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My Son was admitted with a very rare autoimmune illness in April this year. The care he was given was superb Prof Dheda, Prof Louw and their team of specialists covered every possibility , diagnosed efficiently and treated effectively. There was time taken to explain everything. The Hospital Matron made allowances for me to spend as much as possible time with my son and also allowed for frequent visits from close family. Mr Daniel Mathew the Hospital General manager is very approachable and interested . The staff was friendly and helpful. Basically every one from reception through admin to ICU was friendly and helpful. I Highly recommend this hospital
I had such a wonderful experience there with Dr Thomas, I had a skin drafting done it was such a smooth process I am healing very well and had a great stay there, Thank you so much
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Gastric Sleeve Surgery is a weight loss procedure in which a large part of the stomach is surgically removed, reducing the stomach size by 75% to 80%, with the remaining portion of the stomach looking like a banana or a sleeve. Given the severely reduced stomach size, patients will be unable to consume and digest as much food before quashing their hunger and feeling full - as a result, rapid weight loss can be achieved. This type of surgery is non-reversible and should only be considered as a final option.
A person is termed obese if their body mass index (BMI) is greater than 40 and their weight is 100 lbs / 50 kg more than their ideal weight. For these people, Bariatric Surgery is an available option. There are many associated risks concerned with Obesity that can lead to hypertension, infertility, diabetes, sleep apnea, and much more. When methods, such as dieting and exercising, do not work, a Gastric Sleeve procedure can be the final solution.
It's important to keep in mind, however, that not everyone is a good candidate to this procedure. Each individual should carefully consider the best options available to them, considering present condition, health history, cost, recovery time, success rate and pros and cons of the surgery.
Surgery is performed under general anesthesia using a laparoscope, with several small incisions being made on the belly, a tube fitted with a camera (laparoscope) is then inserted through these incisions to give a clear picture of the insides. The surgeon will view these images, before beginning the process of surgically removing 75% to 80% of the stomach's volume using special surgical instruments. The remaining stomach pouch now resembles a dramatically reduced sleeve or banana. All the instruments are removed and the incisions are stitched and bandages applied to the wounds.
Gastric sleeve surgery is an inpatient procedure that lasts about one hour in the operation theatre. After this, you are moved to a recovery room where your vitals are monitored. A two to three days hospital stay is required after surgery and you are discharged when your condition is stable. You should stay in South Africa for at least 7-8 days for follow up check-ups. During this period, you are kept under review and the stitches are removed after 5 to 7 days.
It will take two to three months to get back to normal meals and the amount of food you will eat is considerably decreased. You will likely suffer from a swollen and sore stomach for several days, with medicines being prescribed to help deal with the pain during this period. After two to four weeks, you can return to some normal activities, however, on average, six weeks of rest is required. As it is laparoscopic surgery, less time is required to recover and scars are small which fade away over time.
The following are some points to consider after leaving the hospital:
The success rate of Gastric Sleeve is approximately 80% to 90%. You can expect to lose 60% of your excess weight within 12 to 18 months post-surgery. Furthermore, numerous large clinical trials and studies have proven that the surgery improves or resolves obesity-related health problems, such as hypertension, type 2 diabetes, fatty liver disease, and sleep apnea.
While Gastric Sleeve is an overall safe bariatric surgical procedure with high success rates, complications may still occur during and after the surgery. Some of the main risks of the procedures are bleeding, blood clots, heartburn, weight regain, vitamin or nutrient deficiency, and stenosis.
The following are some non-surgical or minimally invasive alternatives to gastric sleeve surgery:
1. Gastric Band - Considered a reversible Bariatric Surgery option, a silicone device is fitted at the top portion of the stomach, cutting off the bottom section and creating a small stomach pouch above. The reduced stomach size now means the volume of food consumed is much smaller before the patient becomes full, thus resulting in rapid weight loss. Once the desired weight is achieved, the band can be surgically removed.
2. Gastric Bypass - The stomach is divided into two parts; a small upper pouch and a large lower ‘remnant’ pouch. The small intestine is rearranged accordingly, bypassing the large pouch and thus significantly reducing the volume of the stomach.
3. Gastric Balloon - This non-invasive procedure does not involve surgery and instead an inflatable balloon-like device is endoscopically placed into the stomach and inflated, thus reducing the capacity of the stomach. with the balloon occupying most of the stomachs volume, the patient becomes full much quicker, leading to rapid weight loss. Once the desired weight is achieved, the balloon is deflated and removed.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers. This content was last updated on 10/02/2022.