Sleeve gastrectomy, often referred to as gastric sleeve surgery, is a popular weight-loss surgical procedure. It involves removing a large portion of the stomach, leaving behind a small, tube-shaped stomach that resembles a sleeve or banana. This procedure is designed to help individuals with severe obesity achieve significant weight loss by reducing the stomach’s capacity and altering hunger signals.

Dr. Deep Goel states, “Sleeve gastrectomy is more than just a weight-loss procedure—it’s a tool that helps patients regain control over their health and lifestyle, offering them a renewed sense of well-being and confidence for the future.”

What Steps Are Involved in Sleeve Gastrectomy?

The sleeve gastrectomy procedure is typically performed laparoscopically, which means it involves making several small incisions rather than a large open incision. Here’s a step-by-step overview of the procedure:

• Preparation: Prior to the surgery, patients undergo a thorough evaluation, which includes medical history, physical examinations, and diagnostic tests. A preoperative diet may be recommended to reduce liver size and ease the surgical process.
• Anaesthesia: On the day of the surgery, patients are given general anaesthesia to ensure they are unconscious and pain-free throughout the procedure.
• Incisions and Insertion of Tools: The surgeon makes small incisions in the abdominal wall to insert a laparoscope (a thin tube with a camera) and other surgical instruments.
• Resection: Using the laparoscope for visualization, the surgeon removes about 75-80% of the stomach. This part of the stomach includes the fundus, which is the upper part of the stomach responsible for producing hunger-inducing hormones.
• Creation of the Sleeve: The remaining portion of the stomach is then reshaped into a narrow sleeve or tube. The new stomach is about the size of a banana, which significantly reduces its capacity to hold food.
• Closure: After the stomach is reshaped, the incisions are closed with sutures or staples, and the patient is moved to recovery.

How Does Life Change After a Gastric Sleeve?

Yes, most individuals can lead an everyday life after undergoing sleeve gastrectomy, but there are several adjustments to consider:

• Dietary Changes: Post-surgery, patients need to adopt a new eating regimen. This involves eating smaller, more frequent meals and focusing on high-protein, low-carb foods. Overeating can lead to discomfort or complications.
• Physical Activity: Regular exercise is essential for maintaining weight loss and overall health. Most patients are encouraged to gradually increase their physical activity levels after surgery.
• Nutritional Supplements: Due to the reduced stomach size, patients might need to take vitamin and mineral supplements to prevent deficiencies, particularly in vitamin B12, iron, calcium, and vitamin D.
• Regular Monitoring: Follow-up visits with the healthcare team are important for monitoring progress, managing any potential complications, and ensuring that the patient is on track with their weight loss goals.
• Lifestyle Adjustments: Emotional and psychological adjustments are also part of the recovery process. Support groups or counselling can be beneficial in helping patients navigate the changes in their relationship with food and their body image.

One of Dr. Deep Goel’s patients shares, “After my sleeve gastrectomy, my life changed dramatically. With Dr. Goel’s support, I adjusted to smaller meals and regular exercise, and within months, I felt healthier and more confident. The surgery truly gave me a fresh start.”

Who is a candidate for sleeve gastrectomy?

Sleeve gastrectomy is typically indicated for individuals who meet specific criteria related to obesity and related health conditions:

• Body Mass Index (BMI): The procedure is usually recommended for individuals with a BMI of 40 or higher or for those with a BMI of 35 or higher who have obesity-related health conditions, such as type 2 diabetes, hypertension, or sleep apnea.
• Previous Weight Loss Attempts: Candidates should have previously tried to lose weight through non-surgical means, such as diet, exercise, or medication, without achieving sustained weight loss.
• Overall Health: Patients should be in good overall health to tolerate the surgery and its risks. A thorough preoperative assessment helps determine if the patient is a suitable candidate.
• Psychological Readiness: Patients need to demonstrate an understanding of the lifestyle changes required after surgery and have the psychological readiness to commit to long-term health behaviours.
• Age: While there is no strict age limit, most candidates are adults, typically between the ages of 18 and 65. Some younger patients may qualify if they have severe obesity and related health conditions, but this is less common.

What is the Cost of Sleeve Gastrectomy in India?

The cost of sleeve gastrectomy in India can vary widely based on several factors, including the surgeon’s fees, hospital charges, geographic location, and whether or not the procedure is covered by insurance. On average, the total cost of the surgery ranges from INR 2,00,000 to INR 4,50,000 (approx USD 2,400 to USD 5,400). This price typically includes preoperative consultations, the surgery itself, and postoperative follow-up visits.

In some cases, insurance may cover a portion of the cost if certain criteria are met. Patients should check with their insurance providers to understand their coverage and any potential out-of-pocket expenses.

Conclusion

To conclude, Sleeve gastrectomy is an effective surgical option for those struggling with severe obesity and related health issues. Understanding the procedure, associated costs, post-surgery lifestyle changes, and indications can help individuals make informed decisions about whether this procedure is right for them. Consulting with a healthcare provider can provide personalized guidance and support throughout the process.

FAQs

1. How much weight can I expect to lose after sleeve gastrectomy?

You can expect to lose 60-70% of excess weight within 12-18 months.

2. How long does the sleeve gastrectomy procedure take?

The procedure takes around 1 to 2 hours.

3. What is the recovery time after sleeve gastrectomy?

Recovery typically takes 2-3 weeks for light activities and 6-8 weeks for full recovery.

4. Can I get pregnant after a sleeve gastrectomy?

Yes, but it’s recommended to wait 12-18 months before conceiving.

5. How soon can I return to work after surgery?

Most patients can return to work within 2-4 weeks, depending on the job type.

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