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Sleeve Gastrectomy in Iran
All you need to know about Sleeve Gastrectomy in Iran
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What Is Gastric Sleeve?
Gastric sleeve surgery, also known as sleeve gastrectomy or vertical sleeve gastrectomy, is a surgical weight-loss procedure. It’s suitable for overweight people who have not successfully reduced their weight via exercise or diet. In this operation, about 80 percent of the stomach is surgically removed, which reduces the stomach volume to less than its half.
This surgery will result in a tube-shaped stomach about the size and shape of a banana, restrict the amount of food you can consume, and prompt hormonal changes that are influential in weight loss. Accordingly, patients won’t be able to eat as much as they used to and will feel full quicker than before. In addition, undergoing this operation can extremely reduce the risk of potentially life-threatening weight-related health problems such as heart disease, high blood pressure, high cholesterol, and type 2 diabetes.
Gastric Sleeve Surgery in Iran
In recent decades, the lifestyle of many people has drastically changed because of consuming more fast food. The role modernization and computers play in this regard must not be taken for granted as well. Due to the entrance of computers in modern life, majority of jobs have become sedentary. Thus, many individuals find it tough to exercise after long hours of working.
Because of the quality services and lower costs of treatments and operations in Iran, the number of individuals who choose Iran as their medial destinationis significantly growing specially for undergoing weight loss procedures. In Iran, gastric sleeve surgeryis carried out in surgical centers which are completely accordant with today's European standards. Additionally, they are all accredited by the Ministry of Health and Medical Education. Patients are offered efficient services and up-to-date facilities as well.
Iranian plastic surgeons have a great reputation for being highly experiencedand knowledgeable. They have become internationally famous in carrying out these operations specially gastric sleeve surgery because they implement many procedures successfully every year. Furthermore, most of them have graduated from leading Iranian universities and then completed special courses and fellowships in plastic surgery in modernand well-equipped hospitals. It’s significant to note that majority of Iranian surgeons are members of American and European societies of plastic surgery or other specialties.
Consequently, they can thoroughly explain the whole process, inform you of the available alternatives, determine the best kind of treatment based on your favorable goals, and finally give you detailed instructions on the recovery process to be followed.However, you must keep in mind that finding a skilledspecialist for gastric sleeve surgeryis a crucialstage. By searching about the number of surgeries done by surgeons, following their experiences, and before-after galleries you can easily choose the one who can help you obtain all your desirable outcomesin the best way.
There are two major types ofgastric sleeve surgery in Iran. The first one which is known as “wide sleeve” involves removing about 60 percent of the stomach. Typically, in the second kind called “tight sleeve”, about 80 percent of the stomach will be removed. In addition, gastric sleeve surgery is carried out using the minimally-invasive laparoscopic techniques at modern clinics in Tehran, Isfahan, Mashhad, Shiraz, Kish, and other cities in Iran.
Gastric Sleeve Cost in Iran
Average gastric sleeve surgery cost in Iran ranges from 3,500$ to 4,500$ that usually includes doctor visit, clinic, laboratory tests, anesthesia, post-op recovery, follow-up, etc. Needless to say, the cost may vary depending on the surgeon’s reputation and level of expertise, the complexity of the procedure, severity of the problem, and similar issues.If you intend to cut the price, you can ask less experienced specialists to do this surgery for you.
At first, you may think that cheaper treatments provided in Iran is the main reason candidates have when traveling to this country for getting their operation. Nonetheless, none of the patients has referred to this issue as their motivation so far.It should be indicated that the cost of gastric sleeve surgeryin Iran and other countries is distinctlydifferent. The average cost of gastric sleeve surgery in many countries is around $14,500.
As a result, by making a comparison between the costs of this operation in several countries popular in this regard, you will be able to make a wise decision and choose a destination that offers you quality services in specialized hospitals.
These days, Iran is attracting many candidates from all over the world to its major cities like Tehran, Shiraz, Tabriz, and Mashhad because of low cost of gastric sleeve surgery, low cost of accommodation, high demand for this operation, and highly skill ful surgeons.
In a nutshell, if you intend to get such cosmetic operations, particularly gastric sleeve surgery, it’s highly reasonable to have Iran at the top of your priority list of options.
Who Can Benefit from Sleeve Gastrectomy?
This operation can be an effective solution for you if your body mass index (BMI) is 40 or higher (extreme obesity). However, if your BMI is 35 to 39.9 (obesity) and you struggle with a serious weight-related health problem such as type 2 diabetes or high blood pressure, you can still think of this operation as a suitable option since it can help you get rid of all these problems as well.
You must also try your best to live a healthy lifestyle, have a well-balanced diet, and exercise regularly after the operation. Indeed, you should make permanent changes in your daily eating habits. You need to have checkups frequently as well to monitor your nutrition and evaluate your medical conditions.
