Dos and Don'ts Before and after a Laparoscopic Sleeve Gastrectomy

Laparoscopic sleeve gastrectomy is a bariatric surgical procedure for weight loss. In this laparoscopic surgery, surgeons make small incisions in the upper abdomen to insert surgical instruments. They then remove about 80% of the stomach, leaving a small tube-like structure.

The remaining portion of the stomach reduces food intake, assisting in weight loss. It also induces hormonal changes, further enhancing weight loss.

When is laparoscopic sleeve gastrectomy indicated?

Several lifestyle conditions are associated with being overweight and obesity, such as:

• Heart diseases
• High blood pressure
• Type 2 diabetes mellitus
• Stroke
• Obstructive sleep apnoea

Management of these lifestyle disorders comprises mainly diet modification and an active lifestyle. A gastrectomy is only an option when those management strategies fail.

The success of the surgery depends on pre-operative and post-operative care.

What precautions should one take before a laparoscopic sleeve gastrectomy?

• Diet

A planned diet during the days leading to the surgery can improve the outcomes. A diet rich in proteins and healthy fats with fewer carbohydrates can decrease the fatty deposits around the liver. It allows easy access to the stomach. A couple of days before the surgery, the diet involves mainly clear liquids such as broth, water, non-caffeinated tea, or coffee.

• Hydration

Drink plenty of water during the days leading to the surgery. Avoid soft drinks, caffeinated and alcoholic beverages as they can dehydrate the body.

• Exercise

An active lifestyle before the surgery improves the metabolism and can also establish a routine after the surgery.

• Medications

Certain medications are best avoided before the surgery to reduce the risk of surgical complications. These medicines include aspirin and its alternatives, anticoagulants (blood thinners), arthritic medications, and herbal supplements.

What are the dos and don'ts after a laparoscopic sleeve gastrectomy?

The period after the sleeve gastrectomy influences recovery. There are a few things to pay attention to following the surgery.

• Diet

The post-surgery diet mainly involves liquids. Broths and non-caffeinated, non-alcoholic, and sugar-free beverages are a staple diet in the initial week post-surgery.

After a couple of weeks, the diet may include soft food and purees. The recommendation to start solid food is typically after a month.

The gradual progress from liquids to solids allows the stomach to heal.

• Supplements

The stomach lining is responsible for absorbing various nutrients such as vitamins and minerals. With most of the stomach removed, vitamin deficiencies can occur. Supplements recommended can include multivitamins, calcium, and Vitamin D3.

• Wound care

Although (with laparoscopic surgery) the incisions are small, wound care is essential for adequate healing. It may take about a week for the stitch removal. While dressing the wound, follow aseptic precautions to avoid the risk of infection.

Doctors recommend avoiding taking showers for 7-10 days to allow the wounds to heal. Contact with water can increase the risk of infection.

• Exercise

The initial few weeks after the gastrectomy aim mainly at getting you back to routine activities. The stomach requires about 6-8 weeks to heal. Avoid strenuous activities.

Start with breathing exercises, walking, and light flexibility exercises in the initial weeks. Gradually introduce low-impact activities as per the tolerance level and individual capacity.

• Join support groups

The aim of getting a gastrectomy is to reduce weight. With support groups, you can avoid the triggers, harmful eating habits and a sedentary lifestyle.

• Long-term follow-ups

The removal of the majority of the stomach will present some changes in the body. Long-term follow-ups keep a tab on the health status and chart the weight loss journey.

What are the complications of a laparoscopic gastrectomy?

Sleeve gastrectomy involves both short-term and long-term complications.

Short term complications:

• Excessive leakage and bleeding
• Blood clotting issues
• Adverse reaction to anaesthesia
• Risk of infection

Long term complications include:

• Malnutrition and absorption disorders
• Gastrointestinal obstruction
• Acid reflux
• Low blood sugar (hypoglycemia)

Proper medical care, experienced surgeons, and modern facilities can help you avoid these complications. Always opt for the best bariatric surgeon near you to improve your quality of life.

Request an appointment at Apollo Spectra Hospitals. Call 18605002244