Gastric Sleeve In Iran
Are you considering gastric sleeve surgery because you've tried diets and exercise for years and still have a lot of weight to lose? You'll want to know the risks and advantages, what makes someone a good candidate for the operation, and what long-term commitments you need to make to keep the results.
The Gastric Sleeve Surgery (or Vertical Sleeve Gastrectomy) is a bariatric procedure that removes 75-80% of the stomach. It is now the most commonly performed bariatric procedure in Iran and worldwide.
AM I A good CANDIDATE FOR GASTRIC SLEEVE?
You are a good candidate if your BMI is above 35. People w`ith a BMI between 32 and 35 can also have the acceptability for gastric sleeve if they have hard comorbidities such as high blood pressure, diabetes and sleep apnea. That shown, the best candidates for gastric sleeve are those with a BMI over 40. If you have decided to have a gastric sleeve surgery, consult with a consultant and discuss your overall health condition.Mediranco’s medical consultants help you choose the best type of weight loss surgery by analyzing your medical documents and photos.
What will you do in consultation?
When you come in for a gastric sleeve surgery consultation, we thoroughly review your medical history. This is like a history you’d complete for any doctor at a routine exam, telling us about previous illnesses and surgeries and whether you take any medications, as well as providing details about your overall health and your family’s history of diseases.
We also ask you to complete a questionnaire. Your answers will help us evaluate whether you’re ready for gastric sleeve surgery. These answers also provide information that’s needed for your insurance company to approve your surgery.
The gastric sleeve history form asks questions such as:
How long have you been overweight?
Why would you like a surgical evaluation?
Have you attended a weight loss seminar led by one of our surgeons?
What was your lowest weight in the last five years?
What was your highest weight in the past five years?
Do you have sleep apnea, and if so, do you use CPAP?
Have you been diagnosed with schizophrenia or bipolar disorder?
Are you on prednisone for any reason?
What exercise plans have you used?
What is your diet history?
As part of your diet history, we need to know the names of diets you’ve followed, when you were on each one, and how much weight you lost during the diet.
Before gastric sleeve surgery - what to ask your doctor
What is your experience?
Which procedures do you perform?
What are your complication rates?
What resources do you offer before and after surgery?
What is my BMI?
Do I have weight-related medical conditions?
Am I fully committed to changing my lifestyle?
How long will the surgery last?
What type of anesthesia will be used? Are there choices to consider?
Will I be in a lot of pain after surgery? What will be done to relieve the pain?
How soon will I be able to get up and move around?
How does the Gastric Sleeve surgery work in iran?1. There is a reduction in stomach volume, causing people to feel full much quicker after the surgery
2. Hormonal changes such as reduced secretion of hunger hormones cause people to feel less hungry
3. Increased stomach motility, which allows food to pass stomach and intestine quicker after surgery
Risks and safety of gastric sleeve
Advantage of Gastric Sleeve versus Gastric Bypass Surgery
- Technically, the Gastric Sleeve is a much simpler surgery. The operating time for gastric sleeve is usually 40-70 minutes, while gastric bypass surgery takes approximately 2-3 hours to complete.
- There is a much lower chance for nutrient or vitamin deficiency with the Gastric Sleeve procedure. In addition, there is no mal-absorption for Gastric Sleeve patients.
- Some long-term complications could occur with the Gastric Bypass patients including bowel obstruction, marginal ulcer, and internal hernias. The chance of Gastric Sleeve patients developing these complications is exceedingly rare.
