Dr Deepak Varma Gastro Surgeon Cochin

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Before, During And After Sleeve Gastrectomy

Date :24-Jul-2018

Most people are living at the high end of their genetic weight range. This genetic trend accompanied by present-day eating habits add up to a condition called obesity.Laparoscopic sleeve gastrectomy or sleeve includes the removal of (about 75%) the stomach along the greater curvature surgically. This is preferred by candidates who want a straightforward weight loss procedure.

Is It For You?

Not all who are obese qualify for gastric sleeve. Adults (18 -65 age) who are morbidly obese ie who have a body mass index (BMI) of 40 or higher are considered ideal candidates for a sleeve.


A proper diet to reduce the size of the liver is followed 2 weeks before the surgery date.
Your way of eating will change before and after the surgery.

What's Different About Sleeve?

  • Shorter operating time (60 minutes) compared to gastric bypass
  • Reduction of appetite
  • Changes in weight are experienced in over a year in sleeve procedures. Most of the patients tend to freak out when they stop losing weight all of a sudden this is due to the reduction in metabolic rate.
  • Sleeve requires a less follow up while lap bands require regular adjustments.
  • No foreign objects: It does not require placing foreign objects into the body as in Lap-Band procedure.

Procedure Explained:

This minimally invasive procedure takes less time to heal and is comparatively less painful. Very small incisions between .5 and 1.5 centimeters are made initially. A vertical incision is made in the stomach in an attempt to create a long sleeve. The portion of the stomach removed is the part where the hunger-stimulating hormone, Ghrelin is produced. As a result, the patient after having undergone the procedure will have a lesser appetite. This, however, will not affect the rate at which vitamins and minerals are absorbed.

Postoperative Management:

  • Diet Maintenance: You have succeeded in shrinking your stomach but it doesn't have anything to do with your mind. Falling back to your old dieting habits can make you gain weight again even after a sleeve. A multivitamin-mineral rich diet is expected to be followed.
  • Exercise Maintenance: Going through a sleeve is not enough to keep that body of yours slim and trim you will have to do your part to burn those carbs.
  • Mood Maintenance: “Optimism” is the key word here. No matter how your mood is don't let “food cravings” take you over.

Before you jump to conclusions, make yourself aware of the complications that follow. The procedure once performed is irreversible in nature. Vomiting and spasm may be there for the patients who have undergone this procedure. These are mostly observed within the first month after the surgery.

Sleeve gastrectomy is nothing but a way to get your desired shape. It's nothing scary!
Dr. Deepak Varma the leading gastro surgeon in Kochi is the best in the field of bariatric surgical care. To know more about weight loss surgery in Kerala and further inquiries, come and consult him. He is known as the best bariatric surgeon in Kochi.

Mail Us : gastrosurgeoncochin@gmail.com
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