Laparoscopic sleeve gastrectomy is now the most common bariatric procedure performed worldwide. This operation is performed laparoscopically and it involves removing 80% of the stomach using a keyhole technique. Reducing the size of the stomach not only provides restriction, but more importantly, the part of the stomach that is removed; produces a hormone known as Ghrelin which increases appetite.
Once this hormone is removed, the appetite reduces and weight reduction follows due to a combination of restriction in appetite and thus weight reduction follows due to the reduction in appetite coupled with increased satiety following this procedure.
Preparation is key to any successful bariatric procedure. When building the preparatory phases of your bariatric procedure, a lot of steps need to be taken in order that your surgery be performed safely and effectively:
Immediately following surgery, all patients are allowed to sip water on the evening of the operation. It is important that the patient sip rather than gulp /drink water. On the following day, after surgical review, patients are usually allowed all tea / coffee or squash. It is very important that all patients follow the advice of their surgeon and their Bariatric Coordinator. As a rule of thumb, for the first 2 weeks, the patients are on a liquid diet followed by a puree diet for the next 2 weeks, building up to an almost normal diet after the first 4 weeks.
At any point, if the patient feels that whatever they are eating is getting stuck, they should get in touch with their Bariatric Coordinator and immediately go one stage back – for example, if you are on a puree diet, you should go back to a fluid diet and if on a solid diet, go back to a puree diet.
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