Sleeve Gastrectomy Surgery in India

Sleeve gastrectomy is a highly effective weight-loss surgery that involves reducing the stomach's size to approximately 15% of its original capacity. This procedure is typically performed using minimally invasive laparoscopic techniques, where small incisions are made in the abdomen, and a tiny camera guides the surgeon. During the surgery, a large portion of the stomach is removed, leaving behind a sleeve-like structure that restricts food intake and curbs hunger sensations. The remaining stomach is closed off with staples or sutures.

The primary goal of sleeve gastrectomy is to aid weight loss by limiting the amount of food an individual can consume in one sitting and reducing hunger cues. The smaller stomach capacity results in a faster feeling of fullness, leading to reduced caloric intake. Additionally, the procedure helps decrease levels of the hunger-stimulating hormone called ghrelin.

Sleeve gastrectomy is considered a safe and highly effective option for individuals with severe obesity. It is typically recommended for those with a BMI of 40 or higher or individuals with a BMI of 35 or higher, coupled with at least one obesity-related health condition.

This surgical intervention is often performed on an outpatient basis, allowing the patient to return home the same day. The typical recovery period spans one to two weeks, during which some discomfort and pain may be experienced, but these can be managed with appropriate pain medications. It is crucial for the patient to adhere to a strict diet and exercise plan to achieve the desired weight loss goals effectively.

Overall, sleeve gastrectomy is a reliable and safe weight-loss procedure that can help individuals achieve their desired weight targets. However, commitment to following post-operative instructions and making necessary lifestyle changes is essential to ensure optimal and sustainable results.

Types

Sleeve gastrectomy, a popular weight loss surgery, comes in various forms that cater to individual patient needs and health conditions. Each type of sleeve gastrectomy has its unique benefits and considerations. In this article, we will delve into the different types of sleeve gastrectomy procedures, providing insights into their distinctive characteristics and how they vary from the traditional sleeve gastrectomy.

Traditional Sleeve Gastrectomy

The traditional sleeve gastrectomy, also known as laparoscopic sleeve gastrectomy (LSG), is the most common and widely performed version of the surgery. As previously discussed, during this procedure, a large portion of the stomach is removed, leaving behind a banana-shaped "sleeve." The surgery aims to limit the amount of food the stomach can hold, reducing feelings of hunger and promoting weight loss. This procedure is suitable for candidates with a BMI of 40 or higher or a BMI of 35-39.9 with significant obesity-related health issues.

Mini Gastric Bypass (Loop Gastric Bypass)

The mini gastric bypass is a modification of the traditional sleeve gastrectomy, combining sleeve resection with a simplified gastric bypass. In this procedure, the surgeon creates a long tube-shaped stomach, similar to a sleeve gastrectomy. However, instead of completely removing the separated stomach, it is attached to the small intestine, forming a Y-shape bypass. This modification allows for both restrictive and malabsorptive effects, leading to more significant weight loss and improved resolution of diabetes and other metabolic conditions in some cases.

Banded Sleeve Gastrectomy

Banded sleeve gastrectomy is an approach that involves placing an adjustable silicone band around the newly created stomach sleeve. This band acts as a restriction, further limiting the stomach's capacity to hold food. The band can be tightened or loosened as needed, depending on the patient's weight loss progress and individual requirements. This technique may be particularly beneficial for patients who struggle with portion control after a standard sleeve gastrectomy.

Sleeve Gastrectomy with Duodenal Switch (SADI-S)

The Sleeve Gastrectomy with Duodenal Switch, abbreviated as SADI-S, is a more complex procedure that combines the restrictive properties of sleeve gastrectomy with a malabsorptive component. The surgeon creates a smaller sleeve-like stomach and then bypasses a significant portion of the small intestine. This combination results in greater weight loss and can be suitable for patients with severe obesity and those who have failed to achieve adequate weight loss with other procedures.

Single Anastomosis Sleeve Ileal (SASI)

The Single Anastomosis Sleeve Ileal (SASI) procedure is a hybrid approach that combines elements of sleeve gastrectomy with a loop duodenal switch. The surgeon creates a long tube-shaped stomach, like in a traditional sleeve gastrectomy, and then forms a single connection (anastomosis) between the small intestine and the stomach sleeve. This approach allows for both restriction and malabsorption, leading to significant weight loss.

