Sleeve Gastrectomy - Complete and Simple Guide

What is sleeve gastrectomy?

Imagine your stomach is like a big bag, and sleeve gastrectomy is like turning this big bag into a narrow, long tube!

How it's done?

• Remove 80% of the stomach - The part that produces hunger hormone
• A narrow tube remains - Size of a medium banana
• Reduce hunger hormones - Naturally less hunger

Result: Eat much less + less hunger = excellent weight loss!

Special: Relative simplicity with amazing results - most popular worldwide

Who needs sleeve gastrectomy?

Basic cases:

✅ BMI 40 or higher - Severe obesity
✅ BMI 35-40 with diseases - Diabetes, blood pressure, sleep apnea
✅ BMI 30-35 with difficult diabetes - Not controlled with medications
✅ Failed traditional methods - Diet, exercise, medications

Health requirements:

• Age 18-65 years - Appropriate age
• Psychological stability - Ready for change
• No serious diseases - Preventing anesthesia or surgery
• Ability to commit - To new dietary system

When do we choose sleeve?

• Obesity without stomach problems - No severe reflux
• Want simpler surgery - Than gastric bypass
• Want excellent results - With greater safety
• First bariatric surgery - Usually optimal choice

Comparison with other bariatric surgeries

Pre-surgery preparation

Comprehensive examination (month before surgery):

• Heart examination - Echo, ECG
• Lung examination - X-ray, pulmonary function
• Blood tests - Comprehensive for safety assurance
• Gastroscopy - Ensure no stomach problems
• Psychological evaluation - Readiness for change

Two weeks before surgery:

❌ Stop smoking - Completely for better healing
❌ Stop blood thinners - Aspirin, anticoagulants
✅ Start liquid diet - To reduce liver size
✅ Light exercise - Daily walking

Surgery day:

• Fast 12 hours - No food or drink
• Complete shower - With antiseptic soap
• Comfortable clothes - Easy to wear
• Companion - Don't drive after surgery

How is the surgery done? (60-90 minutes)

Preparation (20 minutes):

• General anesthesia - Deep, safe sleep
• Proper positioning - For optimal stomach access
• Comprehensive sterilization - Prevent any infection
• Inflate abdomen with CO2 gas - Expand space

Main surgery (50-70 minutes):

1. Make 4-5 small incisions - In abdomen (5-12 mm)
2. Insert laparoscope - Camera to see stomach clearly
3. Measure stomach - Determine part to be removed
4. Separate stomach from vessels - With extreme care
5. Cut stomach with stapler - One long line
6. Remove 80% of stomach - The hunger-producing part
7. Check staple line - Ensure no leakage
8. Clean surgery area - And ensure perfection

Completion (10-20 minutes):

• Remove instruments - With complete care
• Close incisions - With cosmetic sutures
• Gradual awakening - From anesthesia

Amazing benefits of sleeve gastrectomy

Results:

• Excellent weight loss - 60-70% of excess weight
• Natural hunger reduction - By removing hunger hormone
• Disease improvement - Diabetes, blood pressure, cholesterol
• Quick results - Weight loss from first week

Simplicity:

• Single surgery only - No complex connections
• Greater safety - Lower risks than gastric bypass
• Faster healing - Return to work within a week
• Short stay - 1-2 days in hospital

Life after surgery:

• Normal eating - Same foods but small amounts
• Normal absorption - Vitamins and minerals
• Simple follow-up - Less complex checkups

Expected results - Transformation journey

First month:

• Lose 8-12 kg - Quick and encouraging results
• Full with quarter cup food - Major eating change
• Immediate improvement - In blood pressure and breathing
• More energy - Noticeable activity

3-6 months:

• Lose 20-35 kg - Excellent and continuous results
• Diabetes improvement - 70% of patients
• Joint improvement - Less pain, easier movement
• New sizes - Much smaller clothes

6-12 months:

• Lose 35-50 kg - Near-final result
• Major improvement - In all associated diseases
• Sports activity - Ability for regular exercise
• New confidence - Psychological and social improvement

1-2 years:

• Lose 40-60 kg - Stable final result
• Weight stability - Reach goal
• Excellent health - Comprehensive life improvement
• New lifestyle - Stable healthy habits

Post-surgery diet

First week - Clear liquids:

• Water - Small sips every 15 minutes
• Clear chicken broth - Fat-free, no pieces
• Light tea - No sugar or much caffeine
• Diluted juice - Quarter juice + three quarters water

Goal: 1.5 liters fluids daily

Week 2-4 - Thick liquids:

• Protein shake - High-quality protein powder
• Diluted yogurt - Fat-free, no pieces
• Pureed vegetable soup - Completely smooth
• Skim milk - Small amounts

Goal: 60-80 grams protein daily

Week 5-8 - Pureed food:

• **Finely