Sleeve: What are the benefits and constraints of this obesity surgery?
The sleeve, also called longitudinal sleeve gastrectomy, is an obesity surgery that involves removing two-thirds of the stomach to permanently reduce its size. The goal: cause a satiety precocious. The patient eats less, satiates faster and can lose weight without frustration. This is the most common intervention among obesity surgery operations.
This operation is intended for patients generally between the ages of 18 and 60 with severe to morbid obesity. They are often affected by complications like diabetes or thehigh blood pressure and are "in failure of medical care", says Prof. David Nocca, Professor and Head of the Bariatric and Metabolic Surgery Unit at Montpellier University Hospital Center and Founding President of the League Against Obesity. "It's a treatment of last resort, performed by multidisciplinary teams composed among others of a surgeon, an anesthesiologist, a nutritionist, and a psychologist ".
"This is not the easy way. The patient does not come to have a part of the stomach removed for pleasure, but because he is sick, would like to remind Pr. Nocca. This surgery is not aesthetic, it is curative ".
The advantages of the sleeve
The sleeve allows to save patients and dramatically improve their lives. This operation can even put an end to complications related to obesity. "It can put diabetes in remission, can stop high blood pressure, but also theSleep Apnea" says the president and founder of the League Against Obesity.
The intervention is also functional, especially for elderly patients who use the operation because it allows them to can walk again. Pr. Nocca mentions a septuagenarian patient who obtained a dispensation for surgery. Thanks to this one, he was able to find the ability to move.
In other words, the sleeve allowsextend the life, knowing that an obese person at 20 years loses 13 years of life on average.
The constraints of the sleeve
The Follow up of the operation is essential for a result that lives up to his expectations. Several months are necessary to prepare the patient for the intervention and it will be necessary to go to multiple surgical and medical consultations during the first year following the operation, in particular with endocrinologists, nutritionists or dieticians.
The patient will also be required to take vitamins in the first few months and have physical activity re-education after weight loss. "It will also require a long-term annual follow-up to check if the patient has no deficiency or weight gain", explains the professor. Note that a restorative surgery could be considered two years later for patients with loose skin.
The first month, the patient often eat mixed or chopped productsthen, it consumes the equivalent of what a dessert plate can contain. Also, after the operation, it is necessary to insist on the protein ration, the risk being that the patient loses 4 to 5 kilos of muscles. Gold, "lose muscle risk of bring down basic metabolism and therefore have more trouble losing weight ", insists Pr. Nocca.
The patient must also chew the food, and avoid drinking while eating, otherwise the liquid takes the place of food in the stomach. "We avoid fizzy drinks, which can interfere with the gastric tube, but also sweet foods or that bring too many calories if you really want to see a result, " adds the bariatric surgeon, who specifies : "the operation is only part of the treatment: if the patient eats caloric products, nibbles, does not play sports, he can gain weight and the sleeve can be a failure"says the specialist. It is not enough therefore to be operated on.
The risks of complications of the sleeve
The patient may be subject to post-operative complications, like problems with stomach leaks. "In two to three percent of the cases, scarring can be long and tedious, the patient can very badly live it, have abdominal pain with fever, tachycardia, left shoulder pain. After healing, the majority of patients see the benefit of the intervention ", says the professor. The operated person can also suffer from gastroesophageal refluxwhich can be treated with antacids. Symptoms : chest burns, reflux in the mouth, which can interfere with the patient.
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