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Surgery in Costa Rica
Sleeve Gastrectomy in Costa Rica
What is a "Sleeve Gastrectomy"?
•This procedure involves converting the stomach into a long thin tube by stapling it along its length and removing the excess stomach. Unlike the gastric bypass, in which food enters the small gastric pouch and then passes straight into the small bowel, the route that food takes following a sleeve gastrectomy is the same it took before surgery. Because the stomach is smaller, able to hold less and stretches more quickly to give a feeling of fullness and satiety, patients want to eat less and therefore loose weight. This operation can be completed laparoscopically.
•For very large patients where the risks of a long surgical procedure are considered too high, a sleeve gastrectomy may be utilised as the first part of a two stage operation: the second stage being undertaken a number of months later when the patient has lost a significant amount of weight and the risks of further surgical procedures is much less. The second operation may be either a pancreatico-biliary diversion or a roux-en-y gastric bypass.
•About 50% of patients who have a sleeve gastrectomy may get such a good weigh loss with it that they do not need to undergo further surgery. Patients can loose up to 70% of their excess weight with a sleeve gastrectomy alone. The general complications of a sleeve gastrectomy are the same as the other weight reduction operations. The commonest specific complication is leakage from the staple line.
What Are the Advantages of the "Sleeve?"
•The sleeve gastrectomy has a number of advantages over other bariatric procedures:
•It does not require disconnecting or reconnecting the intestines
•It is a technically simpler operation than the gastric bypass or the duodenal switch
•It may be a safer operation for patients with a body mass index (BMI) more than 60
•It may be used as the first stage of a 2-stage operation
What is a 2-Stage Operation?
•Certain patients may have a body shape that makes their surgery more technically difficult. For example, patients with a BMI over 60 -- particularly those who carry their weight in their belly area -- may be at increased risk for bariatric surgery. If you fall into this category, you may benefit from a 2-Stage bariatric surgery.
•In the staged approach, a multi-step operation like the gastric bypass or the duodenal switch is broken down into 2 simpler and safer operations. In the first stage, a sleeve gastrectomy is performed. This allows to lose 80 to 100 pounds or more, which will make the second part of the operation substantially safer.
•The second stage operation is usually performed 8 to 12 months after the first. The "sleeve" stomach is converted into a formal gastric bypass or duodenal switch. This will permit additional weight loss and will provide a much more permanent result than sleeve gastrectomy alone.
•Both stages of the surgery can be performed laparoscopically, giving the advantage of shorter recovery, shorter incisions, fewer incision-related problems and less pain.
Are There Any Disadvantages?
•The sleeve may be an excellent option for you if your BMI is over 60, or if you have medical problems that would put you at excessive risk for a gastric bypass or duodenal switch (BPD-DS). However, the sleeve is usually considered to be a temporary treatment for obesity, until the second stage of the surgery is performed. Some people perceive the need for 2 separate operations as a disadvantage, despite the health benefits.
My gastric surgery in Costa Rica offers all inclusive packages including a gastric bypass, lap band, and gastric banding surgeries in Costa Rica. You will benefit with affordable gastric surgery and affordable plastic surgery.
The gastric surgery cost of your Costa Rica surgery is up to 75% less than USA rates and you will have access to leading board certified Costa Rica gastric surgeons.
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