Our Summary

This study aimed to understand the changes in metabolism and weight loss in patients who had undergone a specific type of weight loss surgery called sleeve gastrectomy. The researchers measured the volume of the remaining stomach 6-12 months after the surgery. They also recorded body mass index (BMI), weight loss, and different types of cholesterol and proteins before and after the surgery.

There were 49 participants with an average pre-surgery BMI of 47.26 and an average age of 37.51 years. The average volume of the remaining stomach was 155.36cc.

The results showed that the smaller the remaining stomach volume, the lower the post-surgery BMI and the higher the weight loss. The smaller stomach volume also correlated with a decrease in HbA1c, a measure of blood sugar control. This suggests that the surgery can be effective for patients with Type 2 diabetes.

The researchers did not find a relationship between the remaining stomach volume and the different types of cholesterol and proteins measured.

FAQs

  1. What is the relationship between the remaining stomach volume and weight loss after sleeve gastrectomy?
  2. Does the size of the remaining stomach impact the post-surgery BMI and blood sugar control?
  3. Did the study find any correlation between the remaining stomach volume and levels of cholesterol and proteins after the surgery?

Doctor’s Tip

A helpful tip that a doctor might tell a patient about gastric sleeve surgery is to focus on portion control and making healthy food choices. Since the stomach is smaller after the surgery, it is important to eat smaller meals and avoid high-calorie, high-fat foods. It is also important to stay hydrated and prioritize protein-rich foods to support healing and maintain muscle mass. Regular exercise and following up with healthcare providers for monitoring and support are also key components of successful weight loss after gastric sleeve surgery.

Suitable For

Overall, gastric sleeve surgery is typically recommended for patients who have a BMI of 40 or higher, or a BMI of 35-39.9 with obesity-related health conditions such as Type 2 diabetes, high blood pressure, or sleep apnea. It is also recommended for patients who have not been successful with other weight loss methods such as diet and exercise. Additionally, patients who are motivated to make lifestyle changes and are committed to long-term follow-up care are good candidates for gastric sleeve surgery.

Timeline

Before the surgery:

  • Patient consults with a healthcare provider to discuss weight loss options
  • Patient undergoes pre-operative tests and evaluations
  • Patient receives education on the procedure and post-operative care
  • Patient may be required to follow a specific diet and exercise regimen before surgery

After the surgery:

  • Patient undergoes the sleeve gastrectomy procedure
  • Patient stays in the hospital for a few days for monitoring and recovery
  • Patient follows a strict post-operative diet plan to allow the stomach to heal and adjust to the smaller size
  • Patient gradually starts to see weight loss and improvements in health parameters such as blood sugar control
  • Patient attends follow-up appointments with the healthcare provider for monitoring and support
  • Patient continues to make lifestyle changes to maintain weight loss and overall health

What to Ask Your Doctor

  1. How does sleeve gastrectomy work to promote weight loss?
  2. What are the potential risks and complications associated with sleeve gastrectomy?
  3. What is the typical recovery process like after sleeve gastrectomy surgery?
  4. How much weight can I expect to lose after the surgery?
  5. Will I need to make any changes to my diet or exercise routine after the surgery?
  6. How often will I need to follow up with you after the surgery?
  7. Are there any long-term effects or considerations I should be aware of?
  8. Will I need to take any supplements or medications after the surgery?
  9. How will sleeve gastrectomy impact any existing medical conditions I have, such as Type 2 diabetes?
  10. Can you provide me with information on support groups or resources for patients who have undergone sleeve gastrectomy?

Reference

Authors: Şahin K, Güler SA, Şimşek T, Şahin E, Varol E, Çakır Ö, Utkan NZ, Cantürk NZ. Journal: Chirurgia (Bucur). 2023 Aug;118(4):380-390. doi: 10.21614/chirurgia.2023.v.118.i.4.p.380. PMID: 37698000