Sleeve gastrectomy Tunisia, a remedy against obesity
During a sleeve surgery Tunisia, surgeons remove part of the stomach and join the remaining parts to make a new stomach or "sleeve" the size of a banana. With 1/10 the size of the stomach, the patient feels full much faster than before. He will not be able to eat as much as before, which helps to lose a lot of weight. The surgery also removes the part of the stomach that makes a hormone that stimulates the appetite.
The sleeve gastrectomy is, in fact, the most widely practiced procedure in obesity surgery because of its effectiveness in terms of weight loss.
Gastrectomy Sleeve Sleeve gastrectomy: before the operation
A pre-operative check-up is required, this check-up includes:
- An evaluation of eating habits and the management of a possible eating disorder (Eating Disorder)
- Assessment and management of comorbidities (cardiovascular, metabolic, respiratory, etc.)
- Nutritional and vitamin assessment (albumin, hemoglobin, ferritin and iron saturation coefficient of transferrin, calcium, vitamin D, vitamin B1, B9, B12) and correction of any deficiencies, evaluation of chewing ability
- The implementation of a therapeutic education program in terms of diet and physical activity is recommended as early as the pre-operative period
- Esogastroduodenal endoscopy and the search for Helicobacter pylori
The surgery lasts about an hour. The surgeon will make a few small incisions in the abdomen. A tube, called a candle, is inserted through the mouth into the stomach. It is used to calibrate the new stomach. With an automatic forceps, the stomach is cut and sutured at the same time with a triple row of staples.
The surgeon will remove 3/4 of the stomach.
On the first day after surgery, it is advisable to drink fluids. Afterwards, the resumption of nutrition should be gradual. The program for resuming eating depends on the institution.
When the patient goes home and for 4 weeks, pureed food and protein drinks are recommended.
It is good to know that the patient must change their eating habits forever. After about a month, you will switch to eating soft solid foods very slowly.
- Everything should be chewed well before swallowing.
- Do not drink while you eat, as this may cause your new stomach to overfill.
- Drink liquids half an hour after finishing a meal.
- Avoid high-calorie drinks and snacks.
- Take vitamin and mineral supplements every day.
- After 2-3 months, you can switch to regular meals. But you won't be able to eat as much as you used to.
The risks of complications are very rare. The mortality rate related to the operation is estimated at 0.2%.