Symptoms

Sleeve gastrectomy is a major surgical procedure that significantly alters the structure and function of the stomach, leading to substantial weight loss. As with any surgery, patients can experience various symptoms during the recovery period. It is essential for individuals undergoing sleeve gastrectomy to be aware of potential post-operative symptoms and understand how to manage them effectively. In this article, we will explore common symptoms that patients may experience after sleeve gastrectomy surgery.

Pain and Discomfort

Following sleeve gastrectomy, patients commonly experience pain and discomfort around the incision sites and the abdomen. This is a normal response to surgery and can be managed with prescribed pain medications provided by the surgical team. The intensity of the pain may vary among individuals, and it generally lessens as the healing process progresses.

Nausea and Vomiting

Nausea and vomiting can be expected after sleeve gastrectomy, especially in the initial days post-surgery. The reduction in stomach size and changes to its structure can cause temporary digestive disruptions. Patients should follow the recommended post-operative dietary guidelines strictly to minimize the risk of nausea and vomiting. Staying hydrated and consuming liquids slowly can also help alleviate these symptoms.

Feeling of Fullness and Early Satiety

One of the primary goals of sleeve gastrectomy is to promote a feeling of fullness and early satiety, making it easier for patients to consume smaller meals. After surgery, individuals may experience a sense of fullness with even tiny amounts of food. It is crucial to avoid overeating or consuming foods high in calories or fats to prevent discomfort.

Fatigue and Weakness

Post-operative fatigue and weakness are common symptoms due to the body's healing process. Surgery takes a toll on the body, and adequate rest and proper nutrition are essential for a smooth recovery. Patients should follow their surgeon's advice on post-surgery activity levels and gradually increase physical activity as they regain strength.

Swelling and Bruising

Swelling and bruising around the incision sites are typical after any surgery, including sleeve gastrectomy. These symptoms should gradually subside as the body heals. Applying ice packs to the affected areas in the first few days after surgery can help reduce swelling and alleviate discomfort.

Acid Reflux and Heartburn

Some patients may experience increased acid reflux or heartburn symptoms following sleeve gastrectomy. This can occur due to changes in stomach size and function. Dietary modifications, such as avoiding spicy and acidic foods, and elevating the head while sleeping can help manage these symptoms.

Constipation or Diarrhea

Changes in diet and reduced food intake can lead to irregular bowel movements after sleeve gastrectomy. Some patients may experience constipation, while others may have bouts of diarrhea. Maintaining adequate hydration and consuming fiber-rich foods can help regulate bowel movements.

Diagnosis

Sleeve gastrectomy is a life-changing weight loss surgery that can significantly improve the health and well-being of individuals struggling with obesity and related conditions. However, not everyone is a suitable candidate for this procedure. The diagnosis for sleeve gastrectomy involves a thorough evaluation of the patient's medical history, lifestyle, and overall health. In this article, we will explore the diagnostic process and considerations that determine if sleeve gastrectomy is an appropriate treatment option for an individual.

Initial Consultation and Medical History

The diagnostic process begins with an initial consultation with a bariatric surgeon or a specialized healthcare team. The patient's medical history is carefully reviewed, and the surgeon inquires about previous weight loss attempts, medical conditions, medications, allergies, and lifestyle habits. This information helps assess the patient's overall health and identifies any potential risks or contraindications for the surgery.

Body Mass Index (BMI) Assessment

One of the primary criteria for determining eligibility for sleeve gastrectomy is the calculation of the patient's Body Mass Index (BMI). BMI is a measure of body fat based on a person's weight and height. A BMI of 40 or higher, or a BMI of 35-39.9 with significant obesity-related health issues, may indicate that the patient is a potential candidate for sleeve gastrectomy.

Obesity-Related Health Conditions

Obesity often leads to various health conditions such as type 2 diabetes, hypertension, sleep apnea, and joint problems. The presence of obesity-related comorbidities can play a crucial role in the decision-making process for sleeve gastrectomy. If these conditions significantly impact the patient's health and daily life, surgery may be recommended as a means to improve or resolve them.

