Our Summary

This research paper discusses a case study of a 34-year-old woman who was facing issues of overeating, continuous weight gain, and a Body Mass Index (BMI) of 38.6 kg/m2, which put her in the category of moderate obesity. To help her lose weight, doctors performed a surgical procedure known as a sleeve gastrectomy. This surgery involves reducing the size of the stomach to limit the amount of food a person can eat. In this particular case, they used a modified version of the procedure called a partial anterior gastric excision and flap tubularisation technique. The paper reports that the surgery was successful.

FAQs

  1. What is a sleeve gastrectomy and how does it help in weight loss?
  2. What is the partial anterior gastric excision and flap tubularisation technique used in modified sleeve gastrectomy?
  3. What is the significance of the anterior gastric wall excision with a gastric flap tubularisation technique in the successful sleeving of the stomach?

Doctor’s Tip

One helpful tip a doctor might tell a patient about gastric sleeve surgery is to follow a healthy diet and exercise regularly to maximize weight loss and maintain long-term success. It is important to work closely with a healthcare provider or nutritionist to ensure you are getting the proper nutrients and support throughout your weight loss journey. Additionally, attending regular follow-up appointments with your surgeon is crucial for monitoring progress and addressing any concerns that may arise.

Suitable For

Patients who are typically recommended for gastric sleeve surgery include 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 diabetes, high blood pressure, or sleep apnea. Candidates for gastric sleeve surgery should have tried and failed to lose weight through diet and exercise alone, and be committed to making lifestyle changes post-surgery to maintain weight loss. Additionally, patients should be in overall good health and have a realistic understanding of the risks and benefits of the procedure.

Timeline

  • Patient undergoes initial consultation with a bariatric surgeon to discuss weight loss options
  • Patient undergoes pre-operative screening, including blood tests, imaging studies, and psychological evaluation
  • Patient follows a pre-operative diet and exercise regimen to prepare for surgery
  • Patient undergoes sleeve gastrectomy surgery, which involves removing a portion of the stomach to create a smaller sleeve-shaped stomach
  • Patient stays in the hospital for a few days post-surgery for monitoring and recovery
  • Patient follows a strict post-operative diet and exercise plan to promote weight loss and prevent complications
  • Patient attends regular follow-up appointments with the bariatric team for monitoring and support
  • Over the following months, patient experiences significant weight loss and improvements in overall health and quality of life.

What to Ask Your Doctor

  1. What is involved in the gastric sleeve procedure?
  2. What are the potential risks and complications associated with gastric sleeve surgery?
  3. How much weight can I expect to lose after undergoing a gastric sleeve procedure?
  4. What dietary and lifestyle changes will I need to make after the surgery?
  5. How long is the recovery period after gastric sleeve surgery?
  6. Will I need to take any medications or supplements after the surgery?
  7. How often will I need to follow up with you after the surgery?
  8. Are there any long-term effects or considerations I should be aware of following gastric sleeve surgery?
  9. How will the surgery affect my ability to absorb nutrients from food?
  10. Can you provide me with information about support groups or resources for patients who have undergone gastric sleeve surgery?

Reference

Authors: Aigbonoga OQ, Okomayin AA, Ikhifa EC. Journal: Cureus. 2023 Aug 24;15(8):e44057. doi: 10.7759/cureus.44057. eCollection 2023 Aug. PMID: 37746436