What is LSG-Laparoscopic Sleeve Gastrectomy operation?

LSG-Laparoscopic Sleeve Gastrectomy surgery has started to be applied for the first time in USA as the first step of the surgical treatment for super-super obese patients. It is started to be preferred as direct permanent treatment since the high satisfaction of super-super obese (BMI>60) patients has been obtained. It depends on the principle, without changing any structure of the digestive system physiology, excising about 80% of the widened stomach and reducing the volume accordingly. The stomach is made a thin tube with  LSG-Laparoscopic Sleeve Gastrectomy operation and reduced to the diameter of intestine in average.

What are the effects of is LSG-Laparoscopic Sleeve Gastrectomy operation?

LSG-Laparoscopic Sleeve Gastrectomy is an operation that only restricts the volume. When it is compared to LAGB (Laparoscopic Adjustable Gastric Band) surgery, it is not fully reversible.  The patients feel full faster due to their new reduced stomachs.

After the  LSG-Laparoscopic Sleeve Gastrectomy, the success and permanency depends on the full adaptation of the patient. However, if the patient group is not well selected, insufficient weight losses may be faced due to extension of gut pocket.

To the contrary of the patients that have undergone  Laparoscopic Adjustable Gastric Band, no close monitoring is required after the operation, except early post operative period. However, still, the patient's adapting to its nutrition program under dietician control plays the key-role in the success of the treatment.

LSG-Laparoscopic Sleeve Gastrectomy uses laparoscopic method and removes significantly the problems related to the traditional operations such as scar problems, incisional hernias and post operative pains.

The operation has no absorption restrictive effects and causes no shortages of vitamins and minerals.

The process of operation

Before the operation

The patients to undergo this operation shall be examined by the physician and its team, responsible for the obesity treatment of the patient, in detail. The endocrinology and psychiatry experts shall perform this evaluation on every single patient. Also, the chest diseases and cardiology consultation may be performed depending on the metabolic conditions and situations of the respective patients.

Operation

4-5 incisions, each 1 cm, are performed in the stomach of the patient and the camera with respective tools is placed. The stomach is fully separated from spleen and bowels and freed. A guide placed in the stomach is used for determining the volume to be left. Staplers cut the part of the stomach to be extracted. The separated stomach part is taken with a special specimen bag.

Post Operation

The patients stay 4-5 days in hospital after the operation. Before discharge, the diet specialist plans your feeding program till first control. The first control is performed in the first month. Close monitoring is performed in the first year by endocrinology, psychiatry and diet specialists as well as your obesity surgeon.