What is the stomach cutting operation (sleeving)? What are its side effects?
In this surgery, the stomach is cut from above to below, and removes a significant portion of it, the remaining stomach size become as a finger, at a length of about 20 cm. The patient after this process feels fullness while eating a very small amount of food as the size of the stomach is small, also because we removed the entire region that stimulate the appetite, which is the area where the glands secrete the hormone ghrelin, the hormone that the nervous system dictates for opening the appetite. While reducing the stomach size the patient is no longer able to eat a large amount of food, and also no longer feel the appetite to eat and thus the patient will loss much weight.
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How kilograms the patient loss in stomach cutting procedure (sleeving)?
This operation gives very quick results, the patients loss about 2 kilograms per week
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What are the recommendations for the sleeving patients?
The patient should keep in contact with the doctor and inform him everything, how many kilograms he losses per week,
It is very important for the patient to eat five or six small meals a day, and gives himself 10 minutes to eat quietly, and chew well, and eat only the adequacy
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Do you describe him vitamins and supplements after obesity operations?
It is compulsory for sleeving patients to adminster half of his needle vitamin b12 intramuscularly every month, because this vitamin is synthesized in the stomach and we are obligated to give him his need of it by intramuscular route for the lifetime
The patient should be graded in his diet after the operation and going through six phases beginning of sips of water on the first post- operative day, to return to a healthy diet after six weeks.
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Post- operative diet staging:
المرحلة الأولى : المدة: 6- 24 ساعة بعد العملية.
Phase I: Duration: 6-24 hourspost- operative.
Ismall intake of water every 15-30 minutes.
Phase II: Duration: 3 days.
transparent fluid intake without sugar.
Phase III: Duration: one Week.
Icomplete fluids without sugar or fat.
Phase IV: Duration: two weeks.
Grounded food, easy to swallow.
Phase V: Duration: two weeks.
eating mushy and soft food easy to chew.
Phase VI: daration: at least six months.
Normal diet, but within certain instructions and conditions, and will last a lifetime followed by a detailed list of food to help the weight reduction and maintain it after reaching the goal to enjoy good health.
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The goal of post -operative gradient diet?
– Allow the stomach to heal.
– To help you lose weight in a healthy way.
– Avoid vitamins and minerals shortage.
– To limit the expansion of the stomach.
– To avoid the side effects and complications.
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