As with any major surgery, sleeve gastrectomy poses potential health risks, both in the short term and long term.Risks associated with the sleeve gastrectomy can include:
- Excessive bleeding
- Adverse reactions to anesthesia
- Blood clots
- Lung or breathing problems
- Leaks from the cut edge of the stomach
Gastric sleeve procedure steps
1. Small incisions are made in the abdominal wall for the insertion of small trocars
2. The stomach is inspected. The blood vessels to the lateral side of stomach are divided.
3. A Bougie tube is inserted into the stomach and serves as a sizer for the size of the new stomach.
4. The stapler is used to divide the stomach into two parts.
5. Continuous firing of the stapler is used to divide the stomach.
6. The stomach is completely divided into two parts.
7. The new banana shaped stomach has about 20-25% of original stomach volume.
How you prepare
If you qualify for sleeve gastrectomy, your health care team gives you instructions on how to prepare for surgery. You may need to have various lab tests and exams before surgery.
Before your surgery, give your doctor a list of all medicines, vitamins, minerals, and herbal or dietary supplements you take. You may have restrictions on eating and drinking and which medications you can take.
If you take blood-thinning medications, talk with your doctor before your surgery. Because these medications affect clotting and bleeding, your blood-thinning medication routine may need to be changed.
Diet after Gastric Sleeve Surgery in iran
Right after the surgery
Right after the surgery a patient should consume only clear liquids. Sugar should be avoided as it may contribute to a dumping syndrome, which is caused by a rapid influx of sugars. Coffee may worsen acid reflux and thus should be limited to a minimum as well. Carbonated drinks should not be consumed as they cause gas formation. While still at the clinic, the patient will be introduced to pureed food and low-fat yoghurt. Pureed diet is advised for approximately six weeks after surgery.
Six weeks after surgery
During this period the patient is advised to consume baby food or homemade vegetable and lean meat purees, low-fat yoghurt without chunks, protein shakes, homemade clear broth. Baked and pureed apples, peaches or pears may be introduced as a snack, but preferably consumed in the first part of the day, as fruit are high in sugars. If not enough proteins are consumed with foods, protein powder may be added to the purees. Coffee or tea intake should be limited to no more than two cups per day. Water intake should be at least 1.5 liter of water a day. Remember to always eat slowly and chew well. Every meal should last at least 20 minutes.
When still on pureed foods, the patient should stick to unseasoned, caffeine-free, sugar-free, low-fat pureed products. Protein intake should be increased on week three. The patient may continue drinking protein shakes and introduce boiled or cooked eggs, jarred baby foods, pureed fish and avocados, hummus, mashed bananas, and other non-fibrous fruits.
After a month
After a month semi-solid foods may slowly be added and gradually transitioned into solid foods. Well-cooked chicken, fish and vegetables, sweet potatoes, low-fat dairy products, and low-sugar cereal are favorable choices, firstly roughly mashed with a fork. The patient should still avoid high-fat products, steaks, fibrous fruits, white potatoes, and other high-carb options. Caffeine should be reintroduced with moderation.
Note that the results of the procedure depend on one’s willingness to acquire and maintain healthy eating habits. From the fifth week forward the patient may introduce new foods and keep the emphasis on lean protein and vegetables. Sugary sweets and drinks should still be avoided. Learn to notice the difference between emotional binging and true hunger. Do not forget to keep hydrated.
Gastric Sleeve Surgery Results
You can get the best gastric sleeve surgery results by the assistance of continued exercise and a healthy approach to eating, many patients who have undergone a gastric sleeve lose more than half of their excess weight and are able to keep it off. Moreover, a lower weight means better health and a longer, happier life. A “large population study comparing mortality rates of bariatric and non-bariatric patients found a greater than 90 percent reduction in death associated with diabetes and a greater than 50 percent reduction in death from heart disease.”
How much does the gastric sleeve surgery cost in Iran?
The gastric sleeve surgery cost in Iran depends on various factors. Gastric sleeve surgery cost in Iran starts from $3000-4500and varies depending on the choice of the surgeon, facility and the city where you choose to get the procedure done. Also,coming from abroad to Iran has some travel costs as well, like flight, accommodation, visa, translator, and other expenses. So, this is the cost of excellent health and well-being of our guests and therefore Mediranco’s goal is to provide best gastric sleeve surgery in Iran at affordable prices.