging.

Below are a few tips to reduce the risk of stretching your stomach.

  • Drink water an hour before and an hour after you eat.This gives your body time to digest the food and make room for fluids and vice versa. Dont eat and drink at the same time.
  • Dont drink carbonated beverages.The carbonation can put unneeded pressure on your stomach.
  • Eat small, healthy snacksif you get hungry in-between meals.
  • Plan your meals.Focus on small portions of nutrient dense foods. Nutrient dense foods keep you full longer and give you the nutrients that you need.

Remember, if you overeat once, you havent ruined your new stomach. Get back on track as quickly as possible.

Will I Gain Weight Back After Time

Kimberly celebrates 215

Even with a high average monthly weight loss after gastric sleeve, some patients worry they will gain back the weight later on.

Research supports that when patients do regain their lost weight it is mainly due to not following a proper diet and not exercising. This shows weight gain after surgery is possible but not a guaranteed complication.

Proper nutrition, supplementation, and consistent exercise help combat weight gain after gastric sleeve. One area patients dont consider is supplementation. Following surgery, youll need to take a supplement for life. This supports your bodys ability to absorb essential vitamins and minerals.

Bari Life has a complete multivitamin that includes everything you need after gastric sleeve. Proper supplementation helps you feel better, adhere to your proper diet, and maintain lasting weight loss. Check it out here.

If you find your weight creeping back up, start by looking at your daily intake. Here are some things to avoid:

  • Excess snacking

While what you eat is important, how you eat is just as vital. Be mindful of your serving sizes, eat mindfully, and chew your food well.

Gaining weight back after time is a valid concern going into surgery. While there is a potential for weight gain, it is not guaranteed to happen. Proper nutrition, exercise, and supplementation can support your body in maintaining lasting weight loss.

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Recovery And Results Of The Gastric Sleeve

The gastric sleeve requires an overnight stay for most patients assuming an uneventful surgery and post-op recovery.

Gastric sleeve results are generally excellent. A growing body of evidence supports the gastric sleeve as similar to the bypass in potential weight loss and disease resolution over the longer-term. Patients can lose up to 70% of their excess bodyweight and improve or resolve most of the diseases associated with obesity. Of course, results will vary between patients.

Complications And Side Effects

You may experience some gastric sleeve side effects such as pain, bruising and swelling around your wounds, and vomiting or feeling sick after eating more than your new, smaller stomach can hold. You should try to chew your food well, eat smaller portions and stick to your diet plan.

Possible complications of any operation include: bleeding or a blood clot, pain and wound infection. Specific complications associated with gastric sleeve surgery include:

  • Stomach scarring that creates bowel blockage.
  • Inflamed stomach lining , stomach ulcers or heartburn.
  • Injury to the adjacent organs.
  • Staple line leakage and serious infection.
  • Vomiting from eating more than your stomach pouch can hold

Your weight loss surgeon will discuss possible complications and side effects in detail with you before you make the decision to have gastric sleeve surgery.

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Why Consider Gastric Sleeve Surgery

  • Digestion functions are maintained as the only change is made to the size of the stomach.
  • Stomach openings and nerves remain intact and unaltered.
  • The procedure for Gastric Sleeve surgery is laparoscopic, rather than open, meaning it is less invasive, scarring will be minimal, and recovery will be quicker.
  • As Gastric Sleeve surgery does not affect the digestive system, recovery times are slightly faster than in other procedures.
  • Lower chance of complications such as ulcers and other risks associated with gastric bypasses and lap-band surgeries.
  • Involves a relatively short hospital stay of approximately 2 days

Cost And Insurance Coverage

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In the U.S., the average cost of weight loss surgery is typically in the range of $17,000 to $26,000. Insurance companies will usually cover most of the cost, but the extent of coverage depends on a persons plan, so they should contact their insurance provider to check the details.

Many insurance companies will require people to be on a weight loss program before surgery. This usually lasts 23 weeks, but some may be up to 6 months.

