Laparoscopic sleeve mastectomy is a surgical weight-loss procedure in which a large portion of the stomach is removed and the stomach is reduced to 15% of its original size. The surgery is performed laparoscopically and is not reversible.
Who can get laparoscopic sleeve mastectomy done?
• You can opt for this stand-alone procedure if you don’t have much weight to be shed or if you are a high-risk patient i.e. if you are morbidly obese.
• It is an option for those where the risk of performing duodenal switch or gastric bypass is too large.
• Sleeve gastrectomy is performed on people with a BMI of 40 or more.
Laparoscopic sleeve mastectomy involves 5 small incisions. An endostapler is used to create a small pouch or divide the stomach. The remaining stomach is removed and the gastrointestinal tract is kept unaltered. This reduces the size of the stomach drastically.
This procedure, however, may be followed by a gastric bypass or duodenal switch if patient’s weigh increases in due course of time or if it plateaus.
After the procedure, the patient is required to stay in the hospital for 2-3 days. They can begin drinking liquids on the second day and remain on liquid diet for 2 weeks post operation. As far as resuming daily activities is concerned, they can do so within a month.
• No drains and nasogastric tubes are required.
• It doesn’t cause any vitamin and protein deficiency.
• It is simpler than gastric bypass.
• No implants required.
• It is beneficial for high-risk patients who have severe asthma, anaemia, those on steroids and those who suffer from inflammatory bowel disease.
• Food is absorbed normally.
• Operation preserves pylorus, the valve that is responsible for regulating emptying of bowels.
• Patients lose 50% of their excess weight within a year and half. Half of 50% is lost within first six months only.
• Gradual benefits are sustained weight loss
• Normal blood sugar level, cholesterol level and blood pressure level within a year of surgery.
• Relief from arthritis pain.
• Emotional benefits and boost to self esteem.
• Improvement in lung conditions.
• It’s an irreversible procedure.
• It might require a follow-up weight loss surgery for those who are extremely obese.
• The remaining of the stomach may stretch out.
• Narrowing of Stoma.
• Gastroesophageal Reflux.
• Malabsorption of Vitamins and Minerals.
• deep vein thrombosis (DVT).
• Gastric Fistula.
• The post-operative care after laparoscopic sleeve mastectomy is similar to that after gastric bypass.
• For the first six weeks or so administration of proton pump inhibitors help in reducing ulceration along the staple line and gastric acidity.
• Patient is put on high-protein diet.
• Multivitamin supplements are given to reduce muscle wasting.
• Laboratory tests are performed in the third, sixth and on completing a year aftyer surgery.
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