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Obesity is a chronic disease, which is strongly associated with diabetes mellitus, high levels of cholesterol, high levels of triglycerides, high blood pressure, sleep apnea, arthritis, low back pain, infertility, heart and lung disease.
That is why it can severely affect the quality of life and needs intervention to improve and resolve the comorbidities.
Obesity is one of the main causes of preventable death in the world, with three in five Americans considered overweight, about seven in ten Mexicans being overweight or obese. There are more than 400,000 deaths each year related to obesity.
Unfortunately, no matter how many diets you try the fact is that they have a minimal and short- term impact on weight loss. Surgery for obesity and related diseases is an established and integral part of the comprehensive management of obese patient, with excellent and sustainable results on weight loss. The best approach that we offer is minimal invasive surgery.
The simple way to determine if you are obese is to calculate the Body Mass Index that is a measure of body fat based on height and weight. The way to calculate the body mass index is: body mass (kilograms divided by the square of the body height. Patients are considered obese if they have a body mass index (BMI) greater that 30 kg/m2.
World Health Organization classification: Body Mass Index (BMI)
Gastric sleeve consists of removing a 70-80% of the stomach leaving a narrow gastric tube through which food passes. The procedure mixes two mechanisms of action: Restrictive (cutting vertically 70-80 % of the stomach) and
Metabolic (cutting the fundus where hunger hormone is produced that is responsible for satiety).
Indications for Gastric Sleeve
Let me explain the steps to prepare you for surgery:
After the surgery, which lasts approximately one hour to an hour and a half, you go to the recovery room, where you will be 2 hours monitoring your vital signs and recovering from the anesthesia, then you will go to a room to continue your recovery. You may feel nausea, dizziness, abdominal distension, abdominal pain, pain in the back and shoulders, which is temporary and improves over time.
You’ll also be expected to get out of bed and into a chair beginning the night of surgery, as well as walk in the halls with assistance, to avoid the formation of blood clots. We take care all the time that your recovery will be adequate by indicating painkillers and medicine for nausea. The first 24 hours you can only suck on ice chips, and then we perform a study to check the anatomy of the gastric sleeve and verify there is no leak. You will start drinking clear liquids after the leak test. If you feel comfortable and if there are no complications you will be discharged to the hotel.
The Gastric Sleeve surgery is a safe procedure, with excellent results. It is common that after surgery you have pain, which gradually decrease and appears with movements such as getting up, coughing, laughing, etc. If you present constant pain and do not decrease with painkillers do not hesitate to contact us.
Surgical wounds may occasionally drain blood and serum, which is normal for the first 5 days. All you have to do is wash them with soap and water and leave them dry. If you have a change in the characteristics of wounds with drain that becomes cloudy, thick and smelly as well as changes in the skin (red, warm, bulging and painful when you touch it) will probably have a wound infection, so do not hesitate to contact us. If you have fever, pain that gets worse over time, diet intolerance, persistent vomiting you should contact us to verify that you don´t have complications
After the Gastric Sleeve surgery the patient usually return to normal activities in seven days.
The first 20 days is recommended relative rest, this means that you can perform basic tasks such as getting up, going to the bathroom, personal hygiene and most important walking. It is necessary to walk, with this you have bowel movements, don´t accumulate secretions in the lungs and prevent blood clot formation. From 20 days to 3 months after surgery it is recommended to carry out low impact activities like walking and swimming. After 3 months you can do your normal activities.
We recommend take a multivitamin, B12, B1, calcium, iron and a diet high in protein (75%) each day. This is to prevent nutritional deficiencies, avoid malnutrition and loss of lean mass. It also increases the metabolic effect of surgery.
You should continue to take your other medications as prescribed. The first two weeks after surgery you have to crush them or consume in liquid form.
You may experience unexpected responses to alcohol and should also avoid it due to empty calories. Surgery for obesity and related diseases is a safe procedure and with an excellent result in terms of weight loss and control of related diseases.
Dr. Jorge Reyes Mendiola is a renowned Gastrodigestive Surgeon specialized in gastrointestinal surgery, abdominal wall surgery and multidisciplinary management of obesity. Dr. Jorge Reyes Mendiola is an active member of the Mexican Association of General Surgery, Mexican Association of Endoscopic Surgery, Mexican Association of Hernia, International Federation for the Surgery Obesity and Metabolic Disorders
Hoping that this information helped you get a more clear understanding of bariatric surgery, we hope that you will not hesitate to contact Dr. Jorge Reyes Mendiola in case you need more details.
2017-06-09 / Updated on: 2021-01-08