Psychological Evaluation

Bariatric surgery is a life-altering decision that requires a strong commitment from the patient to adopt significant lifestyle changes post-surgery. As such, a psychological evaluation is often conducted to assess the patient's mental and emotional readiness for the procedure. This evaluation helps identify potential barriers or challenges that may affect the patient's long-term success.

Nutritional Assessment

Sleeve gastrectomy significantly reduces the stomach's capacity to hold food, leading to changes in the way the body absorbs nutrients. As a result, candidates for the surgery undergo a comprehensive nutritional assessment. This evaluation ensures that the patient understands the dietary modifications required post-surgery and is willing to adhere to the recommended dietary guidelines.

Physical Health Evaluation

A thorough physical examination is conducted to identify any underlying health issues that might pose risks during surgery or recovery. This evaluation includes assessing cardiovascular health, respiratory function, and the patient's ability to tolerate anesthesia.

Risks

Sleeve gastrectomy is generally considered safe and effective for achieving significant weight loss and improving health outcomes for individuals with obesity. However, like any major surgery, it carries certain risks and potential complications. Understanding these risks is essential for patients considering sleeve gastrectomy as a treatment option. In this article, we will explore the possible risks associated with sleeve gastrectomy and the measures taken by healthcare professionals to minimize them.

Surgical Risks

Infection: As with any surgical procedure, there is a risk of infection at the incision sites or within the abdomen. To minimize this risk, surgeons follow strict sterile protocols during surgery, and patients are prescribed antibiotics when necessary.

Bleeding: Surgery involves cutting and suturing tissue, which may lead to bleeding during or after the procedure. Surgeons take measures to control bleeding during surgery, and patients are closely monitored for signs of post-operative bleeding.

Leakage: Sleeve gastrectomy involves stapling the stomach to create the sleeve shape. In some cases, leaks may occur at the staple line, leading to a condition called a "staple line leak." This is a serious complication that requires immediate medical attention and may necessitate further intervention.

Gastrointestinal Complications

Gastroesophageal Reflux Disease (GERD): Some patients may experience increased episodes of acid reflux or heartburn after sleeve gastrectomy. This occurs due to changes in the stomach's structure, leading to increased pressure on the lower esophageal sphincter. Medications and dietary modifications can help manage GERD symptoms.

Strictures: Narrowing of the stomach or at the connection between the stomach and the intestines (anastomosis) can occur in some patients after surgery. This can cause difficulty swallowing and may require further interventions to correct.

Nutritional Deficiencies

After sleeve gastrectomy, the reduced stomach size can limit the intake of certain nutrients. Patients must follow a strict post-operative diet and take prescribed supplements to prevent nutritional deficiencies, particularly in vitamins and minerals such as vitamin B12, iron, calcium, and vitamin D.

Dumping Syndrome

Dumping syndrome occurs when food moves too quickly from the stomach to the small intestine, leading to symptoms like nausea, dizziness, sweating, and diarrhea. Patients are advised to avoid high-sugar and high-carbohydrate foods to reduce the risk of dumping syndrome.

Blood Clots

Surgery and reduced mobility after the procedure can increase the risk of blood clots forming in the legs (deep vein thrombosis) or traveling to the lungs (pulmonary embolism). Patients are encouraged to walk and move regularly after surgery, and some may receive blood-thinning medications to prevent clot formation.

Causes

Sleeve gastrectomy, a surgical procedure that involves removing a large portion of the stomach, is primarily performed to assist individuals in achieving substantial and sustained weight loss. However, the decision to undergo sleeve gastrectomy is not solely based on cosmetic concerns. Rather, it is a carefully considered treatment option for individuals struggling with severe obesity and obesity-related health issues. In this article, we will explore the underlying causes that lead to sleeve gastrectomy as a solution to address obesity and related health conditions.

Severe Obesity

One of the primary causes of sleeve gastrectomy is severe obesity. Obesity is a complex medical condition characterized by excessive body fat accumulation, which significantly impacts an individual's health and quality of life. Severe obesity, defined by a Body Mass Index (BMI) of 40 or higher, or a BMI of 35-39.9 with obesity-related health conditions, can be challenging to manage through conventional weight loss methods such as diet and exercise alone. In such cases, sleeve gastrectomy may be recommended to achieve significant weight loss and improve overall health.

