About Sleeve Gastrectomy (Tube Stomach) ..
Toygar TOYDEMİR, MD was born in 1976. He graduated from Gaziantep Science High School in 1994 and started his medical education at Ege University, Faculty of Medicine in the same year. After completing his six-year medical education, he was assigned to Sisli Etfal Training and Research Hospital where he was going to receive his General Surgery Specialization between 2001 and 2006. After completing his compulsory service in Erzurum Palandoken State Hospital, he completed his military service in Adana Military Hospital where he also undertook the duty of clinical chief between 2008 and 2009. Toygar Toydemir, MD is married and father of two children. He is at advanced level in English and at intermediate level in Italian.More
Today, bariatric surgeries are performed by using the video-laparoscopic technology, also known as the closed technique colloquially. In other words, it is performed through 5-6 mm holes, using special equipment. Therefore, postoperative pain is much less than that of the surgeries in which large incisions are made on the abdomen. Postoperative pain is usually felt only at the first night and can be easily controlled by drugs administered intravenously. The majority of our patients do not need a painkiller after the second day.
There is a gradual diet pattern, beginning with clear liquids after the surgery and switched into solid foods. Sketchily, in the first week; clear liquids that we can see through when we put them in a glass (water, fruit juice, herbal teas, meat-chicken broth, diluted ayran … etc.), in the second week; more viscous soups and drinks, in the third week; mashed foods (mashed vegetables, fish, soft cheese, etc.) and in the fourth week; solid foods. For diet programs after the first month, we provide patient-specific diet programs depending on the taste and eating habit of each patient under the supervision of our dietician in our clinic.
Every surgical procedure in the field of medicine naturally includes a risk. However, contrary to what is believed, the risk of bariatric surgeries is not too different from other intra-abdominal surgeries. The risk of mortality due to bariatric surgeries is 0.1%. Bleeding (2%), leakage from the anastomosis line of the stomach (1-2%) and clot formation in the leg veins (0.1%) are other procedure-specific complications. The most important parameter to minimize these complication rates is the experience of surgical team. It should not be forgotten that the risk of bariatric surgeries is much lower than the risk of being morbidly obese.
It should be known that none of these diseases pose any obstacle for surgery, on the contrary, these diseases can be completely eliminated after the surgery. Type 2 diabetes mellitus improves by 70-95% depending on the duration and severity of the disease, hypertension improves by 50-90% and sleep apnea improves by 90-99%. (see Do my diseases pose an obstacle for the surgery?)