EveSleeve Gastrectomy; is a surgery based on reducing the size of the stomach. It can also be expressed as a restrictive method. This is a laparoscopic operation that is performed under anesthesia by entering through small holes without making a large incision in the abdominal area.
Gastric volume is reduced by removing the area secreted by the fasting hormone from the stomach and most of the body part. Lowering the level of hormones called Ghrelin gives a feeling of fullness. The remaining stomach volume is approximately 100 to 150 ml (1 cup of tea) and has an approximate tube shape.
This method is the surgery closest to body physiology. The nutrients, vitamins and minerals taken are digested and absorbed by the body.
- It is done to reduce the amount of food that the patient can take by reducing the volume of the stomach and to connect the small intestine to the small region of the left stomach and thus shorten the path of the food that is absorbed. In other words, it is both restrictive and non-absorbent surgery.
With this method, the stomach volume is reduced to around 20 to 40 cm3. Since most of the stomach, duodenum (12 intestines), and small intestine (jejenum) are bypassed, absorption of edible foods (especially sugary foods high in calories) is prevented.
It is a surgical method in the treatment of uncontrolled type 2 diabetes disease associated with obesity. In this surgery, after making a large gastric sheath, a planned and measured part of the small intestine is sutured near the gastric outlet. Thus, a normal and short intestinal passage is provided. Blood sugar is controlled and the patient is thin.
In this operation, after making a large gastric sleeve, a planned and measured part of the small intestine is cut. The near end of the large intestine is connected to the outlet of the stomach. The upper end is planted near the large intestine for effective blood sugar and diabetes control, and the patient loses weight.
Duedonal Switch, also known as biliopancreatic diversion surgery; It is a highly absorbent and partially restrictive surgery. It's like a combination of bypass and neck. This surgery can be presented as a surgical option in diabetic patients with a mass index above 50, which we call super obese, and in patients who have already had stomach surgery and have gained weight. It is also one of the most appropriate approaches for patients with uncontrolled diabetes.
The term abolished metabolic surgery nowadays now defines diabetes surgery. People with type 1 diabetes do not benefit from the surgery. It can be given in type 2 diabetes, depending on the level of insulin secreted by the pancreas. The basic principles are to ensure the effective use and effectiveness of body insulin.
In this operation, the stomach or intestine is not cut. Once the large side of the stomach is released, the stomach is collapsed by folding inward to reduce the volume by nonabsorbable sutures. The advantage is that there is no suture line leakage because the stomach is not cut. However, it is not as effective as laparoscopic or bypass gastrectomy in terms of weight loss. It may be preferred in people who do not want a very high mass index and an incision in the stomach.