Failed Attempts at Weight Loss

Many candidates for sleeve gastrectomy have made multiple attempts to lose weight through dieting, exercise, and various weight loss programs without achieving sustainable results. Obesity is a complex and multifactorial condition, and for some individuals, genetics, hormonal imbalances, and other factors can make it challenging to lose weight and maintain weight loss long-term. Sleeve gastrectomy offers a more effective and lasting solution for weight loss in such cases.

Obesity-Related Health Conditions

Obesity is closely associated with various health conditions that can significantly impact a person's well-being. Common obesity-related health issues include type 2 diabetes, hypertension (high blood pressure), obstructive sleep apnea, cardiovascular disease, joint problems, and metabolic disorders. For individuals with obesity and one or more of these conditions, sleeve gastrectomy can serve as an essential intervention to improve or even resolve these health issues.

Improving Quality of Life

Obesity can lead to reduced mobility, limited physical activity, and diminished self-esteem, affecting an individual's overall quality of life. Engaging in routine daily activities can become challenging, leading to social and emotional difficulties. Sleeve gastrectomy offers an opportunity for significant weight loss, increased mobility, and improved self-confidence, leading to a better quality of life for many patients.

Multi-Disciplinary Approach

Before undergoing sleeve gastrectomy, candidates usually undergo a comprehensive evaluation by a multidisciplinary team of healthcare professionals, including bariatric surgeons, dietitians, psychologists, and other specialists. This approach ensures that the patient's individual needs and health conditions are considered to determine the most suitable treatment plan, which may include sleeve gastrectomy as an effective option.

Purpose

The purpose of sleeve gastrectomy goes beyond cosmetic concerns. This transformative weight loss surgery aims to provide individuals struggling with obesity and related health conditions an effective and sustainable solution for achieving significant weight loss and improving overall well-being. In this article, we will delve into the primary objectives and purposes of sleeve gastrectomy, highlighting its profound impact on patients' lives.

Significant Weight Loss

The primary purpose of sleeve gastrectomy is to facilitate significant and long-lasting weight loss in individuals with severe obesity. By removing a large portion of the stomach and creating a smaller sleeve-like structure, the surgery restricts the amount of food the stomach can hold. This leads to a decrease in hunger and earlier feelings of fullness, enabling patients to consume smaller portions and reduce caloric intake. Over time, patients can achieve substantial weight loss, often reaching 50-60% of their excess body weight within the first year or two after surgery.

Improvement of Obesity-Related Health Conditions

Obesity is associated with a range of health conditions, including type 2 diabetes, hypertension, sleep apnea, cardiovascular disease, and joint problems. The purpose of sleeve gastrectomy is to help patients manage or even resolve these obesity-related health issues. As weight is lost, many patients experience improvements in blood sugar levels, reduced blood pressure, and better sleep quality, among other health benefits.

Enhanced Quality of Life

Sleeve gastrectomy not only brings about physical changes but also has a significant impact on the patient's overall quality of life. As weight is shed and health conditions improve, individuals often experience increased mobility, enhanced self-esteem, and a renewed sense of confidence. Daily activities that were once difficult or challenging become more manageable, leading to an improved social life and greater participation in activities they may have previously avoided.

Sustainable Lifestyle Changes

The purpose of sleeve gastrectomy goes beyond the surgery itself; it involves a commitment to embracing healthier lifestyle choices. Patients are required to follow post-operative dietary guidelines, engage in regular physical activity, and attend regular follow-up appointments to monitor progress and address any challenges. The surgery serves as a catalyst for lasting lifestyle changes, empowering patients to make healthier choices and maintain their weight loss over the long term.

Multi-Dimensional Approach

Sleeve gastrectomy is not a one-size-fits-all solution. The purpose of this surgery is achieved through a multi-dimensional approach that includes pre-operative evaluation, counseling, and ongoing support. Candidates undergo a thorough assessment by a multidisciplinary team of healthcare professionals, including bariatric surgeons, dietitians, psychologists, and other specialists. This comprehensive approach ensures that each patient's unique needs and health conditions are considered, leading to personalized treatment plans for the best possible outcomes.

