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Am I a Candidate for Weight Loss Surgery?
As in all obesity surgeries, selecting appropriate candidates for tube stomach operation is very important. If you want to have a weight loss surgery then you should fulfill some certain criteria in order to go under the surgery which are listed below.
Tube stomach, also known as vertical sleeve gastrectomy, is a surgical weight-loss procedure. This procedure is typically performed laparoscopically, which involves inserting small instruments through multiple small incisions in the upper abdomen. Limiting the size of your stomach restricts the amount of food you are able to consume.
There are some significant criteria for sleeve gastrectomy operation :
• Body Mass Index (BMI) is 40 or higher ;
• BMI is 35 to 39.9 and there is a serious weight-related health problem, such as type 2 diabetes, especially high blood pressure, or severe sleep apnea. In specific situations?, you may qualify for certain types of weight-loss surgery if your BMI is 30 to 34 and you have serious weight-related health problems.
The patient must also be willing to make permanent changes to lead a healthier lifestyle. Should be ready to divide his/her life into two parts as before and after the operation.
Stomach Continues its Functioning
Throughout this procedure, about 80 percent of the stomach is removed, leaving a tube-shaped stomach looking like a banana. Starting from an area close to the pylorus known as the exit door of the organ, the part up to the esophagus is turned into a tube. The organ continues its normal function.
Removing a portion of the stomach reduces the body’s level of a hormone called ghrelin, which is commonly referred to as the ‘hunger hormone’. Therefore, many people find that they are much less hungry after the sleeve gastrectomy. Ghrelin also plays a role in blood sugar metabolism, so people with type II diabetes often see an immediate decrease in their need for diabetes medications (especially oral medications) after the sleeve gastrectomy.
Nutritive recommendations after the operation
Sleeve gastrectomy diet typically follows 5 staged approaches:
These stages let the patient heal without being drowned by the food he/she eats, get used to eating the smaller amounts of food, and avoid side effects and complications from the surgery.
The role of the protein is crucial
Consuming protein is the most significant part of the diet. Protein is the main nutrition of the diet after bariatric surgery and it is important to take it sufficiently (approximately 60-80 gram per day). It is also necessary to take multivitamins on regular basis, as recommended by a dietician in order to keep away from after-surgery complications such as hair loss, sleeping problems, and fatigue. For the first two weeks, the patient must adopt a liquid diet.
During the third week, patients should follow a pureed/soft diet. She/he should continue to take 60-80 grams of protein per day and consume enough liquid as well.
As the fourth week comes, the patient learns what he/she must eat or avoid, how to chew foods, and eat slowly. The patient should be warned not to take solid and liquid foods at the same time.
After about four weeks on the diet, the patient gradually starts to eat protein and vegetables through the fifth week.
Expected weight loss after surgery
Age, gender, overall health, and genetics play role in how much weight the patient loses. It is expected to lose 20-30 kg for the first three months. The person continues to lose 3-5 kg per month after that.
Many people lose more than one half of their excess weight by a year.