Gastric Sleeve (GS) – Laparoscopic sleeve resection of the stomach

Gastric Sleeve is one of the most effective and currently most recommended surgical operations for weight loss. The surgeon removes about 75-80 percent of the stomach, leaving the stomach in a tube or “sleeve”. This procedure works through several mechanisms. First, the new stomach bag has a much smaller volume than a normal stomach and significantly helps reduce the amount of food you can eat. The stomach still retains all normal digestive functions, but has a limited ability to eat. This means that the patient feels full after eating a small amount. These operations not only eliminate obesity, their goal is to improve or complete remission of concomitant diseases.

KCM Clinic is one of the few specialised hospitals in Central and Eastern Europe that uses modern 3D laparoscopy technology during bariatric operations. The latest 3D imaging techniques enable the highest quality image visualization and safety of the treatment. As a result, patients are operated with much greater accuracy and recover faster.

Cuff surgery for gastric resection is performed laparoscopically under general anesthesia. It lasts about 90 minutes, during the operation, Surgeon Bariatra removes about 80% of stomach along with the hormone hunger (ghrelin). It remains a narrow sleeve with a capacity of about 150 ml.

KCM Clinic is one of the few specialized hospitals in Central and Eastern Europe that uses modern 3D laparoscopy technology during bariatric operations. The latest 3D and 4K imaging techniques enable the highest quality image visualization and safety of the treatment. As a result, patients are operated with much greater accuracy and recover faster.

Patients preparing for bariatric surgery in recent weeks should be on a liquid diet that will relieve the relief of the stomach and liver. This causes more effective weight loss after surgery and a lower likelihood of complications during surgery. It is important to take multivitamin preparations and other supplements, depending on the results of the examinations and recommendations of the doctor after the qualification visit. The patient should appear at the hospital in the morning of supper with a complete set of examinations, pyjamas, variable footwear.

Comprehensive tests and consultations are required to qualify and prepare for bariatric surgery for patient safety. All consultations and tests can be done at KCM Clinic.

Required tests:

  • Surgical consultation in a Bariatric Clinic.
  • Internist-cardiological consultation with ECG and cardiac echocardiography
  • Exercise test on a treadmill
  • Spirometry
  • Chest x-ray in 2 projections
  • Abdominal ultrasound
  • Gastroscopy with HP test
  • Laboratory tests: morphology, lipidogram, iron, creatinine, urea, electrolytes, INR / apTT, glucose, HbA1, TSH, FT3, Ft4, AST, ALT, Lipase, HCV, Hbs anti-body, HbsAg, cortisol, vitamin B12, calcium

Before surgery, it is very important to follow a specially prepared, pre-operative diet for a week before surgery. This diet is designed to help reduce the volume of the liver and stomach to facilitate surgery and convalescence. The diet should only be used before surgery and should not be continued later.

Why should you follow a diet?

The diet contains low carbohydrates and fats. Therefore, it will reduce glycogen stores (glycogen is a type of sugar stored in the liver and muscles for energy). Please do not be tempted to eat a special or large meal before surgery, because this completely reduces the effect of the diet.

Food guidelines before surgery:

  • The last week before surgery, the diet should consist mainly of fluids (soups, jellies, puddings, juices and at least a liter of water a day). Avoid fatty, heavy foods, sweets or carbonated drinks that remain in your stomach. Vegetables and fruits are acceptable as snacks.
  • We encourage patients to discontinue consuming caffeine-containing drinks, such as coffee and energy drinks, for at least 7 before surgery.
  • Diet 7 days before surgery should only consist of liquids.
  • On the day of the operation, do not eat or drink – only still water is allowed.

Laparoscopic sleeve gastrectomy is a safe operation, but you should remember to follow precautions. First and foremost, follow your doctor’s instructions. Before surgery, it is crucial to follow a properly prepared diet one week before surgery. The effect of using the diet is to reduce the volume of the liver and stomach, which facilitates not only surgery, but also recovery. The diet should be followed before surgery. Do not continue your prescribed diet after surgery.

Laparoscopy allows the patient to return to a normal lifestyle much faster. Usually, a week after surgery, the patient returns to work except for hard physical work, without pain.

The most important change in life after surgery is the diet and the amount of food that the patient consumes. It will also help prevent postoperative complications.

A very strict diet after surgery may seem exaggerated. But remember, not following this diet can cause complications such as diarrhea, dehydration, constipation, intestinal obstruction or very severe gastric acid leakage.

Here are some basic rules:

  • Consume foods at a moderate temperature.
  • Chew each bite thoroughly.
  • Consume small portions (150 g), meals every 2-4 hours.
  • Liquids 15 x daily 100-150 ml each.
  • Drink 15 min. before meal and 30 min. after meal.
  • Use supplements – vitamins, minerals.
  • Take your medications and vitamins as recommended.
  • The use of prophylaxis reduces the risk of embolic complications.
  • Avoid foods that are too sweet, spicy, sour, fatty, hot or cold.
  • Stop eating as soon as you feel full, even if it means leaving the food on your plate.
  • Avoid dishes made of asparagus, spinach, cauliflower and broccoli, green beans, leeks and cabbage.
  • Avoid eating small products, they can be swallowed whole and there is a risk of getting stuck in the stomach: mushrooms, broad beans, cherries, nuts, pasta.
  • Cross out high-calorie products and replace them with various low-calorie products to provide your body with a large amount of vitamins and minerals.

