عملية التكميم (sleeve gastrectomy)
- MARAM FADHEL
- Oct 31, 2014
- 4 min read
فيديو عن العملية بس ما يقرف :))
General info
The goal of sleeve gastrostomy surgery is to help you change your eating habits in order to promote weight loss and weight maintenance. The surgery is only part of the treatment. Your commitment to a healthy diet is the most vital part of the treatment. The diet you follow after surgery and for the rest of your life will determine your ability to control your weight.
The new, smaller stomach is about the size of a banana. It limits the amount of food you can eat by making you feel full after eating small amounts of food.
You will receive general anesthesia before this surgery. This will make you sleep and keep you pain-free.
The surgery is usually done using a tiny camera that is placed in your belly. This type of surgery is called laparoscopy. The camera is called a laparoscope. It allows your surgeon to see inside your belly.
In this surgery:
Your surgeon will make 2 to 5 small cuts in your abdomen.
The surgeon will pass the laparoscope and the instruments needed to perform the surgery through these openings.
The camera is connected to a video monitor in the operating room. Your surgeon will look at the monitor to see inside your belly.
Your surgeon will insert thin surgical instruments through the other openings.
Your surgeon will remove most of your stomach.
The remaining portions of your stomach are joined together using surgical staples. This creates a long vertical tube or banana-shaped stomach.
The surgery does not involve cutting or changing the sphincter muscles that allow food to enter or leave the stomach
The surgery may take only 60 to 90 minutes if your surgeon has done many of these procedures.
When you eat after having this surgery, the small pouch will fill quickly. You will feel full after eating a very small amount of food.
Weight-loss surgery may increase your risk of gallstones. Your doctor may recommend having a cholecystectomy (surgery to remove the gallbladder) before your surgery or at the same time.
Why the Procedure is performed
Weight-loss surgery may be an option if you are very obese and have not been able to lose weight through diet and exercise.
Vertical sleeve gastrectomy is not a quick fix for obesity. It will greatly change your lifestyle. You must eat healthy foods, control portion sizes of what you eat, and exercise after this surgery
If you do not follow these measures, you may have complications from the surgery and poor weight loss.
This procedure may be recommended if you have:
•A body mass index (BMI) of 40 or more. Someone with a BMI of 40 or more is at least 100 pounds over their recommended weight. A normal BMI is between 18.5 and 25.
•A BMI of 35 or more and a serious medical condition that might improve with weight loss. Some of these conditions are sleep apnea, type 2 diabetes, and heart disease.
Before the Procedure
Your surgeon will ask you to have tests and visits with your other health care providers before you
have this surgery. Some of these are:
• A complete physical exam
• Blood tests, ultrasound of your gallbladder, and other tests to make sure you are healthy enough to have surgery
• Visits with your doctor to make sure other medical problems you may have, such as diabetes, high blood pressure, and heart or lung problems, are under control
• Nutritional counseling
• Classes to help you learn what happens during the surgery, what you should expect afterward, and what risks or problems may occur afterward
• You may want to visit with a counselor to make sure you are emotionally ready for this surgery. You must be able to make major changes in your lifestyle after surgery.
If you are a smoker, you should stop smoking several weeks before surgery and not start smoking again after surgery. Smoking slows recovery and increases the risk of problems. Ask your doctor or nurse for help quitting.
During the week before your surgery:
You may be asked to stop taking aspirin, ibuprofen (Advil, Motrin), vitamin E, warfarin
(Coumadin), and any other drugs that make it hard for your blood to clot.
On the day of your surgery:
• Do not eat or drink anything after midnight the night before your surgery.
After the Procedure
You can probably go home 2 days after your surgery. You should be able to drink clear liquids on the day after surgery, and then a puréed diet by the time you go home.
When you go home, you will probably be given pain pills or liquids and a medication called proton pump inhibitors.
Nutrition
1/particularly in the first two months after surgery. Try to increase your physical activity
2/Store all food out of sight. Try to keep food off of the counters.
3/Put your favorite foods in hard to reach places.
4/Avoid grocery shopping on an empty stomach
5/Use small dishes and glasses. This will make your portions look bigger
6/Consider purchasing a “portion plate”.
7/Try activities that you can do instead of eating >> Make a list of 20 things you like to do or would like to try that don’t involve food.
8/Relax while eating and use all your senses to best enjoy your meal.
9/Avoid doing other activities while eating like watching television or being on the computer
10/Set your utensils down in between bites.
11/Take small bites and chew food to a liquid consistency before swallowing
12/Eating slowly is very important after you have your surgery. If you eat too quickly, you may experience abdominal discomfort, abdominal pressure
13/Drinking with meals can push food through your pouch too quickly which can cause hunger and unpleasant side effects like diarrhea. Drinking with meals may overfill your pouch and cause vomiting.
o Avoid drinking with meals.
o Wait until 30 minutes AFTER a meal to drink.
*Dietary Guidelines for Sleeve Gastrostomy (please download pdf)
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