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Gastric Sleeve Surgery And Related Questions

Do you want to know whether gastric sleeve is the right weight loss procedure for you? Do you want to know what the complications of this surgery are? Gastric sleeve surgery is commonly and frequently carried out in the bariatric field. The procedure is optimal for noticeable weight loss, hunger management and has few complications. Elective surgery is usually not a person’s first choice but may become necessary if all other options for weight loss have failed. In such a situation, it is important to get as much information about the procedure, potential side effects/complications, post-operative treatments, and so on. This is possible by asking bariatric Experts online.

Read below where Experts have answered a few questions about gastric sleeve surgery.

Is gastric sleeve or bypass surgery more suitable for weight loss and maintaining low body weight?

The normal, average weight loss in a gastric bypass surgery is higher (70 percent) after five years of the surgery as compared to a gastric sleeve procedure which is at approximately 65 percent.  However, the suitability or choice of the surgery can be left to the patients to decide. A doctor would observe a diet journal of a month or more to decide which procedure is more appropriate. If the patient tends to eat starches such as bread, muffins, and so on, a gastric sleeve surgery would be suitable and if the patient tends to eat more sweet or crunchy carbohydrates, a bypass is recommended. Most patients tend to fare better without the extra malabsorption that is present in the bypass procedure, which is why it is not recommend unless necessary. 

What are the complications that may arise in a gastric sleeve procedure?

  1. This surgery has a complication rate of four percent and the complications which can arise are major bleeding, stricture, leakage, bowel perforation, splenic injury and antral ischemia requiring an emergency conversion to gastric bypass procedure.
  2. One percent chance of staple line leakage.
  3. 0.25 percent chance of death.

Is gastric sleeve surgery risky for sleep apnea patients since the CPAP machine can place excess pressure on the stomach?

Though there was a time when most doctors would be reluctant to use the CPAP on a gastric sleeve or bypass surgery patient especially, during the immediate postoperative period, currently, they are more open to this option and allow it. This is because valid data has been published in both bariatric and anesthesia literature over the past five years indicating lower risk of complications if patients take their CPAP machine to the hospital on the day of surgery and start using it in the recovery room. It is possible to use the CPAP while in the hospital and continue using it at home until the sleep apnea condition is cured through weight loss from the surgery. Prior to doing so, one needs to discuss this with their surgeon and if they insist on disallowing the machine, a second opinion is warranted.

What medical clearance or physical tests are required prior to an elective surgery such as a gastric sleeve procedure?

Medical clearance or physical examination involves the doctor checking the rhythms of the heart, lungs, and vitals. Questions will be asked regarding recent illnesses and current medication lists. Medications being currently consumed need to be checked to ensure they do not react or cause problem in the impending surgery and other medication will be provided at the time of the operation as well. With respect to testing, blood tests are carried out to rule out anemia, kidney functioning is monitored and electrolyte levels are checked. The patient is also observed for signs of ongoing infection. Depending on any other existing medical problems such as family or personal history of heart disease, a chest x-ray, an electrocardiogram (EKG) or a complete cardiac workup may be necessary.

Is a gastric sleeve surgery recommended if a person has undergone a total colectomy?

The first and most important determinant is the reason why the colectomy was carried out. For example, if a person has the Crohn's disease, getting a bariatric surgery done is unlikely. If this is not the case, though gastric bypass surgery is not possible if a total colectomy was carried out, a gastric sleeve or a lap band procedure is more advisable. The doctor should be asked about the possibility of such a procedure. In both these surgeries, the stomach pouch is made smaller and it is also safe given the history of colectomy.  

Can Accutane be safely taken to clear acne after a failed gastric sleeve surgery?

There are no side effects or contraindications of patients who have undergone gastric sleeve surgery to consume Accutane medication. The medication should work normally on a patient who has had surgery as compared to someone who has not had surgery. The main thing to ensure while taking this medication is not to get pregnant and to take multivitamins as prescribed or necessary.

The above article provides an overview of some of the questions related to gastric sleeve surgery and pertinent information for a person considering such a surgery. Since each case, situation or person is different, it would be wise to get customized answers and opinions about your particular gastric sleeve question in a confidential manner from the comfort of your home. To do so, contact bariatric Experts online for quick and affordable answers.

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