Things to know about Gastric Sleeve in Iran
Gastric Sleeve (Sleeve Gastrectomy)Procedure
This surgery usually takes about an hour. Doctors mostly prefer general anesthesia for their patients to ensure their comfort during the operation. At first, specialists make a few small cuts in the belly and insert a laparoscope, an instrument with a tiny camera that sends pictures to a monitor. Next, they will create a narrow sleeve by stapling the stomach vertically and remove the larger, curved part of the stomach. Finally, they will reattach the rest of the stomach to form the "sleeve" or tube.
Gastric Sleeve Recovery
Nowadays, gastric sleeve surgery is laparoscopic instead of open surgery. In this case, surgeons only make some small cuts in your belly to accelerate the recovery and healing process.
In general, you will have to stay in hospital for about 2 or 3 days following surgery which typically takes 40-70 minutes. It’s better to ask someone to take care of you for a while. During this period, you are recommended to drink plenty of water in order to stay hydrated. Feeling pain from the small incisions can usually be relieved with pain medications if prescribed by your doctor. You should start your clear liquid diet the morning after their surgery and are permitted to walk a few hours. This diet will be continued for a week, which will gradually progress to soft foods for three weeks and finally to regular foods almost four weeks after the surgery. Smoking is forbidden for at least one month after undergoing the operation. You will need to take a multivitamin twice a day, a calcium supplement once a day, and a vitamin B-12 injection once a month for life. You should also have frequent medical checkups in the first several months after weight-loss surgery.
Majority of patients can go back to work and begin exercising after two to four weeks. You don’t need to worry if you have some complications like dry skin, body aches, tiredness, coldness, hair loss, and mood changes.
These are totally natural since your body reacts to the rapid weight loss in the first three to six months after the surgery. If you follow your doctor’s instructions carefully, you can easily avoid such complications.
Gastric Sleeve (Sleeve Gastrectomy) Results
Normally, people will lose about 60-70% of their excess weight gradually after the surgery. The details are explained in the following:
- The first two weeks: 10-20 pounds; most patients lose about one pound a day
- The first three months: 35-45% of excess weight loss
- The first six months: 50-60% of excess weight loss
- The first year: 60-70% of excess weight loss
Fortunately, sleeve gastrectomy success rate is about 80-90%, and a long-term weight loss can be provided. Depending on your diet and the changes you make in your lifestyle, the amount of weight you lose will be changed. The other problems you may struggle with such as heart disease, high blood pressure, high cholesterol, or type 2 diabetes will be completely resolved as well. By enhancing your ability to do routine daily activities, it can significantly improve the quality of your life.
Gastric Sleeve (Sleeve Gastrectomy)Pre-Operative Considerations
During your sleeve gastrectomy consultation, you should talk to a board-certified plastic surgeon with good before-and-after photos about your goals and expectations, medical conditions such as drug allergies, and current medications like vitamins or herbal supplements you use. Prior preparation is an important step in this process.
Then, your surgeon will:
- Review your medical history
- Ask you about previous surgeries
- Evaluate your overall health to make sure that other medical issues you might have such as diabetes, high blood pressure, and heart or lung issues, are under control.
- Examine your body thoroughly
- Order some lab tests like blood tests
- Give nutritional counseling
- Take photos for your medical record
- Ask you to stop smoking since tobacco will slow both recovery and healing process.
- Ask you to avoid taking some medications like aspirin, anti-inflammatory drugs, and herbal supplements for a while before and after the operation since they can increase bleeding and bruising
- Discuss the available options
- Recommend a course of treatment
- Discuss likely outcomes and potential complications
Gastric Sleeve Complication
Like all surgeries, gastric sleeve surgery involves some risks and side effects. Your medical team will clarify all of them before the operation.
These risks can be categorized into two main groups:
- Bleeding and infection
- Blood clots in the heart and lungs
- Obstruction of stomach
- Hernia through the incision and inside the abdomen
- Reaction to and rejection of suture material
- Anesthesia-related complications
- Additional bariatric surgery risks
- Acid reflux
- •nability to eat some special foods
- Low blood sugar
- Dilation of esophagus
- Nausea and dizziness
- Nutrient or vitamin deficiency
It’s important to indicate that gastric sleeve surgery is one of the safest operations. Nonetheless, no surgery is risk-free. Minor side effects like pain, bruising, and swelling may occur immediately after undergoing the surgery but you don’t need to worry about them because they normally fade awayafter a week.
In addition, your medical team and your specialists will give you proper detailed instructions and dietary guidelines for post-op gastric sleeve surgery toreduce the chances of developing complications and side effects.
Gastric Sleeve Revision
By recommitting to the diet prescribed by your doctor and exercise plan prepared by your medical team, you can easilyfight weight regain. However, if the gastric sleeve is sufficiently stretched, this can no longer be a suitable option.
Due to the fact that procedure-related weight regain always revolves around the stomach pouch stretching, surgical revisions are mostly straightforward. The gastric sleeve can be conducted for the second time to re-shrink the gastric pouch and remove extra volume. This process, usually called a re-sleeve, is performed in somewhat the same way as the first operation.