Procedure & Recovery

Sleeve gastrectomy, a popular bariatric surgery, offers individuals struggling with obesity a chance to achieve significant weight loss and improved health outcomes. Understanding the surgical procedure and the recovery process is crucial for patients considering sleeve gastrectomy as a treatment option. In this article, we will explore the step-by-step procedure of sleeve gastrectomy and what patients can expect during their recovery journey.

The Surgical Procedure

a. Pre-operative Preparation: Before the surgery, patients undergo a thorough evaluation and medical assessment to ensure they are physically and psychologically prepared for the procedure. They are given instructions on pre-operative dietary and lifestyle changes to optimize their condition for surgery.

b. Anesthesia: On the day of the surgery, the patient is administered general anesthesia to ensure they are comfortably asleep during the procedure.

c. Laparoscopic Approach: Sleeve gastrectomy is usually performed using a laparoscopic (minimally invasive) approach. Small incisions are made in the abdomen, and a laparoscope (a tiny camera) and specialized instruments are inserted to perform the surgery.

d. Removal of a Portion of the Stomach: The surgeon carefully divides the stomach vertically and removes about 75-80% of it, leaving behind a narrow, tube-like structure or "sleeve." The remaining stomach is shaped like a banana.

e. Stapling and Closure: The separated stomach is stapled to create the sleeve shape. The stapling process restricts the stomach's capacity to hold food, leading to decreased hunger and earlier feelings of fullness.

f. Closing Incisions: After completing the procedure, the surgeon closes the incisions with sutures or surgical glue.

Recovery Process

a. Hospital Stay: Following sleeve gastrectomy, patients typically spend 1 to 3 days in the hospital for recovery and monitoring.

b. Pain Management: Pain and discomfort are common in the first few days after surgery. The surgical team provides pain medications to manage discomfort during the initial recovery period.

c. Post-operative Diet: During the early stages of recovery, patients are limited to a clear liquid diet and gradually progress to consuming pureed and soft foods. The goal is to allow the stomach to heal and adjust to the new size.

d. Follow-up Appointments: Patients are scheduled for follow-up appointments with the surgical team to monitor progress, address any concerns, and ensure a smooth recovery.

e. Physical Activity: While it's essential to rest and allow the body to heal, patients are encouraged to engage in light walking and gentle movements to prevent blood clots and promote circulation.

f. Dietary Education: Throughout the recovery process, patients receive dietary education and counseling to ensure they understand the necessary lifestyle changes post-surgery.

Long-term Lifestyle Changes

Sleeve gastrectomy is not a quick fix; it requires a commitment to lifelong lifestyle changes. Patients are advised to:

Consume smaller, nutrient-dense meals

Avoid high-calorie, high-sugar, and high-fat foods

Engage in regular physical activity

Take prescribed vitamin and mineral supplements to prevent nutritional deficiencies

Preparation

Preparation for sleeve gastrectomy is a critical phase that sets the stage for a successful surgical experience and post-operative recovery. Proper preparation involves comprehensive medical evaluations, lifestyle adjustments, and psychological readiness. In this article, we will explore the essential steps involved in preparing for sleeve gastrectomy to ensure patients are well-informed and optimally prepared for the life-changing procedure.

Initial Consultation and Evaluation

The journey towards sleeve gastrectomy begins with an initial consultation with a bariatric surgeon. During this meeting, the surgeon assesses the patient's medical history, current health status, and weight loss goals. The patient's Body Mass Index (BMI) and any obesity-related health conditions are evaluated to determine their eligibility for the surgery.

Pre-operative Assessments

Prior to the surgery, patients undergo a series of pre-operative assessments, including blood tests, electrocardiogram (ECG), and chest X-rays. These tests help identify any underlying health issues that may impact the surgery or recovery.

Nutritional Counseling

Nutritional counseling is a crucial aspect of preparation for sleeve gastrectomy. Patients work closely with a registered dietitian to learn about the dietary changes necessary before and after the surgery. They are educated on consuming a balanced, low-calorie diet that helps reduce liver size and facilitate a safer surgical procedure.

Weight Loss and Lifestyle Changes

Some surgical programs require patients to undergo a period of supervised weight loss before the surgery. This helps shrink the liver, making it easier for the surgeon to access and operate on the stomach during the procedure. Additionally, patients are encouraged to adopt healthier lifestyle habits, such as regular exercise and stress management, to support their weight loss journey.

