Sleeve Gastrectomy surgery in iran is a weight-loss procedure in which the stomach is reduced to about 15% of its original size, by removing a large portion of the stomach. The treatment is widely considered around the world for helping people loose that extra fat.
The sleeve gastrectomy originated as the restrictive part of the duodenal switch operation. In the last several years, it has also been used as a staging procedure prior to a gastric bypass or duodenal switch in very high risk patients. It has also been used as a primary, stand-alone procedure.
Most sleeve gastrectomies performed today are performed laparoscopically. This involves making five or six small incisions in the abdomen and performing the procedure using a video camera (laparoscope) and long instruments that are placed through these small incisions.
Sleeve gastrectomy is a restrictive form of operation in which approximately 2/3rd of the left side of the stomach is removed laparoscopically using endoscopic staplers. The stomach thus takes the shape of a hockey stick or sleeve. It can be performed as either first stage of a two-stage procedure for super obese (BMI >60) where it can be followed with malabsorptive surgery or as a single stage procedure by itself.
The capacity of the stomach ranges between 60 - 100 cc. Unlike many other forms of bariatric surgery, the outlet valve and the nerves of the stomach remains intact while only the stomach size is drastically reduced. Though a non-reversible procedure, the part of the stomach that contains Ghrelin, the hormone for hunger is removed; it drastically reduces your appetite and hormones that controls diabetes.
The hour glass configuration only constricts the upper stomach thus acting as a pure restrictive operation. Since the outlet is small, food stays in the pouch longer and one also feels satiated for a longer time.
Scheduled follow-up visits will be at 6 weeks, monthly for the first six months and yearly thereafter or as and when medically required.
Can lead to significant weight loss (average of 66% of excess body weight)(19)
Can lead to significant improvement of obesity-related health conditions(8, 11, 23, 24, 25)
Doesn’t use a foreign object (like the gastric band) and doesn’t reroute the digestive tract (like the gastric bypass)
Short hospital stays and recovery time due to minimally invasive procedure
Limits the amount of food that can be eaten
Causes significant changes to digestive organs and hormones that result in reduced hunger and increased metabolism
Permanent (won’t need more surgeries or readjustments, like the gastric band)
Requires lifelong dedication to specific diet and exercise routines
Permanent (cannot be reversed)
Can lead to vitamin deficiencies
Possible complications may include:
Separation of tissue
Esophageal dysmotility (swallowing disorders)
Metabolic and bariatric surgery is as safe or safer than other commonly performed procedures, including gallbladder surgery.When performed at a Bariatric and Metabolic Surgery Center of Excellence, bariatric and metabolic surgery has a mortality rate of 0.13%. This means that out of 10,000 people who have this kind of surgery, on average 9,987 will survive surgery and 13 will not. Gallbladder removals have a mortality rate of 0.4%. This means of 10,000 people who have their gallbladder removed, on average 9,960 people will survive surgery and 40 will not.
How much is a gastric sleeve in Australia or India?
The average cost of gastric sleeve surgery in the the world is around $14,500, while gastric surgery cost in Iran start from $1800.
There are two types of complications of gastric sleeve surgery: acute and chronic. Acute complications are ones that occur shortly after surgery and chronic issues are ones that arise or persist six months after the date of surgery. Acute complications include bleeding, pain, and blood clots.2
Gastric sleeve, overall, is considered safe when compared to other commonly performed surgeries. Deaths from the procedure are rare, and when performed by a competent surgeon, the procedure has minimal complications. That said, complications, when they do happen, can range from minor annoyances to significant and potentially life-altering issues.
Initial failure to lose: This is a serious problem where the surgery is ineffective for weight loss. The pouch may be too large, the patient may ignore discharge instructions, or another issue may be present that prevents weight loss.3
Intolerance of foods: One of the benefits of this procedure is that all foods can be eaten after the procedure, while other bariatric surgeries require that you avoid specific foods. That does not mean the body will tolerate all types of foods, it just means that no foods are forbidden after the procedure.4
Sleeve dilation: In the initial days after the surgery, the stomach pouch that remains is very small and will hold about half a cup of food at one time. Over time, the pouch stretches and is able to accommodate larger amounts of food in one sitting. This allows larger meals to be consumed and can eventually lead to weight loss stopping or weight gain starting.3
Dyspepsia: Indigestion, or an upset stomach, can be more frequent after the gastric sleeve surgery.