Gastric sleeve surgeries include 70% of obesity surgeries performed in the world. For this reason, it is the type of surgery that requires the most revision surgery. Gastric sleeve surgery experience is very important. All surgeons all over the world want to do and they do, but again, there is no consensus in the tube world. It means that there is no standard of this surgery. Every surgeon performs surgery according to his own experience over time.
- The tube; to be placed in the stomach (a tubular tube that is placed in the stomach for measurement and then removed). There is a tube of 1 cm to 3 cm in size. A tube of any size should be used.
- Pylor (the last part of the stomach); there are those who say how many cm from the stomach is cut, and those saying let’s start immediately, as well as there are doctors who make it from 10 cm.
- Fat pat; There are surgeons who take fat pat (ghrelin, the sebaceous gland with appetite hormone), as well as surgeons who find it risky or not.
- Fundus: There are surgeons who completely remove the fundus (upper part of the stomach) where the necessary hormone is most, as well as there are surgeons who say that ischemia (gangrene) and do not take a part of it.
- There are those who fix the cut stomach to the omentum in the abdomen (fat in the abdomen) with stitches, as well as those who do not sew.
In short, when there is no agreement between surgeons such as a gall bladder, it is very difficult to determine whether the weight gain again depends on the patient or the surgery. The criteria we will look at in weight gain is stomach size and whether the fundus is taken.
How we decide from gastric sleeve to gastric sleeve
When the patient comes to us with weight gain, endoscopy is performed first, the width of the stomach is checked and the second measure is whether there is reflux. Our second test is the barium esophagus gastric duodenum graph, although the stomach boots are seen better in this examination, the stomach velocity can also be measured.
How is surgery performed from gastric sleeve to gastric sleeve?
In fact, it is the same as the first surgery. The difficulty for the surgeon includes opening adhesions and cutting the excess part of the stomach.