Our Summary

This research paper discusses a common type of weight loss surgery known as laparoscopic sleeve gastrectomy, which has become the most frequently performed bariatric surgery. During this procedure, a large part of the stomach is removed to create a smaller, sleeve-like stomach, using a surgical stapler. A tool called a bougie is used to measure the size of the new stomach. However, accidentally stapling the bougie during surgery is a significant complication that can occur. The paper discusses this complication and how to correct it, using three case studies as examples.

FAQs

  1. What is a laparoscopic sleeve gastrectomy and why is it a commonly performed weight loss surgery?
  2. How is the size of the new stomach measured during gastrectomy?
  3. What is the significance of the complication of accidentally stapling the bougie during surgery and how can it be corrected?

Doctor’s Tip

One tip a doctor might tell a patient about gastrectomy is to follow a strict post-operative diet plan to aid in recovery and promote weight loss. This may include consuming small, frequent meals, avoiding high-fat and high-sugar foods, and focusing on protein-rich foods to help maintain muscle mass. It is important to work closely with a dietitian to develop a personalized nutrition plan that meets the patient’s individual needs and goals. Additionally, regular exercise is also crucial for long-term success after gastrectomy.

Suitable For

Patients who are typically recommended for gastrectomy are those who are severely obese and have not been successful in losing weight through other methods such as diet and exercise. This includes individuals with a body mass index (BMI) of 40 or higher, or a BMI of 35 or higher with obesity-related health conditions such as type 2 diabetes, high blood pressure, or sleep apnea.

Other patients who may be recommended for gastrectomy include those with obesity-related health conditions that are significantly impacting their quality of life and overall health. Additionally, patients who have tried other weight loss surgeries such as gastric banding or gastric bypass and have not achieved their desired weight loss goals may also be recommended for gastrectomy.

It is important for patients considering gastrectomy to undergo a thorough evaluation by a healthcare provider to determine if they are suitable candidates for the procedure. This evaluation may include a physical examination, medical history review, and possibly psychological evaluation to ensure that the patient is mentally prepared for the lifestyle changes that come with weight loss surgery.

Timeline

Before Gastrectomy:

  1. Patient undergoes pre-operative evaluations, including physical exams, blood tests, and imaging tests.
  2. Patient meets with a dietitian and/or psychologist to discuss diet and behavioral changes needed post-surgery.
  3. Patient may be required to lose a certain amount of weight before surgery to reduce surgical risks.
  4. Patient signs consent forms and prepares for surgery.

After Gastrectomy:

  1. Patient is closely monitored in the hospital for a few days post-surgery for any complications.
  2. Patient is put on a liquid diet for the first few weeks, gradually transitioning to solid foods.
  3. Patient is advised to eat small, frequent meals and chew food thoroughly to prevent discomfort.
  4. Patient is encouraged to start a regular exercise routine to aid in weight loss.
  5. Patient attends follow-up appointments with their healthcare team to monitor progress and address any concerns.
  6. Patient may experience rapid weight loss in the first few months post-surgery, followed by a slower rate of weight loss over time.
  7. Patient may need to take supplements to prevent nutrient deficiencies due to reduced food intake.
  8. Patient may experience changes in appetite, taste preferences, and digestion post-surgery.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with gastrectomy surgery?
  2. What is the recovery process like after gastrectomy surgery?
  3. How will my diet and eating habits need to change after gastrectomy surgery?
  4. What type of follow-up care and monitoring will be required after gastrectomy surgery?
  5. What are the long-term effects of gastrectomy surgery on my overall health and well-being?
  6. What alternative treatment options are available for weight loss besides gastrectomy surgery?
  7. How experienced is the surgical team in performing gastrectomy surgery?
  8. What is the success rate for weight loss and improvement in health outcomes following gastrectomy surgery?
  9. Are there any support groups or resources available for patients who have undergone gastrectomy surgery?
  10. How will gastrectomy surgery affect my ability to absorb nutrients and vitamins from food?

Reference

Authors: Baltasar A, Bou R, Serra C, Pérez N, Ros A. Journal: Surg Obes Relat Dis. 2016 Jun;12(5):1136-8. doi: 10.1016/j.soard.2016.04.021. Epub 2016 Apr 25. PMID: 27523729