Weight loss after tube stomach operation: deepening and expansion

1. Introduction:

The tubular stomach surgery (also known as sleeve gastrectomy) is a bariatric procedure used for weight loss in severe overweight and obesity. The operation leads to a reduction in the stomach, which reduces food intake and achieves a feeling of satiety faster.

2. Long-term results:

a) Weight maintenance:

After the initial weight loss in the first 1-2 years, it is important to maintain the weight achieved. This requires:

• A long-term change in eating habits:
  • Renunciation of high-calorie foods: e.g. B. Fast food, sweets, sugary drinks.
  • Increased consumption of:
    • Fruit and vegetables.
    • Whole grain products.
    • Lean Protein.
• Regular exercise:
  • Recommendation: At least 150 minutes of moderate activity per week.
  • Examples:
    • Hiking.
    • Swimming.
    • Cycling.

b) Studies show:

• Long-term data (5-10 years after the operation):
  • 80-90% of patients: Keep the initial weight loss of 50-60% of overweight.
  • Better results: In patients who adhere to the dietary recommendations and exercise regularly.

3. Influence on health:

a) Improvement of concomitant diseases:

• High blood pressure:
  • Normalization of blood pressure: In 70-80% of cases after surgery.
  • Reduction of medication intake: In many cases possible.
• Diabetes type 2:
  • Remission: In 50-70% of cases after the operation.
  • Improvement of blood sugar control: In most cases.
• Sleep apnea:
  • Improvement or complete elimination: In 80-90% of cases.

b) Increased quality of life:

• Improvement of physical performance:
  • Less pain and fatigue.
  • Increase in endurance.
• Improvement of mental health:
  • Reduction of depression and anxiety disorders.
  • Increase in self-esteem.

4. Comparison with other bariatric procedures:

a) Stomach bypass:

• More complex intervention:
  • Two surgical steps:
    • Stomach reduction.
    • Bypassing a part of the small intestine.
  • Longer hospital stay.
  • Higher risk of complications.

b) Sleeve Gastrectomy vs. Stomach bypass:

• Choice of intervention:
  • Individually after a detailed consultation by a bariatric surgeon.
  • Factors:
    • Body weight.
    • Concomitant diseases.
    • Patient preferences.

5. Risks and complications:

a) Early complications:

• Bleeding.
• Infections.
• Leaks.

b) Late complications:

• Vitamin and mineral deficiency:
  • Regular supplementation: To avoid deficiency symptoms.
• Reflux disease:
  • Change in diet and medication: To relieve the symptoms.
• Hair loss:
  • Temporary: In most cases.

c) Minimization of risks:

• Selection of an experienced surgeon.
• Participation in a follow-up examination.

6. Tips for patients:

a) Preparation for the operation:

• Information about the risks and benefits of the procedure.
• Change of diet and exercise:
  • Weight loss: Can improve the course of the operation.
  • Promotion of recovery: After the operation.

b) Nutrition after the operation:

• Follow the instructions of your doctor and nutritionist.
• Small meals:
  • More often distributed throughout the day.
  • Well chewed.
• Avoidance of:
  • To greasy and sweet food.
  • Carbonated drinks.

c) Physical activity:

• Regular exercise:
  • Important for weight loss and general health.