Tube Stomach Surgery

It is a type of partial gastric resection surgery in which approximately 2/3 of the stomach is removed in the longitudinal direction and a tube shape is given to the stomach. Today, it is performed laparoscopically (closed). In sleeve gastrectomy surgery, up to 90% of the stomach volume is removed and a smaller reservoir for food is created. Although it is an irreversible surgery, it can be converted to almost all known bariatric surgery methods. Because one step of all other bariatric surgeries is the reduction of stomach volume.
Previously, it was used as a first-line surgery to reduce excess weight before more difficult and complex operations such as gastric bypass, biliopancreatic diversion in people with very high Body Mass Index (BMI) (>60 kg/m2). However, it was started to be performed as a primary surgery when it was observed that it was highly effective on weight loss and metabolic results alone. Nowadays, it has been increasingly preferred due to its technical convenience and good metabolic results, and it has become the most frequently performed surgery, surpassing the Roux-en-Y gastric bypass, which was the most frequently performed bariatric surgery in the past.

Gastric sleeve surgery is a restrictive method. Removal of a part of the stomach and the reduction of the stomach volume as a result of the decrease in edible food provides weight loss. In addition, since the stomach part, where the hormone known as Ghrelin is secreted and which causes the feeling of hunger, is removed in Tube Stomach surgery, weight loss occurs due to the decrease in the feeling of hunger in the patients.

One of the problems that sleeve gastrectomy surgery can cause in the long term is “reflux disease”. Presence of reflux disease before surgery is not considered an obstacle to sleeve gastrectomy surgery. However, patients should be evaluated in this respect in the preoperative period.

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