Psychological Evaluation and Support

Sleeve gastrectomy is a life-changing procedure that requires strong psychological readiness and commitment to lifestyle changes. A psychological evaluation helps identify any emotional or behavioral factors that may affect the patient's long-term success. Counseling and support are provided to address emotional eating, body image concerns, and coping strategies for life after surgery.

Medication Review

Patients are advised to review their current medications with their healthcare providers. Certain medications, such as blood thinners and non-steroidal anti-inflammatory drugs (NSAIDs), may need to be temporarily discontinued before the surgery.

Support Network

Having a support network is crucial for successful preparation and recovery. Patients are encouraged to involve family members, friends, or support groups in their weight loss journey. A strong support system can provide emotional support, encouragement, and understanding throughout the process.

Pre-operative Diet

In the days leading up to the surgery, patients are often required to follow a pre-operative diet. This diet typically involves consuming clear liquids or specific low-calorie foods to reduce the size of the liver and minimize surgical risks.

Clinical Trials

Sleeve gastrectomy is a prominent bariatric surgery utilized to combat obesity and its associated conditions. This procedure involves removing a portion of the stomach, leaving behind a smaller stomach pouch resembling the shape and size of a banana. By reducing the stomach's capacity, sleeve gastrectomy restricts the amount of food a person can consume, leading to weight loss.

As obesity becomes a pressing health concern, surgery has emerged as a primary approach for treatment, with sleeve gastrectomy gaining significant popularity as the most performed bariatric procedure. To further advance this surgery and enhance patient outcomes, clinical trials are actively being conducted to assess its safety and efficacy.

These clinical trials are carefully designed to scrutinize various aspects of sleeve gastrectomy, including patient responses, safety profiles, and overall efficacy. A typical trial would involve comparing patients who undergo the surgery with a control group that does not. The results obtained from these comparisons are meticulously analyzed to discern the benefits and risks associated with the procedure.

In certain cases, clinical trials may delve into comparing different sleeve gastrectomy techniques, such as open or laparoscopic procedures, or explore variations in how the stomach is stapled. Additionally, trials may investigate diverse approaches to dietary management and lifestyle modifications post-surgery.

The outcomes of these clinical trials hold significant importance in determining the most effective methods for performing sleeve gastrectomy surgery and optimizing patient outcomes. Furthermore, they serve as valuable sources of knowledge, fostering the development of innovative techniques and technologies to enhance the surgery's safety and effectiveness.

The invaluable data gathered from clinical trials plays a pivotal role in establishing guidelines and standards for sleeve gastrectomy surgery. This ensures that all procedures are carried out with safety and precision, ultimately leading to improved patient outcomes. Moreover, these trials contribute to identifying potential risks associated with the surgery, empowering patients to make well-informed decisions about their healthcare.

Sleeve Gastrectomy Surgery in India

Sleeve gastrectomy surgery is a viable option for weight loss, particularly for individuals with severe obesity (BMI of 40 or higher) or those who are overweight (BMI of 35 or higher) with significant health issues related to their weight.

The surgical procedure entails reducing the stomach's size by removing a considerable portion, leaving a sleeve-shaped stomach. This diminished capacity allows individuals to feel satiated with smaller food portions, potentially curbing hunger.

Performed laparoscopically, the surgery involves making small incisions in the abdomen to introduce a camera and surgical instruments. The procedure generally lasts around one hour, and patients may need to spend one to three days in the hospital for observation.

Sleeve gastrectomy surgery offers several advantages, including substantial weight loss and improvements in overall health. It lowers the risk of obesity-related health complications such as type 2 diabetes, hypertension, and sleep apnea, while enhancing physical mobility and overall quality of life.

However, akin to other bariatric surgeries like gastric bypass, sleeve gastrectomy carries potential risks like bleeding, infection, and blood clots. Rarely, stomach leaks can lead to severe complications.

Before the surgery, individuals must adhere to their healthcare provider's guidelines, which may include dietary and lifestyle modifications. Smoking cessation and necessary medical evaluations are also crucial prerequisites.

