Laparoscopic Sleeve Gastrectomy
Obesity is a chronic disease, which is believed to reduce the quality of life and the life span of a person. Individuals who are obese are more prone to various diseases and infections. It is also said to cause serious illnesses including diabetes, heart disease, hypertension, arthritis, etc. People adopt various methods to get rid of the excessive fat, but none of the methods are able to give desired results. The concept of weight loss through sleeve gastrectomy was first described by Marceau in 1993, as a component of biliopancreatic diversion. Over the time, the method underwent various changes, and now it is been widely used as an effective treatment to lose weight. The Laparoscopic Sleeve Gastrectomy is a relatively new operation, in which the outer margin of the stomach is removed to limit food intake and leaving behind just a sleeve of stomach, roughly the size of a banana. After this operation, the size of the stomach is reduced and a person can feel fuller after intaking lesser calories and eating less. The operation also involves removing the portion of the stomach, which releases a hormone and make person feel hungry.
The tissues that attach stomach to the omentum is then separated to make the area under the stomach visible. The surgeon, after then continues to cut and seal the blood vessels that lie on the side of the stomach, which is also known by the name greater curvature. The pylorus of the stomach is then identified and an ultrasonic scalpel is then used to enter the stomach via omentum. The dissection of the stomach is started from the greater curvature of the stomach to make it free from the omentum and short gastric blood vessels. To transect the stomach, an endoscopic linear cutting stapler is used, which stays to the left and lateral to the endoscope. The transected stomach, is then completely made free and is removed from the peritoneum through the left flank port incision.
The transected stomach is then stapled along the length of the stomach by the bougie that creates a narrow partition. This line can also be covered with some material that reduces the risk of bleeding. The resected stomach is then placed in a specimen bag and extracted through the trocar site. The remaining portion of your stomach would be equal to the size of a banana. After Surgery Observations After you have undergone a surgery, you will be made to undergo a gastrograffin swallow study to evaluate for leaks. Some patients experience delayed passage of the contrast, which occurs due edema in the gastric remnant. However, the delayed passage of contrast resolves itself after several days of discharge. In addition to gastrografin swallow, if a patient feels the pain is under control, he is discharged after giving strict dietary instructions. Patients may require visiting a surgeon once in 3 months, 6 months and 1 year post surgery and then yearly thereafter.
* Disclaimer: Individual results may vary.