Laparoscopic surgery makes it possible for patients to recover faster. The patient will be able to drink and get up from the bed a few hours after the procedure, as well as move independently. For safety, a hospital stay of several days is necessary.

About the procedure

Cuff surgery for gastric resection is performed laparoscopically under general anesthesia. It lasts about 90 minutes, during the operation, Surgeon Bariatra removes about 80% of stomach along with the hormone hunger (ghrelin). It remains a narrow sleeve with a capacity of about 150 ml.

KCM Clinic is one of the few specialized hospitals in Central and Eastern Europe that uses modern 3D laparoscopy technology during bariatric operations. The latest 3D and 4K imaging techniques enable the highest quality image visualization and safety of the treatment. As a result, patients are operated with much greater accuracy and recover faster.

Preparation

Patients preparing for bariatric surgery in recent weeks should be on a liquid diet that will relieve the relief of the stomach and liver. This causes more effective weight loss after surgery and a lower likelihood of complications during surgery. It is important to take multivitamin preparations and other supplements, depending on the results of the examinations and recommendations of the doctor after the qualification visit. The patient should appear at the hospital in the morning of supper with a complete set of examinations, pyjamas, variable footwear.

Comprehensive tests and consultations are required to qualify and prepare for bariatric surgery for patient safety. All consultations and tests can be done at KCM Clinic.

Required tests:

  • Surgical consultation in a Bariatric Clinic.
  • Internist-cardiological consultation with ECG and cardiac echocardiography
  • Exercise test on a treadmill
  • Spirometry
  • Chest x-ray in 2 projections
  • Abdominal ultrasound
  • Gastroscopy with HP test
  • Laboratory tests: morphology, lipidogram, iron, creatinine, urea, electrolytes, INR / apTT, glucose, HbA1, TSH, FT3, Ft4, AST, ALT, Lipase, HCV, Hbs anti-body, HbsAg, cortisol, vitamin B12, calcium
Diet

Before surgery, it is very important to follow a specially prepared, pre-operative diet for a week before surgery. This diet is designed to help reduce the volume of the liver and stomach to facilitate surgery and convalescence. The diet should only be used before surgery and should not be continued later.

Why should you follow a diet?

The diet contains low carbohydrates and fats. Therefore, it will reduce glycogen stores (glycogen is a type of sugar stored in the liver and muscles for energy). Please do not be tempted to eat a special or large meal before surgery, because this completely reduces the effect of the diet.

Food guidelines before surgery:

  • The last week before surgery, the diet should consist mainly of fluids (soups, jellies, puddings, juices and at least a liter of water a day). Avoid fatty, heavy foods, sweets or carbonated drinks that remain in your stomach. Vegetables and fruits are acceptable as snacks.
  • We encourage patients to discontinue consuming caffeine-containing drinks, such as coffee and energy drinks, for at least 7 before surgery.
  • Diet 7 days before surgery should only consist of liquids.
  • On the day of the operation, do not eat or drink – only still water is allowed.
Precautions

Laparoscopic sleeve gastrectomy is a safe operation, but you should remember to follow precautions. First and foremost, follow your doctor’s instructions. Before surgery, it is crucial to follow a properly prepared diet one week before surgery. The effect of using the diet is to reduce the volume of the liver and stomach, which facilitates not only surgery, but also recovery. The diet should be followed before surgery. Do not continue your prescribed diet after surgery.

Convalescence

Laparoscopy allows the patient to return to a normal lifestyle much faster. Usually, a week after surgery, the patient returns to work except for hard physical work, without pain.

The most important change in life after surgery is the diet and the amount of food that the patient consumes. It will also help prevent postoperative complications.

A very strict diet after surgery may seem exaggerated. But remember, not following this diet can cause complications such as diarrhea, dehydration, constipation, intestinal obstruction or very severe gastric acid leakage.

Here are some basic rules:

  • Consume foods at a moderate temperature.
  • Chew each bite thoroughly.
  • Consume small portions (150 g), meals every 2-4 hours.
  • Liquids 15 x daily 100-150 ml each.
  • Drink 15 min. before meal and 30 min. after meal.
  • Use supplements – vitamins, minerals.
  • Take your medications and vitamins as recommended.
  • The use of prophylaxis reduces the risk of embolic complications.
  • Avoid foods that are too sweet, spicy, sour, fatty, hot or cold.
  • Stop eating as soon as you feel full, even if it means leaving the food on your plate.
  • Avoid dishes made of asparagus, spinach, cauliflower and broccoli, green beans, leeks and cabbage.
  • Avoid eating small products, they can be swallowed whole and there is a risk of getting stuck in the stomach: mushrooms, broad beans, cherries, nuts, pasta.
  • Cross out high-calorie products and replace them with various low-calorie products to provide your body with a large amount of vitamins and minerals.
Post-treatment care

Laparoscopic surgery makes it possible for patients to recover faster. The patient will be able to drink and get up from the bed a few hours after the procedure, as well as move independently. For safety, a hospital stay of several days is necessary.

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