Post-surgery, strict adherence to a specified diet is essential, avoiding high-calorie, high-fat, and high-sugar foods. Regular exercise and consistent follow-up appointments with healthcare providers are vital to monitor weight loss progress.

Sleeve gastrectomy surgery is a promising avenue for significant weight loss and overall health improvement. However, a comprehensive discussion with a healthcare provider is essential to determine the appropriateness of this procedure for each individual. Moreover, being well-informed about potential risks and adhering diligently to pre- and post-surgery care instructions is crucial for a successful outcome.

Cost in India

Considering Sleeve Gastrectomy Surgery Treatment Cost in India can be an appealing choice for individuals seeking bariatric surgery. India offers one of the most cost-effective options globally, with prices starting at approximately $1212.18 to $3030.44 USD, depending on the chosen hospital and the specific type of surgery.

The comprehensive cost of Sleeve Gastrectomy Surgery in India typically covers pre-operative consultation, necessary investigations, anesthesia, hospital stay, the surgical procedure itself, and post-operative care. However, it's important to note that the overall cost may vary based on the hospital's reputation and the specific surgical approach.

Sleeve gastrectomy is a minimally invasive procedure designed to reduce stomach size, leading to decreased calorie intake. It serves as a safe and effective solution for obese individuals who have struggled to achieve weight loss through conventional diet and exercise methods.

Beyond its weight reduction benefits, sleeve gastrectomy substantially lowers the risk of medical complications like heart disease, stroke, and type 2 diabetes. Patients who undergo this procedure often experience significant weight loss and an enhanced quality of life.

The cost-effectiveness of sleeve gastrectomy in India can be attributed to the availability of skilled and qualified surgeons, reduced overhead expenses, and the availability of top-notch medical facilities.

Nonetheless, it is crucial to remember that the overall cost of the procedure includes not only the surgery itself but also pre-operative tests, post-operative care, and follow-up visits. These components should be taken into account when assessing the total expense.

Sleeve gastrectomy is indeed a safe and effective solution for those grappling with obesity and failing to achieve weight loss through traditional means. With its competitive pricing and a pool of experienced surgeons, India stands out as a prime destination for those seeking bariatric surgery. However, patients should thoroughly research and consider all aspects, including post-operative care, to make an informed decision about undergoing sleeve gastrectomy in India.

Side effect

Sleeve gastrectomy is generally considered a safe and effective weight loss surgery, but like any medical procedure, it carries potential side effects and risks. While many patients experience positive outcomes, it is essential to be aware of the possible side effects associated with sleeve gastrectomy. In this article, we will explore some of the common side effects that patients may encounter after undergoing this surgery.

Nausea and Vomiting: Nausea and vomiting are common side effects, especially during the early post-operative period. As the stomach adjusts to its reduced size, some patients may experience discomfort and sensitivity to certain foods. It is crucial for patients to follow their surgeon's dietary guidelines and eat small, frequent meals to minimize the risk of nausea and vomiting.

Acid Reflux and Heartburn: Sleeve gastrectomy can alter the pressure dynamics of the esophagus, leading to an increased risk of acid reflux and heartburn. Some patients may experience a worsening of pre-existing reflux symptoms or develop new ones after surgery. Medications and dietary modifications can help manage these symptoms effectively.

Dumping Syndrome: Dumping syndrome occurs when food moves too quickly from the stomach to the small intestine, causing symptoms such as nausea, dizziness, sweating, and diarrhea. This can happen if patients consume high-sugar or high-carbohydrate foods. Adhering to a balanced, low-carbohydrate diet can help prevent or alleviate dumping syndrome.

Strictures: Strictures, or narrowing of the stomach or the connection between the stomach and intestines, can occur in some patients after sleeve gastrectomy. Strictures can lead to difficulty swallowing and may require endoscopic dilation or other interventions to correct.

Nutritional Deficiencies: With a reduced stomach size, patients may find it challenging to consume adequate nutrients from their diet alone. This can lead to nutritional deficiencies, particularly in vitamins and minerals like vitamin B12, iron, calcium, and vitamin D. To prevent deficiencies, patients are advised to take prescribed vitamin and mineral supplements as recommended by their healthcare provider.