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Who Can Get Weight Loss Surgery

Figuring out if an overweight teen can get weight loss surgery requires a team approach. This includes the teen and his or her family, doctors, dietitians, exercise specialists, and psychologists.

Teens can be considered for weight loss surgery if:

  • They have a high body mass index with serious medical problems caused by weight, like diabetes, heart disease, liver disease, or sleep apnea.
  • They have a BMI of 40 or more, or are 100 or more pounds over their ideal body weight.

Teens must be committed to making the lifestyle changes needed for success and have the support of their families to help them do so.

How Much Weight Will I Lose With Gastric Sleeve Surgery

Weight loss is almost always the primary goal and the most critical measurement of every bariatric surgery including the one and only gastric sleeve surgery.

Gastric sleeve surgery uses restriction as the sole method of weight loss. Surgeons remove 80-85% of the stomach, leaving behind a very small banana-shaped sleeve. This also reduces the production of the hunger hormones, Ghrelin.

The question all patients ask is how much weight will I lose with gastric sleeve surgery? We will show you a simple formula to calculate your expected weight loss after gastric sleeve in Mexico.

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What Happens After Gastric Sleeve Surgery

Youll likely go home the day after surgery. You will be on a liquid dietfor the first week or two. Your surgery team will give you a schedule oftypes of meals over the next weeks. Youll go from liquids to pureed foods,then soft foods, and then to regular food. Each meal needs to be verysmall. You should make sure to eat slowly and chew each bite well. Dontmove too quickly to regular food. This can cause pain and vomiting. Workwith your healthcare team to figure out whats best for you to eat. Afteryour stomach heals, you will need to change your eating habits. Youll needto eat small meals for your small stomach.

People who have weight-loss surgery may have trouble getting enoughvitamins and minerals. This is because they take in less food, and mayabsorb fewer nutrients. You may need to take a daily multivitamin, plus acalcium-vitamin D supplement. You may need additional nutrients, such asvitamin B-12 or iron. Your medical team will give you instructions.

Youll need to have regular blood tests every few months in the year aftersurgery. This is to make sure you dont have low blood iron , highblood glucose, or low calcium or vitamin D levels. If you have heartburn,you may need to medicine to reduce stomach acid.

What Will The Weight Loss Journey Look Like

Sleeve Gastrectomy San Diego, Gastric Sleeve Procedure

In those first 6 months to a year following the gastric sleeve, you will likely experience rapid weight loss. This honeymoon phase is a period where weight loss comes relatively easily, obesity-related diseases may improve or resolve, and you can gradually do more physical activity.

During this time, excess body weight just seems to fall right off because your body, hormones, and diet are dramatically altered following surgery. Your food and calorie intake are restricted due to your post-op diet, the changes in the size of your stomach, and your hunger-related hormones. As you begin to recover and lose weight, physical activity should begin to increase as well. All these factors contribute to rapid weight loss following the gastric sleeve.

However, after that honeymoon phase, some new challenges regarding weight loss and motivation may begin to set in. Your weight loss may start to plateau or level out, your appetite and food intake may begin to increase, and your motivation may begin to dwindle.

This is normal. After the first 6 months of surgery, you should be settling into your stabilization diet and workout regimen. As you are doing this your body is learning to adjust to everything that it has been through. Your metabolism will adjust to the rapid weight loss, dietary changes, and increased physical activity. And your weight will likely begin to stabilize or even start creeping back up.

There are some things you can do to promote long-term weight loss success.

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What Does A Gastric Sleeve Do

Reducing the size of your stomach is a simple way to restrict the amount of food you can eat in one sitting, making you feel fuller faster. But it also serves another purpose: it reduces the amount of hunger hormones that your stomach can produce. This helps to decrease your appetite and cravings and may help to prevent the impulses that cause people to regain the weight they’ve lost.

Find Your Nearest Spire Hospital

Almost all our hospitals offer private gastric sleeve surgery and have teams of bariatric consultants and surgeons who specialise in this procedure.

