- With a BMI above 30%,
- With a BMI above 27% and obesity-related conditions,
- For the patients with a BMI above 50%, as a helpful method during the preparation process to the weight loss surgery
- Age 18 or older
Not recommended while pregnant, having major stomach hernia, esophageal damage in the future related to reflux diseases, severe gastritis and ulcer, also for the people taking aspirin or having psychological problems.
The empty ballon inserted in the stomach is filled with either steril saline or air(depends on the type of balloon being used and the preferance of the surgeon). You will have than the feeling of fullness even after eating smaller amount of food.
It helps people to reduce their nourishment by giving a diet and helps them to lose weight.
Stays 6 months in the stomach and must be avoid to leave more than 6 months. İt provides to people loosing 20-25% kilogram in 6 months.
- First 48 hours you may experience stomach cramps, a sense of nausea and perhaps vomiting.
- You may also experience a risk of infection, balloon may go down or deflate.
A gastric band operation is a type of weight loss surgery. It involves reducing the capacity of your stomach using an adjustable band so that you can only eat small amount of food.
The surgeon will make four to five small cuts in your upper abdomen in order to gain access to your stomach. The operator will use small instruments, guided by a laparoscope to place the band around the top part of your stomach.
- Lower risks during the operation
- No reducing or cut in stomach
- Laparoscopically applied
- Bleeding, organ injury and infection
- Sliding or displacement of the band according to malnutrition
- It may rarely damage to the stomach wall (erosion)
The procedure is performed laparoscopically. The left side of the stomach is removed leaving a smaller sleeve or tube that shaped like a banana.The stomach is reduced by 75%. This procedure realize by putting 3 lines of punch in both side of the stomach with the help of automatic tools called stapler.There are 2 mechanism for a weight loss in sleeve gastrectomy,When the stomach capacity is around 150 ml and taking small amount of food, it will be full.There will occur a weight loss because of a decreasing food uptake.There will be no hunger feeling because of taking out the stomach tissue which produces Ghrelin known as a hunger hormone.Sleeve gastrectomy is an owerweight operation which is affective in a very short amount of time. %70 of the excess body fat loss in 6 months and 80% in 12 months.
- The sensation of fullness increased due to the decrease in stomach volume.
- There will be a reduced sensation of hunger
- Performed laparoscopically
- According to gastric bypass surgery ;
- It is an easier method of weight loss
- The operation procedure is shorter
- Shorter hospital stay
- Complication rates are lower
- Conformable method to the physiology.
- The stomach may expand 50%.
- General complications
- Allergic reactions to medications
- Risk of disease transmission related to transfusion due to blood loss
- Heart attack, renal insufficiency, urinary infection
- Possible death (0,2%)
- Specific Complications of Gastric Bypass Surgery
- Blood clot in leg veins
- Adjacent organ injury
- Leakage on stapler line (0,5-7 %)
Gastric bypass surgery helps people lose weight by changing how the stomach and small intestines process the food that people eat. The first step is to make patient’s stomach smaller using staples. The stomach is divided into astomach into a small upper section and a larger bottom section. The top section of stomach is where the food you eat is sent. The second step is the by-pass. The surgeon will connect a small part of patient’s intestine to a small hole in the pouch. The food will travel from the pouch into this new opening into the small intestine. Because of this, the body will absorb fewer calories.
- Performed laparoscopically
- Quick weight loss
- Patients lose excess body weight at by 2 years after surgery
- There is a low posibility to gain weight for a long time after the surgery.
- It is a major operation with serious risks.
- It may cause to anaemia and malnutrition which requires long-term vitamin and mineral support.
-Gallstone risk may occur due to the fast weight loss.
-Dumping syndrome may occur (vomiting, reflux, diarrhea.
-Allergic reactions to medications.
-Risk of disease transmission related to transfusion due to blood loss.
-Heart attack,renal insufficiency, urinary infection.
-Risk of death (0,2%)
-Specific Complications for Gastric By-pass Surgery
-Blood lot in leg veins
-Adjacent organ injury
-Leakage on stapler line (0,5 – 7 %)
-Narrowness of the line between stomach and intestine
The procedure is performed laparoscopically. The upper side of the stomach turns to a 100ml tube shape the same as in the sleeve gastrectomy procedure. The tube is then connected directly to the jejunum (lower intestines), approximately six feet from the starting point. This connection bypasses the upper portion of the small intestine (the duodenum) where the body absorbs most of the food's nutrients. When the patient consumes a meal, the food goes directly from the tube to the lower portion of the small intestines. The rest of the stomach is sealed so food is not able to enter it.
|- The procedure is shorter than gastric bypass
- There is a lower risk of post-surgery complications
- Same level of weight loss results and patients may experience relief from symptoms associated with obesity-related health conditions
|- It is a fairly new type of operation, therefore the long-term effects and results of mini gastric sleeve operation are somewhat unknown.
||- Reflux ratio is higher than gastric bypass
- The other complications are the same as in the gastric bypass surgery