Gastric Sleeve Diet
After having a gastric sleeve surgery, you will have to consume a special diet for a month.
First week: sugar-free, noncarbonated clear drinks
Next three weeks: Pureed foods and protein shakes
After four weeks: regular foods
Remember to take prescribed multivitamins twice a day and calcium supplement once a day. Additionally, you need to have vitamin B-12 injection once a month.
In the first month after getting the operation, there are some key recommendations about your eating habits that must be followed:
- Eat solid foods very slowly
- Chew everything before swallowing
- Do not drink while eating
- Drink 30 minutes after finishing your food
- Do not consume high-calorie snacks and sodas
- Take prescribed supplements every day
After the third month, your diet will get back to normal, but you will fill full sooner than before.
The Best Gastric Sleeve (Sleeve Gastrectomy) Surgeons in Iran
Gastric Sleeve (Sleeve Gastrectomy) Hospitals in Iran
Gastric Sleeve FAQs
After the gastric sleeve of stomach, which normally takes 1 to 2 hours, depending on the patient's condition, 1 to 3 days of hospitalization is prescribed. The patient will have to rest and avoid work from 1 to 3 weeks. After 6 weeks, the patient can resume their daily activities.
This procedure is suitable for those with the Body Mass Index or BMI above 40 and are aged between 18 and 65. Also, those who have BMI over 30 with obesity-related conditions like hypertension(high blood pressure), high cholesterol, type 2 diabetes, An obstructive sleep apnea (sleep apnea), and joint problems are candidates for this procedure.
Gastric sleeve surgery is generally a safe procedure and if performed by a competent surgeon the mortality or death rate is close to zero.
Every surgery operation has short and long term side effects. In this case, the short term side effects could be pain, bleeding(1.2%of the patients), staple line leaks(2.1%), gastric strictures(0.6%)amongst others. The long-term side effects could involve reflux, nausea, sagging skin because of rapid weight loss, and regaining weight.
Some people may feel pain in the place of the incision. Pain in the neck and shoulder area after laparoscopy operations are common and normal.
Obesity may be one of causal factors of stomach cancer. If someone is on course to stomach cancer before a gastric sleeve procedure, it may continue and this surgery does not expedite stomach cancer. Nonetheless, gastric sleeve, as a result of following weight loss, could reduce or eliminate the risk of cancers like ovary cancer.
To know if you are a good candidate for gastric sleeve, you have to know your BMI. People with BMI over 40 or over 30 who also suffer from obesity conditions like diabetes, high cholesterol, high blood pressure(hypertension), sleep apnea, etc. can opt for this procedure.
If you have tried all other weight loss methods and have not gotten results or suffer from obesity side effects like diabetes, hypertension(high blood pressure), etc. you might be better off with this low-risk procedure and try it after expert consultation.
Sleeve gastrectomy is believed to be simpler than gastric bypass. Instead of rearranging the anatomy of the stomach and small intestine, the stomach is resized to affect weight loss in sleeve gastrectomy. The significant advantage of gastric sleeve surgery is that it does not create a new connection between the stomach and small bowel. Long term complications which are common in gastric bypass surgery are less likely to happen in gastric sleeve procedure. In addition, if some patients are too heavy for gastric bypass surgery, doctors will choose to perform sleeve gastrectomy.
Definitely yes. Before carrying out the operation, specialists will elaborate on the features of a healthy diet. If you want to enjoy the results of such surgeries permanently and maintain your ideal weight, you should live a healthy lifestyle and have a well-balanced diet.
It remarkably reduces the size of your stomach and restricts the amount of food that can be eaten at one time. After eating a small amount of food, you will feel full very quickly. This feeling usually lasts for several hours since your appetite is suppressed by reducing the amount of "hunger hormone" produced by your stomach.
This procedure is highly recommended to patients who cannot lose weight through exercise or diet. Those individuals who have a very high body mass index (BMI) or are at risk for undergoing anesthesia because of heart or lung problems may think of this surgery as an effective solution to tackle their weight-related problems.
Depending on patients’ weight before the operation, they can expect to lose at least 40% and at most 70% of their extra weight gradually following surgery. Many obesity-related problems such as diabetes, hypertension, or abnormal cholesterol levels will be completely resolved by getting bariatric surgery.
For obese patients who suffer from esophageal dysmotility (difficulty swallowing), gastroparesis (food stays in the stomach for too long), and severe Gastroesophageal Reflux Disease (GERD), the gastric bypass surgery is a better option. Nonetheless, if they struggle with mild reflux, gastric sleeve can be performed without causing any problems.
The stomach can be considerably stretched after eating. During the gastric sleeve surgery, doctors insert a tube from the mouth into the stomach, and all the gas and liquids are removed to totally decompress the stomach. Almost about 80% of the stomach is removed after it is decompressed. During this process, the stomach is detached and pulled through a very small incision, which is only about 2-3 cm.
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