Gastric Sleeve Surgery
Gastric sleeve surgery, or sleeve gastrectomy, is a bariatric procedure that involves removing a large portion of the stomach, leaving it with a tubular, sleeve-like shape. This drastic reduction in stomach size limits the amount of food a person can consume and promotes feelings of fullness more quickly.
Physiological Bases and Benefits
- Reduction in gastric capacity: By significantly reducing the size of the stomach, the amount of food it can contain is limited.
- Decreased production of appetite hormones: Gastric sleeve also affects the production of hormones such as ghrelin, which stimulates appetite.
- Sustained weight loss: The combination of these factors leads to significant and sustained weight loss in most patients.
- Improvement of comorbidities: Gastric sleeve surgery can improve or resolve obesity-related health problems, such as type 2 diabetes, hypertension, sleep apnea, and heart disease.
Advantages of Gastric Sleeve Compared to Other Bariatric Techniques
- Simpler procedure: Compared to other bariatric surgeries, the gastric sleeve is generally considered a simpler and less invasive procedure.
- Lower risk of nutritional complications: By preserving the small intestine, the risk of nutritional deficiencies is lower compared to procedures involving bypass.
- Aesthetic Results: In addition to weight loss, gastric sleeve surgery can improve body contour and self-esteem.
- Lower conversion rate to other surgeries: In cases where weight loss is not as expected, the gastric sleeve can be converted to other bariatric surgeries if necessary. *Possibility in the future of being able to have a larger surgery if there was weight gain and habits were broken.
La cirugía de manga gástrica está indicada para pacientes con obesidad mórbida que no han logrado perder peso de forma significativa con dietas y ejercicio. Los criterios específicos pueden variar, pero generalmente incluyen:
- Body mass index (BMI) greater than 40: It is considered morbid obesity.
- BMI between 35 and 39.9 with comorbidities: Such as type 2 diabetes, hypertension or sleep apnea.
- Fallo en perder peso con tratamientos conservadores: Dietas y ejercicio. Es importante destacar que la cirugía de manga gástrica no es una solución mágica. Requiere cambios duraderos en el estilo de vida, incluyendo una dieta saludable y ejercicio regular para lograr resultados óptimos y mantener la pérdida de peso a largo plazo. Si tienes problemas de obesidad y enfermedades metabólicas o hipertensión, infertilidad, problemas articulares entre otros, agenda tu cita, seguros que podemos ayudar a mejorar tu calidad de vida.
Gastric Plication Surgery
Gastric Plication: A New Surgical Technique for Treating Morbid Obesity
This is a relatively new surgical technique for the treatment of morbid obesity. This procedure is less invasive than other traditional bariatric surgeries and is performed laparoscopically, which involves small incisions in the abdomen.
How Does It Work?
During the surgery, the surgeon folds the greater curvature of the stomach inward and sutures it in place, thus reducing the size of the stomach by approximately 75%. This creates a restrictive mechanism that limits the amount of food the patient can consume, aiding in weight loss.
Benefits
- Less Invasive: No need to cut or remove part of the stomach or intestine.
- Reversible: Unlike other bariatric surgeries, gastric plication is reversible.
- Fewer Risks: Lower risk of long-term complications compared to procedures like gastric bypass.
Results
Studies have shown that patients can lose between 30% and 55% of their excess weight in the first two years after surgery. Additionally, improvements have been observed in obesity-related conditions, such as type 2 diabetes.
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