I was always bigger literally. I was born overweight and I was on a diet from about age of eight. I’d be weighed every week. I’ve seen doctors and dietitians and whatever I did, it just didn’t really work. I was very sporty, always very healthy but I just couldn’t lose weight biologically.

I guess it’s probably the reason metabolically, it just didn’t work. I had the surgery a year ago,10 stone down so far, another couple to go., I didn’t know that I could be so happy. It’s absolutely incredible, on top of the world. I’m absolutely… Every day I pinch myself because I cannot believe that I’ve actually lost the weight.

I cannot… Even now it’s been a year and I’d say that every single day of the past 365 has been better than the last. It just keeps getting better and better and I’m living the life I always wanted. I have these experiences that I never dreamt that I… Like I went to New York, which, for me was… I never travelled. Never got on a plane because I was scared of the seat belt, so I went to New York.

I’m glad I just took the plunge and I did it because it was the right time.

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How It Differs From Gastric Bypass Surgery

Gastric bypass is another common bariatric surgery. It involves dividing the stomach into two sections. The smaller part of the stomach becomes the new stomach, and the larger portion no longer stores or digests food. This helps people lose weight by decreasing hunger, increasing fullness, and reducing hunger hormones.

According to the ASMBS, the procedure is technically more complex than gastric sleeve and results in more vitamin and mineral deficiencies. In addition, recovery from the gastric sleeve procedure is faster and carries a lower risk of complications. For this reason, it is generally a preferable option.

However, gastric bypass typically leads to more significant and faster weight loss.

It’s Different From Gastric Bypass

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In gastric bypass, the surgeon makes a small pouch that skips most of your stomach, going straight to the intestine.

Gastric sleeve surgery is best for people who have a BMI of at least 40. That means youâre 100 pounds or more over your ideal weight. Some people are too heavy for gastric bypass surgery, so it may be a good alternative.

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Assessment Before Weight Loss Surgery

Before you can have weight loss surgery, you’ll be referred to a specialist clinic for an assessment to check if the operation is suitable.

This may involve checking your:

You may be advised to have a calorie-controlled diet in the weeks before surgery to help reduce the size of your liver. This can make surgery easier and safer.

Page last reviewed: 14 April 2020 Next review due: 14 April 2023

More Intensive Forms Of Weight Loss Intervention

If you have made modifications to both your diet and lifestyle that should lead to weight loss, but you arent getting the results, then there may be a couple more options out there for you. These options should be discussed with your physician and are not right for everyone!

Research shows that pharmacotherapy or the use of medication to promote weight loss can be promising in overcoming a plateau or preventing weight regain. If you are trying this option, you should only do it as part of a medically supervised weight management program or as directed by your physician. Success rates of pharmacotherapy were higher than that of behavioral therapy alone, but long-term follow-ups and success are yet to be determined.

Another option, that should only be done under careful consideration and as recommended by a physician is having a second surgery or a conversion to another form of bariatric surgery. This option is for patients with morbid obesity .

When having a second surgery some physicians prefer to wait until plateau occurs to optimize the effects of the first procedure and others prefer to perform the surgery after a set time interval. The Gastric sleeve can be converted into the Roux-en-Y gastric bypass , the duodenal switch , and gastric banding.

These two options are more intensive and are not recommended for all bariatric patients.

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Plateau Or Weight Gain

If your weight is lower than expected, dont be upset with yourself. People are surprised that they can not expect to go from 250 kilograms to 120 kilograms of surgery alone. Patients need to understand that weight loss surgery such as gastric sleeve is not a magic bullet. Instead, the operation is a tool that will help you manage something more easily.

When weight falls, it becomes easier to exercise, stay longer, enjoy life, and continue to focus on losing weight with your new sleeved stomach. The hardest part loses the first 50 kilograms of weight. When you begin to notice the results, this will motivate you to lose more, eat healthier, boast about your friends, and show your amazing progress.

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