Gallstones: Rapid weight loss after sleeve gastrectomy can increase the risk of developing gallstones. Gallstones can cause pain and other complications, and in severe cases, may require surgical removal of the gallbladder (cholecystectomy).

Surgical Complications: Like any surgical procedure, sleeve gastrectomy carries the risk of surgical complications, including infection, bleeding, leaks from the staple line, and blood clots. The vast majority of patients experience a smooth recovery, but it is essential to be aware of these potential risks and to follow post-operative care guidelines closely to minimize them.

Success Rate

The success rate of sleeve gastrectomy, like any medical procedure, can vary based on individual factors and the definition of success used in different studies. Success in sleeve gastrectomy is typically measured in terms of weight loss, improvement in obesity-related health conditions, and overall patient satisfaction. It is essential to note that success rates are not solely dependent on the surgery itself but also on patients' commitment to making necessary lifestyle changes following the procedure. Here are some key factors that contribute to the success rate of sleeve gastrectomy:

Weight Loss: Sleeve gastrectomy is associated with significant and sustained weight loss for many patients. Studies have reported that patients can achieve an average excess weight loss of 50-60% within the first year after the surgery. Long-term studies have shown that many patients maintain a substantial portion of their weight loss for up to 5 years and beyond.

Improvement in Obesity-Related Health Conditions: Another measure of success in sleeve gastrectomy is the improvement or resolution of obesity-related health conditions. Many patients experience positive changes in conditions such as type 2 diabetes, hypertension, sleep apnea, and high cholesterol. For some patients, these improvements may lead to a reduced need for medications or the complete resolution of certain health issues.

Quality of Life: Beyond weight loss and health improvements, sleeve gastrectomy can significantly enhance the quality of life for patients. Many individuals experience increased mobility, improved self-esteem, and enhanced social interactions. The ability to engage in physical activities and daily tasks that were once challenging or impossible contributes to a higher overall satisfaction with life.

Long-term Follow-up: The success rate of sleeve gastrectomy is also influenced by the level of ongoing support and follow-up care provided to patients. Regular follow-up appointments and counseling sessions with a multidisciplinary healthcare team help patients stay on track with their weight loss goals, dietary guidelines, and lifestyle changes.

Individual Factors: Success rates can vary based on individual factors such as age, starting BMI, presence of obesity-related health conditions, adherence to post-operative guidelines, and overall commitment to lifestyle changes. Patients who actively engage in their post-operative care and make necessary lifestyle adjustments tend to have higher success rates.

Diet

After undergoing sleeve gastrectomy, following a carefully designed and well-balanced diet is essential for successful weight loss and maintaining optimal health. The post-operative diet aims to allow the stomach to heal while providing adequate nutrients to support the body's needs. Here's an overview of the after-treatment diet for sleeve gastrectomy:

Clear Liquid Diet (Phase 1):

The first few days after surgery, patients are placed on a clear liquid diet. This includes clear broth, water, sugar-free gelatin, and non-carbonated, non-caffeinated beverages. The goal is to prevent dehydration and give the stomach time to heal.

Full Liquid Diet (Phase 2):

After the clear liquid phase, patients progress to a full liquid diet. This includes pureed soups, low-fat yogurt, protein shakes, and strained, low-fat cream soups. Patients must consume liquids slowly and avoid drinking with straws to prevent swallowing excess air, which can lead to discomfort.

Pureed Diet (Phase 3):

Once the patient tolerates the full liquid diet, they advance to the pureed diet. Foods such as pureed vegetables, fruits, and lean proteins are included. The food should have a smooth consistency and should be consumed in small portions. Patients are advised to chew thoroughly and eat slowly.

Soft Diet (Phase 4):

The soft diet phase includes foods that are soft in texture and easy to chew. Cooked vegetables, soft fruits, and well-cooked grains are part of this phase. Patients can also incorporate soft, lean proteins such as fish, tofu, and ground poultry. It is essential to avoid tough or fibrous foods during this phase.

Regular Diet (Phase 5):

After the initial phases, patients can gradually return to a regular, healthy diet. However, portion sizes must be small to accommodate the reduced stomach size. Patients should focus on consuming nutrient-dense foods, including lean proteins, whole grains, fruits, and vegetables.