Gastric sleeve surgery is a type of weight loss surgery, and sometimes also referred to as sleeve gastrectomy surgery, in which the size of the stomach is reduced so that you can’t consume more food at once. This helps in limiting the number of calories that you can intake thereby, resulting in weight loss. In this surgery, 75-80% of the stomach is removed surgically leaving a tube-like shaped or pouch-like shape of a stomach. It can be performed using different techniques such as- laparoscopic sleeve gastrectomy, robotic sleeve gastrectomy surgery, vertical sleeve gastrectomy depending upon the condition of the patient, medical history, and the sleeve gastrectomy surgery cost. Despite its enormous benefits, certain long term complications must be taken care of:-
Initial failure to lose: In very rare cases, if the pouch is too large or if the patient doesn’t adhere to instructions, there are chances that surgery turns out to be ineffective. Thus, no weight loss is seen.
Intolerance of foods: In sleeve gastrectomy, you are allowed to eat all foods that are generally restricted in other forms of surgeries. However, it doesn’t mean that your body is effective enough to tolerate all food types; hence intolerance of food is one such major issue.
Sleeve dilation: Well, initially you may be allowed to eat only a half a cup of food or liquids, eventually your pouch stretches and you can get back eating a larger proportion of foods at one time. This can prevent further weight loss and also your weight may begin to gain instead of losing.
Dyspepsia: There are higher chances of constipation, or Indigestion or frequent stomach upset after the surgery.
Gastroesophageal Reflux Disease (GERD): Diseases like heartburn, and other symptoms such as- nausea, feelings of fullness, bloating, upset stomach, can be solid aftermath of this surgery but can be solved with proper medications.
Stomach obstruction: Sometimes, the stomach outlet gets narrowed and even scars are visible on it, basically referred to as stenosis. This can further aggravate the issue of food digestion food. Thus it can be fixed by surgically stretching the narrowed area of the stomach.
Stomach ulcers: At times, if a patient experiences bleeding in vomiting or stool, followed with pain in the stomach, it is an indication of stomach ulcers.
Nausea: It is one of the most common issues with people who have undergone sleeve gastrectomy. Though, it can be resolved by medications. However, in some cases, it persists for a long time even for more than six months.
Sagging skin: It is commonly observed in all types of weight-loss surgeries, which occurs due to the stretching of the skin during the obesity period. Though excess skin can be further operated and removed, generally, it is done after weights get stable i.e. after 1-2 years.
Need for nutritional supplements: best laparoscopic surgeon in Delhi NCR advise to take vitamins and mineral supplements after surgery since you may not able to eat a large volume of foods that will limit the consumption of vitamins and minerals as well. Moreover, they also highlight on not skipping the medications or supplements provided after surgery. Though you can prepare an ideal or whole food diet but consuming supplements can help you better for performing everyday activities without getting tired.
Permanency: Either the surgery is helpful or not, you have to live with this stomach only for the rest of the like unless gastric band procedure, where the band can be removed in case of problems. In this case, a portion of the stomach can’t be replaced if any complication arises.
Sometimes Diabetes, hypertension, and other chronic conditions are not cured: Many people undertake this surgery for getting rid of these chronic health problems. In some cases, the problem either does not go or comes back again after several years. Thus, a permanent cure is not attained.
Malnutrition: It can result in so many causes like not able to consume a larger amount of foods or not taking minerals and supplements. Sometimes diarrhea, nausea can also result in malnutrition. It should be given proper attention since it is a serious problem and can largely interfere in a patient’s well-being.
Therefore, one must adhere to instructions and diet plan given by the doctor after the surgery.