Laparoscopic Sleeve Gastrectomy: Pros and Cons
Laparoscopic sleeve gastrectomy (LSG) is a weight-loss surgery that involves removing a large portion of the stomach. This leaves a smaller stomach pouch about the size and shape of a banana. The laparoscopic sleeve gastrectomy surgery is done through several small incisions in the abdomen.
There are several benefits of LSG:
1) Weight loss – LSG results in significant and sustained weight loss. Studies have shown that patients can lose up to 60% of their excess body weight within the first year after surgery.
2) Reduced hunger – One of the reasons LSG is so effective for weight loss is that it significantly reduces hunger and appetite. This is due to the smaller stomach size and the removal of a stomach section that produces hunger-stimulating hormones.
3) Reduced risk of obesity-related diseases – LSG helps with weight loss and reduces the risk of developing obesity-related diseases such as type 2 diabetes, heart disease and sleep apnea.
4) Improvement in quality of life – LSG positively impacts patients’ quality of life. It can improve or resolve obesity-related health conditions, such as joint pain, sleep apnea and GERD. Additionally, it can lead to increased energy levels and improved self-esteem.
5) Minimally invasive surgery – LSG is a minimally invasive surgery that uses small incisions and results in minimal scarring.
There are also some potential risks and drawbacks associated with LSG:
1) Nutritional deficiencies – Patients may have trouble getting enough nutrients from food due to the smaller stomach size. This is why taking vitamin and mineral supplements is vital after LSG surgery.
2) Stomach ulcers – there is a small risk of stomach ulcers after LSG surgery.
3) Gastroesophageal reflux disease (GERD) – GERD is a condition where stomach acid flows back up into the oesophagus, causing heartburn and other symptoms. LSG surgery can worsen GERD symptoms in some patients.
4) Dumping syndrome is a condition where food moves too quickly from the stomach to the small intestine. It can cause nausea, vomiting, diarrhoea, and dizziness.
What can you expect during the procedure?
1) The laparoscopic sleeve gastrectomy surgery is typically performed under general anaesthesia and takes about 1-2 hours.
2) You will be given a tube through your nose to help you breathe during the surgery.
3) The surgeon will make several small incisions in your abdomen and insert a laparoscope (a thin, lighted tube).
4) Other surgical instruments will be inserted through the incisions to remove a large portion of your stomach.
5) The remaining stomach will be sutured closed, and you will be taken to the recovery room.
6) You will likely stay in the hospital for 1-3 days after surgery.
What can you expect after the procedure?
1) You will likely stay in the hospital for 2-3 days after surgery.
2) You will have a small tube in your nose to help you drain stomach fluids for the first few days.
3) You will need to follow a strict diet for the first few weeks, gradually increasing the types and amount of food you eat as your stomach heals.
4) You will need to take vitamin and mineral supplements for the rest of your life.
5) You must see your doctor regularly to monitor your weight loss and overall health.
6) You may need additional surgery if you do not lose enough weight or experience complications.
Laparoscopic sleeve gastrectomy is a safe and effective weight-loss surgery that can help patients lose significant weight and improve their overall health. However, it’s essential to be aware of the potential risks and complications associated with the surgery. Patients should discuss their concerns and questions with their doctor before deciding whether or not to have LSG surgery.